中医辨证施膳联合穴位贴敷护理干预对肝硬化失代偿期患者营养指数、SF-36评分及并发症的影响  

Effect of Traditional Chinese Medicine Diet Combined with Nursing Intervention of Acupoint Application on Nutritional Index,SF-36Score and Complications for Patients with Decompensated Liver Cirrhosis

作　　者：马俊[1] 吴琳[2] 樊玲[1] 叶茂林 MA Jun;WU Lin;FAN Ling(Department of Hepatology,Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021,China;Department of Neurosurgery,Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021,China)

机构地区：[1]重庆市中医院肝病科,重庆400021 [2]重庆市中医院神经外科,重庆400021

出　　处：《四川中医》2021年第10期208-211,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：重庆市卫生健康委员会医学科研项目(2018MSXM038)。

摘　　要：目的:分析中医辨证施膳联合穴位贴敷护理干预对肝硬化失代偿期患者营养指数、SF-36评分及并发症的影响。方法:选取2018年1月~2020年6月本院收治的肝硬化失代偿期患者153例,根据纳入排除标准,最终纳入147例作为研究对象。根据护理方式的差异分为研究组(n=77)和对照组(n=70),对照组患者予常规护理干预,研究组患者予以中医辨证施膳联合穴位贴敷护理干预。对比两组干预前后营养指数、生存质量、临床疗效、中医症状积分,并发症及护理满意度。结果:(1)研究组临床总有效率显著高于对照组(97.40%vs 87.14%),且干预后,中医症状积分比较上研究组显著优于对照组(P<0.05)。(2)干预后,研究组TBIL水平较对照组显著降低,ALB、HGB水平较对照组升高(P<0.05)。(3)干预后,研究组躯体疼痛、生理功能、情感职能、精神状态、社会功能评分较对照组显著升高(P<0.05)。(4)研究组出现肝性胸水、消化道出血、原发性腹膜炎等并发症发生率较对照组低(P<0.05)。(5)研究组干预满意率为98.70%,对照组干预满意率为82.85%,研究组较对照组高(P<0.05)。结论:中医辨证施膳联合穴位贴敷护理干预可有效提升肝硬化失代偿期患者临床疗效,改善患者营养状况,安全性高,值得临床推广。Objective:To analyze the effect of traditional Chinese medicine diet combined with nursing intervention of acupoint application on the nutritional index,SF-36 score and complications for patients with decompensated liver cirrhosis.Methods:153 patients with decompensated liver cirrhosis who were admitted to our hospital from January 2018 to June 2020 were selected.According to the inclusion and exclusion criteria,147 patients were finally included as the study objects.According to the difference in nursing methods,they were divided into a study group(n=77)and a controlled group(n=70).Patients in the controlled group were treated with routine nursing intervention,and patients in the study group were treated with traditional Chinese medicine diet combined with nursing intervention of acupoint application.The nutritional index,quality of life,clinical efficacy,TCM symptom score,complications and nursing satisfaction were compared between the two groups before and after intervention.Results:(1)The total clinical effective rate of the study group was significantly higher than that of the controlled group(97.40%vs 87.14%),and after the intervention,the TCM symptom scores of the study group were significantly better than those of the controlled group(P<0.05).(2)After the intervention,the TBIL level of the study group was significantly lower than that of the controlled group,and the levels of ALB and HGB were higher than that of the controlled group(P<0.05).(3)After the intervention,the scores of physical pain,physiological function,emotional function,mental state,and social function of the study group were significantly higher than those of the controlled group(P<0.05).(4)The incidence of complications such as hepatic pleural effusion,gastrointestinal bleeding,and primary peritonitis in the study group was lower than that in the controlled group(P<0.05).(5)The satisfaction rate with the intervention in the study group was 98.70%,and the satisfaction rate with the intervention in the controlled group was 82.85%,and the sa

关 键 词：中医辨证施膳 穴位贴敷 肝硬化 失代偿期 影响 

分 类 号：R248.1[医药卫生—中医临床基础]