摘要
[目的]观察辨证分型干预联合常规护理疗效。[方法]使用随机平行对照方法,将80例住院及门诊患者按抽签法分为两组。对照组40例常规护理:①迅速建立动静脉血管通路,尽早上机透析,详实记录生命体征。②单纯性水钠潴留先行超滤,待症状改善再进行透析。③高血钾患者,先行一段时间透析,然后行透析。护理组40例辨证护理:①补虚扶正药膳调护。肝肾阴虚,枸杞、百合各15g;肝肾阳虚,肉桂10g,山药20g,煲汤,3次/7d。②运动调护。八段锦,20min/次,2次/d。肝肾阴虚,太冲、三阴交及血海穴位按摩;脾肾阳虚,足三里、关元以及中脘等穴位按摩,5~6min/穴位,2次/d。③情志调护。选择中医五行音乐,对患者情绪以及心理状态加以调节。肝肾阳虚,角调配合羽调;脾肾阳虚,宫调配合羽调,30min/次,2次/d。常规护理同对照组。连续护理7d为1疗程。观测临床症状、WHOQOL-BREF及SF-36评分、不良反应。连续护理3疗程,判定疗效。随访11d,观测复发率。[结果]护理组痊愈15例,显效16例,有效8例,无效1例,总有效率97.50%。对照组痊愈11例,显效12例,有效4例,无效13例,总有效率67.50%。护理组疗效优于对照组(P【0.05)。WHOQOL-BREF及SF-36评分护理组优于对照组(P【0.05)。[结论]辨证分型干预联合常规护理效果显著,值得推广。
[Objective]To observe the curative effect of TCM syndrome differentiation and nursing care of hemodialysis. [Methods]Using randomized controlled methods, 80 cases of inpatients and outpatients were divided into two groups according to the. Routine nursing group 40 cases: the rapid establishment of arteriovenous vascular access, as soon as possible on dialysis, record the detailed. The simple retention of water and sodium to ultrafiltration, the symptom improvement after dialysis. The patients with hyperkalemia, a period of dialysis, dialysis and line. 40 patients of TCM nursing: ① tonic righting diet nursing. Yin deficiency of liver and kidney, Gouqi, Baihe each 15g; liver and kidney yang Rougui, Shanyao 10g, yam soup, 3 times 20g/7d. Exercise care. The eight section brocade, 20min/ times, 2 times/d. Yin deficiency of liver and kidney, Taichong, Sanyinjiao acupoint massage and blood; spleen kidney yang deficiency, Zusanli, Zhongwan, Guan Yuan and acupoint massage, acupuncture point 2 times 5 ~ 6min/,/d. The emotion adjustment. Selection of TCM five elements music, on patients with emotional and mental state to regulate. Liver and kidney deficiency of Yang, angle modulation with Yu tone; Yang deficiency of spleen and kidney, etc. with the Yu tone, 30min/, 2/d. The routine nursing with the control group. Continuous nursing care of 7D for 1 courses. Observation of clinical symptoms, WHOQOL-BREF and SF-36 score, adverse reaction. Continuous nursing care of 3 course of treatment, the curative effect. Of the 80 patients were followed up for 11d, observing the recurrence rate. [Results]The nursing of 15 cases were cured, 16 cases markedly effective, 8 cases, 1 cases ineffective, the total efficiency of 97.50%. The control group cured 11 cases, effective in 12 cases, effective 4 cases, invalid 13 cases, the total efficiency of 67.50%. Nursing group was better than control group(P< 0.05, P< 0.01). WHOQOL-BREF and SF-36 scores of nursing group than the control group(P< 0.05). [Conclusion] TCM significantly in the nursing
出处
《实用中医内科杂志》
2013年第8S期89-91,共3页
Journal of Practical Traditional Chinese Internal Medicine
