辨证施护对慢性盆腔炎中药灌肠的效果

Effect of Traditional Chinese Medicine Nursing on Chronic Pelvic Inflammatory Disease Treated by Chinese Medicine Enema Based on Syndrome Differentiation

目的探讨中医辨证施护对慢性盆腔炎中药灌肠患者的效果分析。方法选取漳州市中医院2019年1月—2020年6月收治的慢性盆腔炎患者100例作为研究对象,按护理方式不同分为常规组(47例)和观察组(53例)。常规组采用常规健康宣教、灌肠护理、饮食指导及心理干预等护理措施;观察组在常规组基础上采用中医辨证施护措施,根据辨证分型采取相应的护理措施,比较2组患者的临床效果。结果观察组痊愈率及总有效率分别为50.94%(27/53)、96.23%(51/53),均高于常规组的29.79%(14/47)、80.85%(38/47),差异有统计学意义(P<0.05);2组干预前中医症状与体征积分比较差异无统计学意义(P>0.05),干预后2组积分均有所降低,且观察组低于常规组,差异均有统计学意义(P<0.05);观察组总满意度为96.23%(51/53),高于常规组的82.98%(39/47),差异有统计学意义(P<0.05)。结论中医辨证施护能进一步改善慢性盆腔炎的症状与体征,提高慢性盆腔炎中药灌肠疗效及患者对护理的满意度。

Objective To explore the effect of traditional Chinese medicine nursing on patients with chronic pelvic inflammatory disease treated by Chinese medicine enema based on syndrome differentiation.Methods 100 cases of patients with chronic pelvic inflammatory disease admitted to Zhangzhou Hospital of Traditional Chinese Medicine from January 2019 to June 2020 were selected as the research objects.According to the different nursing methods,they were divided conventional group(n=47)treated with routine health education,enema nursing,dietary guidance and psychological intervention and other nursing measures and observation group(n=53)treated with traditional Chinese medicine syndrome differentiation nursing on the basis of the conventional group.According to the traditional Chinese medicine syndrome differentiation of patients to take the corresponding nursing measures,the clinical effect of two groups of patients was compared.Results The recovery rate and total effective rate of observation group were 50.94%(27/53)and 96.23%(51/53)higher than that of conventional group 29.79%(14/47)and 80.85%(38/47),and the difference was statistically significant(P<0.05).There was no statistical significance in the scores of traditional Chinese medicine syndrome and symptoms between the two groups before intervention(P>0.05).But the scores of the two groups were decreased after intervention,and the observation group was lower than the conventional group,and the differences were statistically significant(P<0.05).The total satisfaction of the observation group was 96.23%(51/53),which was higher than that of the conventional group(82.98%,39/47),and the difference was statistically significant(P<0.05).Conclusion Traditional Chinese medicine nursing based on syndrome differentiation can further improve the symptoms of patients with chronic pelvic inflammatory disease,and improve the effect of patients with chronic pelvic inflammatory disease enema and the satisfaction of nursing.