中西医联合护理应用于膀胱肿瘤术后患者的效果及对其预后的影响

Effect of nursing of integrated traditional Chinese and western medicine on postoperative bladder tumor patients and its influence on prognosis

目的探析中西医联合护理在行膀胱肿瘤切除术患者中的应用价值。方法回顾分析2020年6月至2022年12月在江南大学附属医院接受手术治疗的82例膀胱肿瘤患者的临床资料,按护理方法的不同分入对照组(42例)、观察组(40例)。对照组实施常规西医护理,观察组加施中医护理。比较2组的术后并发症发生率、术后恢复情况以及患者的生活质量。结果观察组感染、出血、膀胱痉挛的并发症实际发生率为5.00%,低于对照组的21.43%(P<0.05)。观察组膀胱冲洗液转淡、血尿消失所用的时间均早于对照组,导尿管留置以及住院所用的时间均短于对照组(P均<0.05)。出院时、术后3个月,2组的功能状态(KPS)、生活质量(QOL)评分均较术前有所上升,且观察组均较同期对照组更高;2组的行为状况(ZPS)评分均较术前有所下降,且观察组均较同期对照组更低,上述比较均有统计学差异(P均<0.05)。结论中西医联合护理对行膀胱肿瘤切除术患者术后并发症发生率降低、术后恢复时间缩短以及患者生活质量提升均可产生积极影响。

Objective To explore the application value of nursing of integrated traditional Chinese and western medicine in patients undergoing bladder tumor surgery.Methods A retrospective analysis was conducted on 82 bladder tumor patients who underwent surgical treatment at the Affiliated Hospital of Jiangnan University from June 2020 to December 2022.They were assigned into a control group(n=42)and an observation group(n=40)according to different nursing methods.The control group received routine Western medicine nursing,while the observation group additionally received traditional Chinese medicine nursing.The incidence of postoperative complications,postoperative recovery,and quality of life of patients in the two groups were compared.Results The actual incidence of complications such as infections,bleeding,and bladder spasms in the observation group was 5.00%,which was lower than 21.43%in the control group(P<0.05).The time of bladder flushing fluid turning clear and hematuria disappearance in the observation group was earlier than that in the control group,and the duration of catheter indwelling and hospitalization was shorter than that in the control group(all P<0.05).At discharge and 3 months after surgery,the scores of the Karnofsky Performance Status(KPS)and Quality of Life Questionnaire(QOL)in both groups were higher than those before surgery,and the observation group had higher scores than the control group.The scores of the Zubrod Performance Status(ZPS)in both groups were lower than those before surgery,and the observation group had lower scores than the control group.The above comparisons were statistically significant(all P<0.05).Conclusion The nursing of integrated traditional Chinese and western medicine has a positive impact on reducing the incidence of postoperative complications,shortening the postoperative recovery time,and improving the quality of life of patients undergoing bladder tumor surgery.