逐水粉六穴贴敷在慢性心力衰竭顽固性水肿患者中的应用  

Application of Zhushui Powder applied at six acupoints on refractory edema in patients with chronic heart failure

作　　者：吕丽芬 范焕珍 康峰光 肖南海[3] LYU Li-fen;FAN Huan-zhen;KANG Feng-guang;XIAO Nan-hai(Department of Nursing,Shunde Hospital of Guangzhou University of Traditional Chinese Medicine,Guangdong Province,Foshan 528300,China;Department of Internal Medicine-Cardiovascular,Shunde Hospital of Guangzhou University of Traditional Chinese Medicine,Guangdong Province,Foshan 528300,China;Department of Emergency,Shunde Hospital of Guangzhou University of Traditional Chinese Medicine,Guangdong Province,Foshan 528300,China)

机构地区：[1]广州中医药大学顺德医院护理部,广东佛山528300 [2]广州中医药大学顺德医院心内科,广东佛山528300 [3]广州中医药大学顺德医院急诊科,广东佛山528300

出　　处：《中国当代医药》2021年第35期207-212,共6页China Modern Medicine

基　　金：广东省佛山市科技创新自筹经费类科技计划项目(1920001001787)。

摘　　要：目的观察逐水粉六穴贴敷对慢性心力衰竭(CHF)顽固性水肿患者的疗效。方法选取2020年1月至2021年3月广州中医药大学顺德医院确诊的70例CHF顽固性水肿患者为研究对象,采用随机数字表法分为观察组与对照组,每组各35例。两组均给予常规药物治疗及常规护理,在此基础上,观察组采用逐水粉六穴贴敷,对照组采用安慰剂六穴贴敷,1次/d,每次6 h,5 d为1个疗程,干预2个疗程。观察两组的每天尿量、体重、呼吸困难及肢体肿胀变化;干预第10天,观察两组的静脉血B型尿钠肽(BNP)浓度、美国纽约心脏病协会(NYHA)分级及生活自理能力评定(Barthel);观察两组的住院期压疮发生率、死亡率与住院时间。结果观察组干预后的尿量、体重下降高于对照组,呼吸困难及肢体肿胀评分低于对照组,差异均有统计学意义(P<0.05)。治疗第10天,观察组的静脉血BNP浓度低于对照组,Barthel评分高于对照组,观察组的NYHA评定Ⅰ级/Ⅱ级达45.71%,而对照组为15.15%,差异均有统计学意义(P<0.05);两组的住院期死亡率均为0,差异无统计学意义(P>0.05),但观察组的压疮发生率为0,对照组压疮发生率为12.12%,差异有统计学意义(P<0.05)。观察组的住院时间为(9.25±2.12)d,短于对照组的(11.85±5.23)d,差异有统计学意义(P<0.05)。结论逐水粉六穴贴敷对CHF顽固性水肿患者有明显利水作用,有效增加患者尿量,减轻体重与肢体肿胀,缓解机体器官淤血引起的临床症状,延缓心脏功能恶化,降低压疮发生率,提高患者生活自理能力及生活质量,值得临床推广。Objective To observe the effect of Zhushui Powder applied at six acupoints on refractory edema in patients with chronic heart failure(CHF).Methods From January 2020 to March 2021,70 patients diagnosed as refractory edema of CHF in Shunde Hospital of Guangzhou University of Traditional Chinese Medicine were selected as the research objects.They were divided into the observation group(35 cases)and the control group(35 cases)according to randon number table method.Both groups were given routine drug treatment and routine nursing.On this basis,the observation group was given Zhushui Powder applied at six acupoints,the control group was given placebo applied at six acupoints,once a day,6 hours each time,5 days as a course of treatment,intervention for 2 courses.The changes of urine volume,weight,dyspnea and swelling of limbs were observed in the two groups.On the 10th day of intervention,the concentration of B-type natriuretic peptide(BPN)in venous blood,NYHA classification and self-care ability of the two groups were observed.The incidence of pressure ulcer,mortality and length of hospital stay of the two groups were observed.Results After the intervention,the urine volume and weight loss of the observation group were higher than those of the control group,and the scores of dyspnea and limb swelling of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).On the 10th day of treatment,the BNP concentration in the observation group was lower than that in the control group,Barthel evaluation was higher than that in the control group,NYHA gradeⅠ/Ⅱin the observation group was 45.71%,while that in the control group was 15.15%,the differences were statistically significant(P<0.05).Both groups of the mortality of in-hospital were 0,the difference was not statistically significant(P>0.05).The incidence of pressure ulcer was 0 in the observation group and 12.12%in the control group,the difference was statistically significant(P<0.05).The time of hospitalizat

关 键 词：逐水粉 六穴贴敷 慢性心力衰竭 顽固性水肿 

分 类 号：R473[医药卫生—护理学]