护理干预配合中药茯苓导水汤加减方治疗卵巢过度刺激综合征脾肾两虚证临床效果观察

Clincal Curative Observation of Nursing Intervention Combined with Fulin Daoshui Decoction for Treating Spleenkidney Deficiency Type Ovarian Hyperstimulation Syndrome

目的:观察中药茯苓导水汤加减方联合护理干预在治疗卵巢过度刺激综合征脾肾两虚证患者的疗效。方法:随机选取就诊于我院2014年4月~2016年4月60例中重度卵巢过度刺激综合征证属脾肾两虚的患者,30例患者注射思则凯(醋酸西曲瑞克)并打点滴(羟乙基淀粉氯化钠注射液)为对照组;30例在以上治疗基础上煎服中药茯苓导水汤加减方治疗同时给与护理干预为实验组。比较两组治疗前后的体质量、晨起空腹腹围、卵巢直径、盆腔积液、HCT、FIB、D-D以及使用白蛋白量、住院天数、腹腔穿刺数、脾肾两虚证症候和腹部胀痛及纳呆情况。结果:1治疗后体质量、晨起空腹腹围、盆腔积液、盆腔积液较治疗前组内比较均下降、减少,P<0.05;组间比较实验组明显小于对照组,P<0.05;2在卵巢直径方面治疗后组内比较有所下降,P<0.05;组间比较两组间无统计学差异,P>0.05;3治疗后HCT、FIB、D-D与治疗前组内比较均降低,组间比较实验组明显比对照组低;4使用白蛋白量、住院天数、腹腔穿刺数实验组均小于对照组;5实验组治疗脾肾两虚证症候和腹部胀痛及纳呆情况疗效优于对照组。结论:治疗卵巢过度刺激综合征脾肾两虚证患者,护理干预配合中药茯苓导水汤加减方优势在于可以降低体质量、晨起空腹腹围、体质量、晨起空腹腹围、盆腔积液,改善HCT、FIB、D-D含量,减少使用白蛋白量、住院天数、腹腔穿刺数以及改善脾肾两虚证症候和腹部胀痛及纳呆情况。护理干预配合中药茯苓导水汤加减方并结合西医治疗可以更好的为治疗卵巢过度刺激综合征脾肾两虚证提供帮助。

Objective： Observing Fulin Daoshui Decoction combined with nursing intervention in the treatment of spleen-kid- ney deficiency type ovarian hyperstimulation syndrome. Methods： Randomly selected in our hospital from April 2014 to April 2016 in patients with 60 cases of severe ovarian hyperstimulation syndrome card was spleen and kidney deficiency, 30 patients in- jected thought was Kay （cetrorelix acetate） and drips （ hydroxyethyl starch sodium chloride injection） as controlled group; 30 cases were given Fulin Daoshui Decoction combined with nursing intervention on the basis of the controlled group as experimental group. Body weight, early morning fasting abdominal circumference, diameter ovaries, pelvic fluid, HCT, FIB, DD and the use of albumin amount, length of stay, the number of abdominal paracentesis, both spleen and kidney symptoms and abdominal pain and anorexia cases were compared before and after treatment. Results ： 1. Body weight after treatment, early morning fasting ab- dominal circumference, pelvic fluid, pelvic fluid compared with treatment within the first group were decreased to reduce, P 〈 O. 05 ; between the two groups in the experimental group was significantly lower than the controlled group, P 〈 0. 05 ; 2. In terms of the diameter of the ovary after treatment group decreased, P 〈 0. 05 ; no significant difference between the two groups, P 〉 0. 05 ; 3. After treatment HCT, relatively decreased in the FIB, DD and pre-treatment group between the two groups in the experi- mental group was significantly lower than the controlled group; 4. Using the amount of albumin, length of stay, the number of paracentesis in the experimental group were less than the controlled group; 5. Experimental treatment group both spleen and kid- ney symptoms and abdominal pain and loss of appetite cases more effective than the controlled group. Conclusion ： Treatment of o- varian hyperstimulatioia syndrome in both spleen and kidney patients, nursing intervention with Fulin Daoshui Decoction can re- duce body weight, morning fasting abdominal circumference, body mass, waist circumference morning fasting, pelvic fluid, im- prove HCT, FIB, DD content, reduce the use amount of albumin, length of stay, the number of paracentesis and improve both spleen and kidney symptoms and abdominal pain and loss of appetite situation. Nursing intervention with Fulin Daoshui Decoction combined with western medicine can be better for the treatment of ovarian hyperstimulation with spleen-kidney deficiency syn- drome.