中医延续性护理联合常规疗法干预肝硬化门静脉高压症经颈静脉肝内门体分流术后临床研究  

Clinical Study on Intervention of Traditional Chinese Medicine Continuing Care Combined with Routine Therapy in Patients with Liver Cirrhosis and Portal Hypertension After Transjugular Intrahepatic Portosystemic Shunt

作　　者：宋丹[1] 邓燕妹[1] 范井月[1] 李焕萍 谢玉宝[1] 吴树铎[1] SONG Dan;DENG Yanmei;FAN Jingyue;LI Huanping;XIE Yubao;WU Shuduo

机构地区：[1]广东省中医院(广州中医药大学第二附属医院),广东广州510120

出　　处：《新中医》2023年第10期147-152,共6页New Chinese Medicine

基　　金：国家中医药管理局全国名老中医药专家池晓玲传承工作室建设项目(国中医药人教函[2022-75号])。

摘　　要：目的:观察中医延续性护理联合常规疗法干预肝硬化门静脉高压症经颈静脉肝内门体分流术(TIPS)后出院患者的效果。方法:将66例肝硬化门静脉高压症行TIPS治疗的出院患者随机分为对照组及观察组,每组33例。对照组实施常规治疗和常规护理措施,观察组实施常规治疗和中医延续性护理,2组均干预6个月。统计患者出院后1个月、3个月及6个月的再入院率,出院后6个月内的肝性脑病发生率、复诊依从性及对护理措施的满意度。结果:观察组出院后1个月、3个月、6个月的再入院率均低于对照组(P<0.05)。出院后6个月内,观察组肝性脑病发生率低于对照组(P<0.05)。观察组合作型患者的比例高于对照组,畏惧型患者的比例低于对照组,差异均有统计学意义(P<0.05)。观察组对护理措施的特别满意率高于对照组(P<0.05);2组总满意率比较,差异无统计学意义(P>0.05)。结论:在常规疗法基础上实施中医延续性护理,可提升肝硬化门静脉高压症TIPS术后患者的自我管理能力,有效降低再入院率及肝性脑病发生率,提高患者的复诊依从性及对中医护理的满意度。Objective:To observe the effect of intervention of traditional Chinese medicine(TCM)continuing care combined with routine therapy on discharged patients after transjugular intrahepatic portosystemic shunt(TIPS).Methods:A total of 66 cases of discharged patients who received TIPS for portal hypertension in cirrhosis were randomly divided into the control group and the observation group,with 33 cases in each group.The control group was treated with routine treatment and routine general nursing measures,and the observation group was treated with routine treatment and TCM continuing care.The intervention in the two groups lasted for 6 months.The hospital readmission rates within 1 month,3 months,and 6 months after discharge,the incidence of hepatic encephalopathy within 6 months after discharge,follow-up compliance,and the satisfaction rates of nursing measures were counted.Results:The hospital readmission rates within 1 month,3 months,and 6 months after discharge in the observation group were lower than those in the control group(P<0.05).The incidence of hepatic encephalopathy within6 months after discharge in the observation group was lower than that in the control group(P<0.05).The proportion of cooperative patients in the observation group was higher than that in the control group,and the proportion of patients with fear in the observation group was lower than that in the control group,differences being significant(P<0.05).The especial satisfaction rate of nursing measures in the observation group was higher than that in the control group(P<0.05);there was no significant difference being found in the comparison of total satisfaction rates between the two groups(P>0.05).Conclusion:For patients after TIPS for portal hypertension in cirrhosis,the TCM continuing care based on routine therapy can enhance their self-management ability,effectively reduce the hospital readmission rate and the incidence of hepatic encephalopathy,improve their follow-up compliance and satisfaction with TCM nursing.

关 键 词：肝硬化 门静脉高压症 经颈静脉肝内门体分流术 中医延续性护理 肝性脑病 护理满意度 

分 类 号：R575.2[医药卫生—消化系统] R248[医药卫生—内科学]