中医护理策略用于心肌梗死患者便秘症状改善的效果和经验分析  

Effect and experience analysis of traditional Chinese medicine nursing strategy in improving constipation symptoms of patients with myocardial infarction

作　　者：赵柏英 ZHAO Bai-ying(Department of Cardioascular Medicine.Liaocheng Hospital of Traditional Chinese Medicine,Liaocheng,Shandong,252000,China)

机构地区：[1]聊城市中医医院心内科,山东聊城252000

出　　处：《中西医结合护理（中英文）》2020年第11期122-125,共4页Journal of Clinical Nursing in Practice

摘　　要：目的分析中医护理策略用于心肌梗死患者便秘症状改善的临床效果和经验。方法选取2018年3月2020年2月间聊城市中医医院心肌梗死伴有便秘症状的62例患者作为研究对象,随机分人对照组和观察组,各31例。对照组患者实施饮食、心理和排便等常规护理,观察组患者在常规护理基础上实施穴位贴敷联合耳穴贴压。比较两组干预前后总体有效率、便秘患者生存质量量表(PAC-QOL)中文版评分、血清5-羟色胺(5-HT)、排便间隔时间、排便难度和大便性质评分来评价心肌梗死患者便秘症状的改善情况。结果干预后,两组的PAC-QOL、5-HT水平、排便间隔时间、排便难度和便质均显著好于干预前(P值均<0.05);观察组总体有效率显著高于对照组(P<0.05);并发症发生率显著低于对照组(P<0.05)。结论穴位贴敷联合耳穴贴压等中医护理策略可显著缓解心肌梗死患者的便秘症状,降低并发症发生率,值得在临床上推广。Objective To analyze the clinical effect and experience sharing of traditional Chinese medicine nursing strategy in improving constipation symptoms of patients with myocardial infarction.Methods 62 patients with myocardial infarction and constipation from March 2018 to February 2020 were randomly divided into a control group and an observation group.The control group was given routine nursing such as diet,psychology and defecation nursing,while the observation group was given acupoint application combined with auricular plaster on the basis of routine nursing.The improvement of constipation symptoms was evaluated by comparing the overall effective rate,Chinese version of patient assessment of Patient Assessment of Constipation Quality of Life(PAC-QOL),serum 5-hydroxytryptamine(5-HT),defecation interval,defecation difficulty and defecation quality between the two groups.Results PAC-QOL,serum 5-HT level,defecation interval,defecation difficulty and stool quality of the two groups were significantly better after intervention than before intervention(all P<0.05).The overall effective rale of the observation group was higher than the control group(P<0.05).The incidence of au lahiro in he cnro go was hgler tho ha in he oerionn goup(P<0.05).Conclusion Acupoint application combined wih auricular point sicking and other Chinese medicine nursing strategies can effectively improve the constipation symptoms of patients with myocardial infarction and reduce the incidence of complications,which is worthy of clinical promotion.

关 键 词：心肌梗死 便秘 中医护理策略 临床效果 经验分析 

分 类 号：R248[医药卫生—中医临床基础]