辨证施护联合常规护理胃痛随机平行对照研究

Randomized Controlled Study on Stomachache in Syndrome-Differentiatiatednursing Combined with Routine Care

[目的]观察辨证施护联合常规护理胃痛效果。[方法]使用随机平行对照方法,将240例住院及门诊患者按随机数字表分为两组。常规护理组120例常规护理(生活护理、药物指导,饮食护理等),辨证施护组120例辨证分型:寒邪客胃、饮食伤胃、肝气犯胃、湿热中阻、瘀血停胃、胃阴亏耗、脾胃虚寒,实施生活护理、情志护理、病情观察、症状护理、饮食护理。常规护理同常规护理组。连续护理1周为1疗程。观测临床症状、证候积分、不良反应。连续护理2疗程(2周),判定效果。[结果]辨证施护组临床痊愈66例,显效29例,有效15例,无效10例,总有效率91.67%。常规护理组临床痊愈40例,显效32例,有效29例,无效19例,总有效率84.17%。辨证施护组疗效优于常规护理组(P<0.01)。[结论]辨证施护联合常规护理胃痛,缩短住院时间,提升疗效,无副作用,值得推广。

[Objective]Syndrome-differentiatiated nursing observation combined with routine care on stomach effect.[Method]Using randomized controlled method,240 cases（inpatient / outpatient）were randomly divided into two groups,usual care group of 120 cases of conventional care（life care,medication guide,diet care,etc.）,syndrome nursing group of 120 patients Syndrome classification：Hanxie passenger stomach,diet Shang Wei,Fan Wei qi,damp heat resistance,stop stomach bleeding,stomach yin depletion,spleen and stomach,the implementation of life care,emotional care,observation condition,symptom care,diet care. routine care with routine care group. Continuum of care one week course of treatment. Observation of clinical symptoms,symptom scores,adverse reactions. Continuum of care two treatments to determine the effect.Follow-00d（time and number of cases,observation projects,indicators,determine the efficacy of the results when the change）.[Results]Syndrome nursing clinical cure 66 cases,effective in 29 cases,effective in 15cases,10 cases,total effective rate 91.67%. Routine care clinical cure 40 cases,effective in 32 cases,effective in 29 cases,ineffective in 19 cases,the total efficiency 84.17%. Syndrome nursing group than the usual care group（P0.01）.[Conclusion]Syndrome nursing combined with routine care stomach pain,shorter hospital stays,improve efficacy,no side effects,is worth promoting.