79例湿热蕴肺证新型冠状病毒肺炎患者中医护理体会

Traditional Chinese medicine nursing experience of 79 cases of COVID-19 with damp heat accumulating lung syndrome

回顾湖北武汉江夏方舱医院天一病区收治的79例湿热蕴肺证新型冠状病毒肺炎患者,基于“整体观念”和“辨证论治”的中医基本特点,采用中医“1+4”治疗模式,以清肺排毒汤为基本方,兼以“江夏方舱颗粒剂”随症施治。在基础护理基础上,制定个性化中医护理计划,包括中医特色护理适宜技术的应用、情志疏导、饮食调护等措施。79例患者中76例治愈出院,3例转院,无复阳、重症、危重症、死亡病例,治愈率为96.20%,疗效显著。通过分析临床诊疗及护理经过,总结护理经验,以期为广大医护人员提供中医护理依据。

In this paper,79 patients with COVID-19 with damp heat accumulating lung syndrome treated in Tianyi Ward of Wuhan Jiangxia Fangcang Hospital in Hubei Province were reviewed.Based on the basic characteristics of Traditional Chinese Medicine(TCM),the“1+4”treatment mode of TCM was adopted,with Qingfei Paidu Decoction as the basic prescription and“Jiangxia Fangcang Granule”as the treatment according to the syndrome.Based on basic nursing,we made individualized TCM nursing plan,including the application of appropriate nursing technology with TCM characteristics,emotional guidance,diet care and other measures.The 79 patients,76 were cured and discharged,and 3 were transferred to the hospital.There were no cases recover positive,severe disease,critical illness or death,with a cure rate of 96.20%and remarkable curative effect.This article intends to summarize the nursing experience by analyzing the clinical diagnosis and treatment and nursing process,in order to provide the basis of TCM nursing for the majority of medical staff.