摘要
目的:观察护理配合柴胡舒肝散加减对FMS患者疼痛和情绪障碍的改善情况。方法:45例FMS患者随机分为对照组和观察组;对照组采用常规治疗护理措施,治疗组在对照组的基础上予以柴胡舒肝散加减煎汤口服及中医护理;记录两组患者干预前及干预后每个疗程患者疼痛指数、睡眠障碍、情绪障碍改善情况及止痛药物用量情况,记录并比较两组患者治疗后药物不良反应及并发症发生情况。结果:观察发现第1、2疗程两组VAS及止痛药物用量较干预前明显降低,并且观察组降低优于对照组(P≤0.05);而第三个疗程两组VAS及止痛药物用量较治疗前明显降低,但同期VAS评分无差异(P>0.05);干预第1个疗程两组患者PSQI、HADM评分较干预前改善不明显(P>0.05),但第2、3个疗程后观察组患者PSQI、HADM评分较对照组明显改善,并且观察组改善优于对照组(P≤0.05);两组患者治疗方法与时间在VAS、PSQI、HADM评分及止痛药物用量上存在交互作用;治疗方法在VAS、PSQI、HADM评分及止痛药物用量上主效应显著;时间在VAS、PSQI、HADM评分及止痛药物用量上主效应显著;且治疗后两组患者无因药物使用所造成的不良反应发生。结论:护理配合柴胡舒肝散加减具有较好的改善FMS患者疼痛和情绪障碍作用。
Objective:To explore the effect of nursing combined with Modified Chaihu Shugan Powder for improving pain and emotional disorder in FMS.Methods:45 patients with FMS were randomly divided into controlled group and observation group.The controlled group was treated with routine nursing measures.The treatment group was treated with Modified Chaihu Shugan Powder and TCM nursing on the basis of the controlled group.Before and after the intervention,the pain index,sleep disorder,mood disorder improvement and the amount of painkillers were recorded and compared between the two groups.The adverse drug reactions and complications occurred after treatment.Results:It was found that the dosage of VAS and analgesics in the first and second course of treatment was significantly lower than that before the intervention,and the dosage of VAS and analgesics in the observation group was significantly lower than that in the controlled group(P≤0.05);The dosage of VAS and an-algesics in the third course of treatment was significantly lower than that before the treatment,but there was no difference in VAS score at the same time(P>0.05);The PSQI and HADM scores of the two groups in the first course of intervention were not significantly improved than that before the intervention(P>0.05).However,after the second and third course of treatment,the PSQI and HADM scores of the observation group were significantly improved compared with the controlled group,and the improvement of the observation group was better than that of the controlled group(P≤0.05);There was interaction between the treatment methods and time in the VAS,PSQI,HADM scores and the dosage of painkillers in the two groups;The main effect of the treatment methods in the VAS,PSQI,HADM scores and the dosage of painkillers was significant;The time in the VAS,PSQI.The main effects were significant in HADM score and analgesic dosage.After treatment,there was no adverse reaction caused by drug use in the two groups.Conclusion:Nursing combined with Modified Chaihu Shugan Powder ca
作者
谢彩洪
葛伟
王双双
朱冬梅
XIE Caihong;GE wei;WANG Shuangshuang(Integrated Chinese and Western Medicine Section,General Hospital of Eastern Theater Command,Nanjing Jiangsu 210002,China)
出处
《四川中医》
2020年第7期211-215,共5页
Journal of Sichuan of Traditional Chinese Medicine
