中医特色护理干预在老年下肢动脉硬化闭塞症介入术患者中的应用研究

Study on Chinese Medicine Characteristic Nursing for Elderly Patients After Interventional Operation for Lower Extremity Arteriosclerosis Obliterans

目的:观察中医特色护理干预在老年下肢动脉硬化闭塞症(LASO)介入术患者护理中的效果。方法:将134例老年LASO行介入术的患者,采用电脑随机法分为观察组67例与对照组67例,观察组采用中医特色护理干预,对照组采用常规护理,评价2组自觉症状积分、血管功能、满意度。结果:护理前,2组疼痛、冷感、麻木、间歇性跛行、溃疡自觉症状积分比较,差异无统计学意义(P>0.05)。护理后,2组症状积分较前改善,观察组自觉症状积分低于对照组(P<0.05)。护理前,2组髁肱指数、血管内径、动脉血流速度指标值比较,差异无统计学意义(P>0.05)。护理后,2组血管功能指标较前改善,观察组血管功能各项指标值均优于对照组(P<0.05)。观察组满意度为98.51%,高于对照组的70.15%,2组比较,差异有统计学意义(P<0.05)。结论:中医特色护理干预在老年LASO介入术患者中应用可改善患者自觉症状、血管功能,提高其满意度。

Objective:To observe the intervention with Chinese medicine characteristic nursing for elderly patients after interventional operation for lower extremity arteriosclerosis obliterans(LASO). Methods:A total of 134 elderly patients with LASO who had undergone interventional operation were randomly divided into the observation group and the control group by computer,67 cases in each group. The observation group was intervened with Chinese medicine characteristic nursing,and the control group was adopted the routine nursing. The scores of subjective symptoms,vascular function and satisfaction were evaluated in the two groups. Results: Before nursing, there was no significant difference in the comparison of the scores of subjective symptoms such as pain,cold feeling,numbness,intermittent claudication and ulcer between the two groups(P>0.05). After nursing,the symptom scores in the two groups were improved when compared with those before treatment,and those in the observation group were lower than those in the control group(P<0.05). Before nursing,there was no significant difference in the comparison of condylar brachial indexes,vessel diameter and indexes of arterial blood flow velocity between the two groups(P>0.05). After nursing, the indexes of vascular function in the two groups were improved,and those in the observation group were all better than those in the control group(P<0.05). The satisfaction in the observation group was 98.51%,higher than that of 70.15% in the control group,the difference being significant(P<0.05).Conclusion:The intervention with Chinese medicine characteristic nursing for elderly patients with LASO can improve their subjective symptoms,vascular function,and satisfaction.