中彝医特色护理技术在临床应用中的推广

Popularization of the characteristic nursing technology of the Yi medicine in clinical application

目的:探讨中彝医特色护理技术的临床应用效果。方法:应用单双号法将我院骨科2016 年4 月- 2017 年12 月收治的77 例下肢骨折患者随机分为试验组和对照组,两组患者均接受手术治疗,予以对照组骨科常规护理,予以试验组中彝医特色护理,比较两组患者护理前后的血清炎性因子白介素-6(Interleukin-6, IL-6)、肿瘤坏死因子(Tumor Necrosis Factor-α,TNF-α)表达水平、术后并发症发生情况、术后下床活动时间、住院时间、术后4 周及8 周的日常生活能力。结果:试验组患者护理前的血清IL-6、TNF-α水平与对照组比较差异无统计学意义(P > 0.05),护理后均低于对照组(P < 0.05)。术后并发症发生率为2.56%,低于对照组的13.16%(P < 0.05),术后下床活动时间为(10.92±1.86)d,早于对照组的(14.09±1.76)d(P < 0.05),住院时间为(15.09±3.32)d,短于对照组的(19.10±3.28)d(P < 0.05),术后4 周的日常生活活动(Activity ofDaily Living,ADL)评分为(41.77±5.03)分,与对照组的(40.93±4.26)分比较,差异无统计学意义(P > 0.05),术后8 周的ADL 评分为(56.93±3.87)分,高于对照组的(50.68±3.40)分(P < 0.05)。结论:中彝医特色护理技术在下肢骨折患者临床护理中的应用能够减轻机体痛苦,加快患者康复。

Objective: To explore the clinical application effect of the characteristic nursing technology of the Yi medicine (彝医). Methods: 77 patients with lower limb fractures were randomly divided into the experimental group and the control group. The two groups were treated by surgery. The control group received routine nursing. The experimental group received characteristic nursing from the Yi medicine. Results: There was no significant difference in serum IL-6 and TNF-α levels between two groups before treatment (P>0.05), and those in the experimental group were lower than the control group after nursing (P<0.05). The incidence of postoperative complications in the experimental group was 2.56%, which was lower than 13.16% in the control group (P<0.05). The time of postoperative outpatient activity and hospital stay in the experimental group were shorter than the control group (P<0.05). There was no significant difference in ADL score between the experimentine group and the control group at 4 weeks after operation (P>0.05). The ADL score at 8 weeks after operation in the experimental group was (56.93±3.87), which was higher than (50.68±3.40) in the control group (P<0.05). Conclusion: The special nursing technology from the Yi medicine can alleviate the pain in patients with lower limb fractures and accelerate the recovery of patients.