女性便秘患者84例的辩证施护

Dialectic Analysis and Treatment of Constipation in 84 Female Patients

目的探讨中医辩证施护对女性便秘患者辅助治疗的效果。方法将164例女性便秘患者随机分为辩证施护组和常规护理组,比较两组患者的疗效、复发率及药物依赖性。其中,常规护理组服用西药泻剂,按常规实施便秘护理;辩证施护组服用中药,按证型辩证施护。结果辩证施护组治愈率明显高于常规护理组(P<0.01),两组之间总有效率无统计学差异(P>0.05);辩证施护组复发率和药物依赖发生率明显低于常规护理组(P<0.05)。结论应用辩证施护可降低女性便秘患者的复发率和药物依赖性。

Objective To explore the effectiveness of dialectic analysis and treatment （DAT）,a traditional Chinese medicine approach, for female patients with constipation. Methods Total 164 constipated female patients were randomly divided into DAT group and control group. Patients in DAT group were given traditional Chinese medicine according to DAT and those in the control group were given western medicine and routine care. The outcomes, recurrence rate, and drug-dependence of patients in the 2 groups were compared. Results The scores of patients in DAT group were significantly higher than those in the control group（ P 〈0.01）, but there was no significant difference in the total effective rate between the 2 groups（ P 〉0.05）. The recurrence rate and drug-dependence in DAT group were significantly lower than those of the control group（ P 〈0.05）. Conclusion DAT for constipated female patients can reduce recurrence rate and drug-dependence.