136例老年阑尾炎术后患者中医辨证施治与护理对比研究  

Effect of Chinese Medicine Syndrome Differentiation and Nursing on Elderly Patients After Appendectomy

作　　者：沈学香[1] 魏星[2] 董中毅 SHEN Xuexiang;WEI Xing;DONG Zongyi

机构地区：[1]绍兴市中医院普外科,浙江绍兴312000 [2]浙江省中医院普外科,浙江杭州310006 [3]大连医科大学临床医学院,辽宁大连116000

出　　处：《新中医》2020年第14期92-95,共4页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2014ZQ012);浙江省教育厅科研项目(Y201431124)。

摘　　要：目的:观察老年阑尾炎术后患者实施中医辨证施治与护理的临床疗效。方法:将136例老年阑尾炎术后患者随机分为2组各68例。对照组采用常规抗感染、补液、补充电解质、维持酸碱平衡等西医疗法,治疗组在对照组西医治疗的基础上加用中医辨证施治与护理,即中药口服、中药散剂穴位贴敷及耳穴压豆、穴位按压。分别观察2组患者术后下床活动时间、住院时间、中医证候积分、并发症发生率及治疗满意度情况并进行对比。结果:与对照组相比,治疗组术后下床活动时间、住院时间均明显缩短(P<0.05)。2组治疗后中医证候积分均下降,治疗组改善优于对照组,差异有统计学意义(P<0.05)。与对照组相比,治疗组并发症发生率显著降低(P<0.05)。与对照组相比,治疗组满意度升高,差异无统计学意义(P>0.05)。结论:老年阑尾炎术后给予中医辨证施治与护理干预,个体化的治疗,疗效优于单纯西医治疗。Objective: To observe the clinical effect of the therapy of Chinese medicine syndrome differentiation and nursing on elderly patients after appendectomy. Methods:A total of 136 elderly patients after appendectomy were randomly divided into two groups, 68 cases in each group. The control group was treated with interventions of western medicine,including conventional anti-inflammatory, fluid infusion, replenishing electrolytes and maintaining the acid-base balance.The treatment group was additionally treated with interventions of Chinese medicine according to syndrome differentiation based on the treatment of the control group,including oral administration of Chinese herbs,point application with Chinese herbal powder,auricular point application with beans and point pressing. The time of activity out of bed after appendectomy,length of hospital stay,Chinese medicine syndrome score,complication rate and satisfaction rate in the two groups were observed and compared. Results: The time of activity out of bed after appendectomy and length of hospital stay in the treatment group were significantly shortened when compared with those in the control group(P<0.05). The Chinese medicine syndrome scores in both groups were decreased after treatment,and the improvement of the score in the control group was superior to that in the treatment group,the difference being significant(P<0.05). The complication rate in the treatment group was decreased more significantly than that in the control group(P<0.05). The satisfaction rate in the treatment group was increased more significantly when compared with that in the control group, the difference being significant(P>0.05).Conclusion:The therapy of Chinese medicine syndrome differentiation and nursing has more significant therapeutic effect than western medicine alone in treating elderly patients after appendectomy,which is an individualized treatment.

关 键 词：老年阑尾炎术后 辨证施治 耳穴压豆 穴位按压 穴位贴敷 中医护理 

分 类 号：R473.6[医药卫生—护理学]