中医药治疗在艾滋病抗病毒治疗后肝损伤患者中的应用及综合护理  

Application of traditional Chinese medicine treatment and comprehensive nursing in patients with liver injury after AIDS antiviral treatment

作　　者：罗银弟[1] 李婉霞[1] LUO Yin-di;LI Wan-xia(Department of Infection,Dongguan People′s Hospital,Guangdong Province,Dongguan523000,China)

机构地区：[1]广东省东莞市人民医院感染科,广东东莞523000

出　　处：《中国当代医药》2021年第9期203-205,共3页China Modern Medicine

基　　金：广东省东莞市科技计划项目(201650715001344)。

摘　　要：目的探讨中医药治疗在艾滋病(AIDS)抗病毒治疗肝损伤患者中的应用效果。方法选取2019年1~12月广东省东莞市人民医院收治的150例AIDS患者作为研究对象,根据随机数字表法分为对照组和观察组,每组各75例。对照组采用西药治疗,观察组采用中医药治疗,两组均给予综合护理,比较两组的总有效率、肝功能指标、护理满意度。结果观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,两组的天冬氨酸转氨酶、丙氨酸转氨酶、血清总胆红素、直接胆红素低于治疗前,且观察组的天冬氨酸转氨基酶、丙氨酸转氨酶、血清总胆红素、直接胆红素低于对照组,差异均有统计学意义(P<0.05)。观察组的总满意度高于对照组,差异有统计学意义(P<0.05)。结论AIDS抗病毒治疗肝损伤患者接受中医药治疗综合护理有利于改善患者肝功能,可提高患者总满意度,值得推广和应用。Objective To explore the application of traditional Chinese medicine treatment and comprehensive nursing in patients with liver injury after acquired immune deficiency syndrome(AIDS)antiviral therapy.Methods A total of 150 AIDS patients admitted to Dongguan People′s Hospital,Guangdong Province from January to December 2019 were selected as the research objects,and were divided into the control group and the observation group according to the random number table method,75 cases in each group.The control group was treated with Western medicine+comprehensive nursing,and the observation group was treated with traditional Chinese medicine+comprehensive nursing.The total effective rate,liver function indexes and nursing satisfaction of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After the intervention,the levels of aspartate aminotransferase,alanine aminotransferase,serum total bilirubin,and direct bilirubin in the two groups were lower than those before the intervention,and the differences were statistically significant(P<0.05);the levels of aspartate aminotransferase,alanine aminotransferase,serum total bilirubin,and direct bilirubin in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The total satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The combination of traditional Chinese medicine and comprehensive nursing care can improve the liver function and improve the overall satisfaction of the patients after anti-virus treatment.It is worth popularizing and applying.

关 键 词：艾滋病 抗病毒治疗 肝损伤 中医药治疗 综合护理 干预效果 

分 类 号：R242[医药卫生—中医临床基础]