中医辨证施术方案在糖尿病护理门诊中的应用  

Application of traditional Chinese medicine syndrome differentiation scheme in a diabetes care clinic

作　　者：李世梅[1] 李卓亚[1] 芦荣 李志芳 李文玲 LI Shimei;LI Zhuoya;LU Rong;LI Zhifang;LI Wenling(Department of Endocrinology,Qinghai Hospital of Traditional Chinese Medicine,Xining,Qinghai,810000,China)

机构地区：[1]青海省中医院内分泌科,青海西宁810000

出　　处：《中西医结合护理（中英文）》2022年第7期53-56,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨中医辨证施术方案在糖尿病护理门诊中的应用效果。方法回顾性分析2021年8月至2022年1月青海省中医院糖尿病护理门诊接诊的82例糖尿病患者的一般资料。根据不同的护理方法将患者分为对照组(42例)和观察组(40例),对照组实施常规综合护理,观察组在对照组常规综合护理的基础上加用中医辨证施术方案进行护理。比较2组的临床疗效,以及护理前后的中医证候积分、身体质量指数(BMI)、血糖水平和中国糖尿病患者生存质量特异性量表(DSQL)评分。结果护理2个月后,2组的中医证候积分、BMI与DSQL维度评分均较护理前有所降低(P均<0.05),且观察组均较对照组更低(P均<0.05)。观察组的临床总有效率(92.50%)明显高于对照组(76.19%,P<0.05)。护理1个月、2个月后,2组的空腹血糖、餐后2 h血糖和糖化血红蛋白水平均较护理前均有所降低(P均<0.05);观察组的上述水平较同期对照组更低(P均<0.05)。结论在糖尿病门诊护理中应用中医辨证施术方案,可有效改善患者的临床症状,降低其血糖水平,提高其生存质量。Objective To discuss the application effect of traditional Chinese medicine syndrome differentiation scheme in a diabetes care clinic.Methods The general data of 82 diabetes patients at the diabetes care clinic of Qinghai Hospital of Traditional Chinese Medicine from August 2021 to January 2022 were analyzed retrospectively.According to different nursing methods,the patients were divided into the control group(42 cases)and the observation group(40 cases).The control group carried out routine comprehensive nursing,and the observation group carried out nursing of traditional Chinese medicine syndrome differentiation scheme in addition to the routine comprehensive nursing.The clinical efficacy,traditional Chinese medicine syndrome scores,body mass index(BMI),blood glucose level,and Diabetes Specificity Quality of Life Scale(DSQL)scores before and after nursing were compared between the two groups.Results After 2 months of nursing,the traditional Chinese medicine syndrome scores,BMI,and DSQL scores of the two groups were decreased compared with those before nursing(all P<0.05),and the observation group was lower than the control group(all P<0.05).The total clinical effective rate of the observation group(92.50%)was significantly higher than that of the control group(76.19%,P<0.05).After 1 and 2 months of nursing,the levels of fasting blood glucose,2 hr postprandial blood glucose,and glycosylated hemoglobin in the two groups were decreased compared with those before nursing(all P<0.05).The above levels in the observation group were lower than those in the control group(all P<0.05).Conclusion The application of traditional Chinese medicine syndrome differentiation scheme in a diabetes care clinic can effectively improve the clinical symptoms,reduce the blood glucose level,and improve the quality of life of patients.

关 键 词：糖尿病 护理门诊 中医辨证施术方案 中医证候积分 血糖水平 

分 类 号：R248[医药卫生—中医临床基础]