宏观微观辨证施膳对大肠湿热型结肠炎患者的影响  

Effect of macroscopic and microscopic dialectical dietary nursing on patients with large intestine damp-heat colitis

作　　者：黄颖娴[1] 李婷珊[1] 杨茜湄[1] 郑少康[1] 胡洁 HUANG Ying-xian;LI Ting-shan;YANG Qian-mei;ZHENG Shao-kang;HU Jie

机构地区：[1]广东省中山市中医院肛肠科,中山市528400

出　　处：《护理实践与研究》2018年第14期46-48,共3页Nursing Practice and Research

基　　金：广东省中山市社会公益科技基金资助项目(2016B1041)

摘　　要：目的探讨宏观微观辨证施膳对大肠湿热型结肠炎患者的影响效果。方法选择2016提1月至2017年12月我院消化内科接诊的83例大肠湿热型结肠炎患者作为研究对象,随机分为对照组40例和研究组43例,对照组实施常规饮食干预,研究组给予宏观微观辨证施膳饮食护理。比较干预前后两组患者临床症状积分、疾病认知(CCKNOW)及生活质量(SF-36)变化,并观察两组临床疗效。结果两组患者干预后临床症状积分指数显著优于干预前,干预后组间比较差异有统计学意义(P<0.05);两组患者疾病认知指数比较,差异有统计学意义(P<0.05);两组患者生活质量评估指数比较,差异有统计学意义(P<0.05);研究组干预后治疗有效率高于对照组,差异具有统计学意义(P<0.05)。结论大肠湿热型结肠炎患者在常规治疗基础上给予宏观微观辨证施膳饮食指导,有效提高患者疾病认知,改善临床症状及生活质量,效果显著,临床可进一步拓展运用。Objective To explore the effect of macroscopic and microscopic syndrome differentiation on patients with large intestine damp-heat colitis.Methods To select 83 cases of patients with large intestine damp-heat colitis who were admitted to our digest system department from January 2016 to December 2017 as research subjects,and they were divided into control group with 40 cases and study group with 43 cases.Patients in the control group received conventional diet intervention,while patients in the study group received macroscopic and microscopic dialectical dietary nursing.The clinical symptom scores,disease cognition(CCKNOW)and quality of life(SF-36)were compared between the two groups before and after intervention.At the same time,the clinical efficacy of the two groups was observed.Results The clinical symptom scores of the two groups were significantly better than those before the intervention.The difference between the two groups was statistically significant(P<0.05).The difference of the disease cognition index between the two groups was statistically significant(P<0.05).The difference between the evaluated quality of life indexes in the two groups was statistically significant(P<0.05).The treatment efficiency of the study group was higher than that of the control group after the intervention,and the difference was statistically significant(P<0.05).Conclusion Patients with large intestine damp-heat colitis should be given macroscopic and microscopic syndrome-based dietary guidance on the basis of conventional treatment,which can effectively improve patients’'disease cognition and clinical symptoms as well as quality of life.It has significant effects,therefore,the clinical application can be further expanded.

关 键 词：宏观微观辨证 施膳 大肠湿热型 结肠炎 

分 类 号：R248.1[医药卫生—中医临床基础]