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作 者:胡丹 王利霞 曾祥红 张丽 HU Dan;WANG Lixia;ZENG Xianghong;ZHANG Li(Beijing Hospital of Integrated Traditional Chinese and Western Medicine,Beijing100039,China)
出 处:《中国医药导报》2022年第19期186-189,193,共5页China Medical Herald
基 金:北京中医药科技发展资金项目(JJ2016-40)。
摘 要:目的观察艾条灸配合手指点穴对慢性泌尿系感染老年患者的护理效果。方法选择2018年1月至2020年12月北京中西医结合医院针灸科住院治疗的80例老年慢性泌尿系感染患者为研究对象,采用随机数字表法将其分为治疗组和对照组,各40例。对照组采用淋证中西医护理常规干预,治疗组在对照组基础上予艾条灸配合手指点穴治疗,连续治疗3周,比较两组治疗前后《临床症状分级得分标准表》总得分、尿频尿急、尿痛、腰痛、发热等得分,尿白细胞数、细菌数及两组治疗效果和不良反应。结果治疗后,两组《临床症状分级得分标准表》总得分低于治疗前,且治疗组低于对照组(P<0.05);两组尿频尿急、尿痛、发热、腰痛得分低于治疗前,且治疗组尿急、尿痛、发热低于对照组(P<0.05);两组尿痛得分比较,差异无统计学意义(P>0.05);两组尿中白细胞数、细菌数低于治疗前,且治疗组尿白细胞数低于对照组(P<0.05);两组尿细菌数比较,差异无统计学意义(P>0.05);治疗组临床疗效优于对照组(P<0.05);两组患者均未发生不良反应及不良事件。结论艾条灸配合手指点穴对于改善慢性泌尿系感染老年患者多个临床症状方面及尿中白细胞数方面有较好的疗效,且无明显不良反应,操作简单,适合推广于临床。Objective To observe the nursing effect of moxibustion combined with finger point on elderly patients with chronic urinary tract infection.Methods A total of 80 elderly patients with chronic urinary tract infection hospitalized in the Department of Acupuncture and Moxibustion of Beijing Hospital of Integrated Traditional Chinese and Western Medicine from January 2018 to December 2020.They were divided into treatment group and control group by random number table method,with 40 cases in each group.Control group was adopted Traditional Chinese and Western medicine nursing intervention syndrome,On this basis of control group,the treatment group was treated with moxibustion and finger point treatment,the treatment lasted for three weeks.Clinical symptom grading standard table total score,frequent urination,urination urgency,dysuria,lumbago and fever,white blood cell count and bacteria count in urine,therapeutic effect and adverse reactions of the two groups were compared before and after treatment.Results After treatment,the total score of clinical symptom grading standard table of the two groups was lower than before treatment,and the treatment group was lower than the control group(P<0.05);the scores of frequent urination,urination urgency,urination pain,fever,and lumbago in both groups were lower than those before treatment,and urination urgency,urination pain and fever in treatment group were lower than those in control group(P<0.05);there was no significant difference in urine pain scores between the two groups(P>0.05);the number of white blood cells and bacteria in urine of the two groups were lower than before treatment,and the number of white blood cells in urine of the treatment group was lower than that of the control group(P<0.05);there was no significant difference in the number of urine bacteria between the two groups(P>0.05).The clinical effect of treatment group was better than control group(P<0.05).There were no adverse reactions and adverse events in two groups.Conclusion Moxibustion combined with fi
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