盆腔疼痛患者中医辩证施护体会

TCM Dialectical Application Experience in Patients with Pelvic Pain

目的探讨盆腔炎患者采取中医辨证施护的护理价值。方法选取该院2015年2月—2018年2月期间所收治的80例盆腔炎患者作为该次研究病例,按照就诊时间对患者进行分组,研究组与对照组各40例,对照组患者应用抗生素静脉滴注后采取常规护理,研究组在对照组基础上加用中医辨证治疗和中医护理措施,比较两组的临床总有效率、局部体征评分与中医证候评分,观察两组的护理满意度。结果两组治疗前体征与证候评分差异无统计学意义(P>0.05),治疗后两组主要症状积分均低于治疗前,且研究组局部体征(3.12±1.23)分与证候评分(6.41±2.03)分明显低于对照组(5.64±1.27)分、(9.87±2.45)分,组间差异有统计学意义(t=9.014 6、6.877 6,P<0.05),研究组治愈27例,治愈率为67.50%,与对照组(19例,47.50%)比较,差异有统计学意义(P<0.05),且研究组治疗总有效率(97.50%)显著高于对照组(82.50%),研究组(25例非常满意)护理满意度为95.00%,与对照组(18例非常满意)(75.00%)比较差异有统计学意义(χ^2=5.000 0、6.274 5,P<0.05)。结论对盆腔炎患者采取中医辨证治疗与护理措施的效果明显,能够有效提高患者的治疗总有效率,对改善患者的临床症状有显著优势,值得应用探索。

Objective To explore the nursing value of TCM syndrome differentiation and treatment in patients with pelvic inflammatory disease. Methods Eighty patients with pelvic inflammatory disease admitted to our hospital from February 2015 to February 2018 were selected as the study cases. The patients were divided according to the time of the consultation. 40 patients in the study group and the control group. After the intravenous infusion of antibiotics, routine nursing was taken in the control group. The study group added TCM syndrome differentiation treatment and TCM nursing measures on the basis of the control group. The clinical total effective rate, local physical score and TCM symptom score were compared between the two groups. The nursing satisfaction of the two groups was observed. Results There were no statistically significant differences in pre -treatment signs and syndrome scores between the two groups (P>0.05). After treatment,the main symptom scores of the two groups were lower than before treatment, and the local signs (3.12±1.23)points and syndrome scores (6.41±2.03)points of the study group were significantly lower than those of the control group (5.64±1.27)points,(9.87±2.45)points, the difference between groups was statistically significant (t=9.014 6, 6.877 6, P<0.05). The study group cured 27 cases, the cure rate was 67.50%, compared with the control group (19 cases, 47.50%), the difference was statistically significant (P<0.05), and the total effective rate of the study group (97.50%) was significantly higher than the control group (82.50%). The nursing satisfaction of the study group (25 patients were very satisfied) was 95.00%, which was significantly different from the control group (18 patients were very satisfied)(75.00%), and there was statistical significance(χ^2 =5.000 0, 6.274 5, P<0.05). Conclusion The effect of TCM syndrome differentiation and nursing measures on patients with pelvic inflammatory disease is obvious. It can effectively improve the total effective rate of patients and has a significant advantage in improving the clinical symptoms of patients. It is worthy of application and exploration.