中医护理模式在痿证患者中的临床应用

Clinically Applying System of TCM to Nursing Flaccidity Syndrome Sufferers

目的探讨中医辨证施护的特点,力求初步建立一套痿证患者的中医护理模式。方法选择痿证病例90例,随机分为试验和对照两组。实验组按主证分为肺热津伤证、湿热浸淫证、脾胃虚弱证、淤阻脉络证、肝。肾亏虚证共5型。每型10例痿证患者,共为50例。对照组40例。试验组在常规护理的基础上,进行"辨证施护";对照组给予常规护理。结果实验组总有效率为96.0%,对照组总有效率为47.5%,P<0.01,两组疗效有统计学意义。结论中医基本理论与护理学知识相结合,护理程序与辨证施护相结合,护理技术操作与中医传统治疗方法相互补,全面评估患者的健康问题,满足患者的基本要求,建立一套痿证患者的中医护理模式是必要的和可行的。

Objective To investigate the nursing characteristics with traditional Chinese medicine in order to build a system of TCM for nursing flaccidity syndrome sufferers.Methods Ninety patients with flaccidity syndrome sufferers were randomly divided into the experimental group and the control group.The patients were subdivided ac- cording to main signs,that is,flaccidity due to lung-heat;damp-heat flaccidity;weakness of spleen and stomach; ecchymoma;deficiency of liver-yin and kidney-yin.There were 10 cases of flaccidity syndrome sufferers in each sub type;there were 50 cases in all;there were 40 cases in the control group.Besides the conventional nursing care,the experimental group was given nursing care with syndrome differentiation.The control group was given only the conventional nursing care.Results The overall effective rate amounted to 96.0% in the experimental group and 47.5% in the control group(P<0.01).There was a statistical significance in both groups.Conclusion It is necessary and feasible to build a system of TCM for nursing flaccidity syndrome sufferers.