多发性硬化患者实施中医辨证施护的临床研究  

Clinical Study of Traditional Chinese Medical Nursing for Multiple Sclerosis Based on Syndrome Differentiation

作　　者：丁美祝[1] 刘敏霞[1] 李霞[1] 武亚丽[1] 

机构地区：[1]广州中医药大学第二临床医学院神经四科,广东广州510006

出　　处：《广州中医药大学学报》2013年第2期169-171,共3页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】探讨多发性硬化患者实施中医辨证施护的效果。【方法】将46例多发性硬化患者随机分为2组,对照组22例采用常规护理,试验组24例在常规护理基础上实施中医辨证施护,包括用药护理、中医饮食辨证施护、特色疗法、功能锻炼及情志护理,比较2组患者的Kurtzke神经功能量表(EDSS)评分和并发症的发生情况。【结果】出院时2组患者EDSS评分均显著降低,与入院时比较差异有统计学意义(P<0.05),且出院时试验组患者EDSS评分低于对照组,差异有统计学意义(P<0.05)。试验组患者尿路感染、焦虑和抑郁等并发症的发生率均显著低于对照组,差异有统计学意义(P<0.05)。【结论】实施中医辨证施护能有效改善多发性硬化患者的临床症状,降低并发症的发生,提高患者的生活质量。Objective To investigate the effect of traditional Chinese medical nursing for multiple sclerosis based on syndrome differentiation. Methods Forty-six multiple sclerosis patients were randomized into two groups. The control group （N = 22） was given routine nursing, and the observation group （N = 24 ） was given routine nursing combined with traditional Chinese medical nursing based on syndrome differentiation. The traditional Chinese medical nursing included Chinese medicinal nursing, dietary nursing, specific therapy, functional exercise and emotional nursing. After treatment, the score of Kurtzke Extended Disability Status Scale （EDSS） and the incidence of complications were compared in both groups. Results When the patients were discharged, EDSS score was decreased in both groups （P 〈 0.05 compared with that before treatment）, and the score of the observation group was lower than that of the control group （ P 〈 0. 05 ）. The incidences of urinary tract infection, anxiety and depression were lower in the observation group than those in the control group （P 〈 0. 05 ）. Conclusion Traditional Chinese medical nursing for multiple sclerosis based on syndrome differentiation can effectively relieve clinical symptoms, decrease the incidence of complications, and improve the quality of life of the patients.

关 键 词：多发性硬化 辨证施护 

分 类 号：R275.9[医药卫生—中西医结合] R744.51[医药卫生—中医皮科]