中西医结合治疗复发性口腔阿弗他溃疡的效果及护理

Effect and nursing of integrated Chinese and Western medicine treatment for patients with recurrent oral aphthous ulcers

[目的]探讨中西医结合治疗复发性口腔阿弗他溃疡(RAU)的治疗疗效及护理对策。[方法]选取口腔科收治RAU病人共106例,按照病人就诊顺序将病人随机分为西药治疗组和中西医结合治疗组各53例。西药治疗组采用西医治疗,中西医结合治疗组在西药治疗组基础上采用辨证中医治疗。比较两组临床治疗疗效、疼痛评分及溃疡数的变化。[结果]经Ridit分析结果显示:中西医结合治疗组疗效优于西药治疗组,差异具有统计学意义(P<0.05);两组治疗前疼痛评分和平均溃疡数比较无统计学意义(P>0.05),治疗后两组疼痛评分和平均溃疡数比较中,中西医结合治疗组少于西药治疗组,比较差异具有统计学意义(P<0.05)。[结论]中西医结合联合护理干预措施治疗复发性口腔阿弗他溃疡具有安全性高、能减轻病人疼痛、减少病人溃疡数目的特点,且疗效高于单用西药治疗组。

Objective：To probe into the curative effect and nursing strategy of integrated Chinese and Western medicine treatment for patients with recurrent oral aphthous ulcers.Methods：A total of 106 RAU patients were selected from the department of stomatology,and they were randomly divided into Western medicine group and integration group based on their visiting orders,53 cases in each.The patients in Western medicine group received the Western medicine treatment,while the patients in integration group received the dialectical Chinese medicine treatment on the basis of the Western medicine treatment.Then the changes of clinical efficacy score,pain score and ulcer number were compared between both groups.Results：The results of Ridit analysis showed that the effect in integration group was better than that in Western medicine group,and the difference was statistically significant（P0.05）;there was no statistically significant difference in pain score and mean ulcer number between both groups before treatment（P0.05）,but the pain score and mean ulcer number of the integration group were less than that in Western medicine group after treatment,and the difference was statistically significant（P0.05）.Conclusion：The integrated Chinese and Western medicine treatment combined with nursing interventions had the characteristics including high safety for treatment of the RAU patients,reducing the patients＇ pain and the ulcer number.Its curative effect was higher than that in treatment group with western medicine alone.