探讨中医调护在维持性血液透析伴便秘病人中的应用

Exploration on nursing hemodialysis plus astriction in TCM

目的:探讨中医调护对维持性血液透析伴随便秘病人的临床疗效。方法:选择我院2014年7月-2016年7月收治的维持性血液透析伴便秘病人50例,随机分组,各25例,对照组按照常规进行护理,观察组在常规护理的基础上给予中医调护,观察和比较两组的临床效果、干预前和干预后的大便情况和其他伴随症状的情况。结果:与对照组(52%)对比,观察组治疗有效率(92%)明显更高,数据比较差异具有统计学意义,P<0.05。与对照组对比,观察组大便症状总积分明显更低,数据比较差异具有统计学意义,P<0.05;与治疗前对比,观察组治疗后大便症状总积分明显降低,治疗前和治疗后的数据比较差异具有统计学意义,P<0.05。与对照组对比,观察组伴随症状总积分明显更低,数据比较差异具有统计学意义,P<0.05;与治疗前对比,观察组治疗后伴随症状总积分明显降低,治疗前和治疗后的数据比较差异具有统计学意义,P<0.05。结论:采用中医调护方法对维持性血液透析伴随便秘病人进行干预,能够有效地改善其便秘症状,值得临床广泛应用。

Objective:To evaluate the clinical efficacy of TCM nursing on hemodialysis plus astriction.Methods:50patients wererandomized into two groups,25patients in each group.The control group was given conventional nursing;the observation group took TCMnursing more.Results:The total efficacy in the control group was52%,lower than92%in the observation group,P<0.05.Total symptomscores of stool in the observation group was lower than the control group and before treatment,P<0.05.In the observation group,the totalsymptom scores of associated symptoms were lower than the control group and before treatment,P<0.05.Conclusion:TCM nursing onhemodialysis with astriction is effective,by improving the symptoms of astriction,and worthy of wider application and promotion.