中西医结合治疗布鲁氏菌病关节炎的临床疗效及护理

Effects of combination of traditional Chinese and western medicine in treatment of brucellar arthritis and related nursing management

目的探讨中西医结合治疗布鲁氏菌病关节炎的临床疗效,并总结护理对策。方法选取2016年6月—2017年5月收治的布鲁氏菌病关节炎患者131例,采用西医药物、中药联合中药塌渍中频理疗,同时给予心理护理、症状观察、用药护理、健康教育等护理。治疗14 d后,观察临床指标。结果患者治疗后白细胞计数(WBC)、中性粒细胞计数(NE)、淋巴细胞(PBL)、C-反应蛋白(CRP)、血钙、血磷、总胆红素(TBIL)、间接胆红素(IBIL)、丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、视黄醇结合蛋白(RBP)指标水平均较治疗前改善,差异有统计学意义(P<0.05)。结论中西医结合疗法治疗布鲁氏菌病关节炎临床疗效较好,患者外周血液炎症标记物下降,反应肝功能的各项指标下降,同时配合心理护理、症状观察、用药护理、健康教育等护理措施,促进患者康复。

Objective To investigate the effect of combination of traditional Chinese and western medicine in treatment of brucellar arthritis and to summarize related nursing management.Methods Totally 131 patients with brucellar arthritis were given combination treatment of traditional Chinese and western medicine. Nursing interventions on mental health,medication and health education carried out during treatment. To evaluate the clinical effect at 14 days after treatment.Results There was an improvement in white blood cell count( WBC),neutrophil count( NE),peripheral blood lymphocyte( PBL),C-reactive protein,serum calcium,serum phosphate,total bilirubin( TBIL),indirect bilirubin( IBIL),alanine aminotransferase( ALT),aspartate aminotransferase( AST) and retinol binding protein( RBP) at 14 days after treatment compared with those before treatment( P < 0. 05). Conclusion Combination of traditional Chinese and western medicine is effective in treatment of brucellar arthritis. A comprehensive nursing intervention on mental health,medication and health education for patients is also required.