基于《内经》理论对“阴虚内热”型恶性血液病症状群的中医护理及探讨

Traditional Chinese Medicine Nursing and exploration of the symptom group of “Yin deficiency and internal heat” malignant hematology based on the theory of “Neijing”

目的 观察基于《内经》“阴虚内热”理论的中医辨证施护对该型恶性血液病患者症状群管理的效果,并探讨中医辨证施护对症状群管理研究的启示。方法 将80例阴虚内热型的恶性血液病患者,按照随机数字表法分为观察组与对照组,对照组患者采取常规护理方法,观察组患者在此基础上采取中医辨证施护。对两组患者护理前、后进行症状群计分,计算两组患者症状群的缓解率及平均缓解率,并进行统计学比较。结果 治疗前,对照组患者症状群均分为(36.33±11.99)分,观察组患者症状群均分为(35.79±11.87)(P>0.05);治疗后,观察组患者症状群的平均缓解率(程度)为(12.65%±3.23%),明显高于对照组患者的(4.12%±2.76%)(P<0.001)。结论 中医辨证施护对阴虚内热型恶性血液病的症状群管理具有明显优势,在症状群管理研究亟待深入的现状下,中医辨证施护或能在症状群的机制研究、症状群干预研究、干预手段与方法研究、症状群辨识度研究等方面,为其提供借鉴。

Objective To observe the effect of Traditional Chinese Medicine(TCM) dialectical care based on the theory of “Yin deficiency and internal heat” in the “Neijing” on the management of symptom groups in patients with malignant hematological diseases,and to explore the enlightenment of TCM on the management of symptom groups.Methods A total of 80 patients with Yin deficiency and internal heat deficiency malignant hematological diseases were randomly divided into observation group and control group according to the random number table method.The control group adopted routine nursing methods,and the observation group adopted TCM dialectical care on this basis.The symptom groups scores,the remission rate and the average remission rate were compared.Results Before treatment,the average score of symptom group in the control group was(36.33±11.99),and that in the observation group was(35.79±11.87,P>0.05).After treatment,the average response rate(degree)of the symptom group in the observation group was 12.65%±3.23%,which was significantly higher than that of the control group(4.12% ±2.76%,P<0.001).Conclusions TCM dialectical care has more advantages in the management of symptom groups of Yin deficiency and internal heat malignant hematological diseases.Under the current situation that the research on the symptom group management needs to be deepened,TCM differentiation and nursing may provide reference in the mechanism research of symptom group management,intervention methods and symptom recognition research.