中医适宜技术在骨外科术后气虚血瘀证患者快速康复的应用研究  

Application of traditional Chinese medicine appropriate techniques in rapid rehabilitation of patients with Qi deficiency and blood stasis syndrome after bone surgery

作　　者：鲁平平[1] 高云霞 韩亚妹[3] 赵慧慧 王文翠 丁盼盼 LU Pingping;GAO Yunxia;HAN Yamei;ZHAO Huihui;WANG Wencui;DING Panpan(Traditional Chinese Medicine Health Care Center,Cangzhou Hospital of Integrated TCM-WMHebei,Cangzhou,Hebei 061001;Department of Endocrinology,Cangzhou Hospital of Integrated TCM-WMHebei,Cangzhou,Hebei 061001;Department of Nursing,Cangzhou Hospital of Integrated TCM-WMHebei,Cangzhou,Hebei 061001;Department of Orthopedics,Cangzhou Hospital of Integrated TCM-WMHebei,Cangzhou,Hebei 061001;Department of Rheumatology,Cangzhou Hospital of Integrated TCM-WMHebei,Cangzhou,Hebei 061001)

机构地区：[1]河北省沧州中西医结合医院中医保健中心,河北沧州061001 [2]河北省沧州中西医结合医院内分泌科,河北沧州061001 [3]河北省沧州中西医结合医院护理部,河北沧州061001 [4]河北省沧州中西医结合医院骨外科,河北沧州061001 [5]河北省沧州中西医结合医院风湿科,河北沧州061001

出　　处：《河北中医》2024年第7期1169-1172,1178,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药类科研指令性课题(编号:2022226)。

摘　　要：目的观察中医适宜技术在骨外科术后气虚血瘀证患者快速康复中的应用,为中医特色护理提供一定参考。方法本次研究对骨外科接受手术治疗的120例骨折患者进行观察,顺利完成手术,术后“四诊”辨证分型,确定“气虚血瘀证”。随后使用红与绿随机摸球的方式,将患者分入2个临床组别。对照组60例,予以系统护理;在此基础上,观察组60例,予以中医适宜技术。术前及术后1周对视觉模拟评分(VAS)、匹兹堡睡眠指数(PSQI)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评估,对比2组术后胃肠功能恢复及并发症。结果干预后2组VAS评分、PSQI评分、SAS评分和SDS评分低于干预前(P<0.05);干预后观察组VAS评分、PSQI评分、SAS评分和SDS评分低于对照组(P<0.05)。对照组的首次排气时间、首次排便时间、首次进食时间和住院时间高于观察组,有统计意义(P<0.05)。对照组的总并发症率15.00%高于观察组3.33%,有统计意义(P<0.05)。结论中医适宜技术对于骨外科术后气虚血瘀证患者具有快速康复的效果,有助于缩短恢复时间,提高睡眠质量和情绪状态,减轻术后疼痛及并发症。Objective To analyze the application of traditional Chinese medicine(TCM)appropriate techniques in rapid rehabilitation of patients with Qi deficiency and blood stasis syndrome after bone surgery,and to provide some reference for TCM characteristic nursing.Methods An observation was conducted in this study to analyze 120 patients with fractures who underwent surgical treatment.After the successful surgery,they were identified as Qi deficiency and blood stasis syndrome through"Four Diagnosis"syndrome differentiation and typing.Subsequently,the patients were divided into the control group(n=60)and the observation group(n=60)by touching red and green random balls.All patients received systematic nursing care,those in the observation group were additionally given TCM appropriate techniques.The scores of visual analogue scale(VAS),Pittsburgh Sleep Quality Index(PSQI),Self-rating Anxiety Scale(SAS),and Self-rating Depression Scale(SDS)were evaluated before surgery and on week 1 of surgery,the gastrointestinal function and complications were assessed between groups.Results After intervention,the scores of VAS,PSQI,SAS,and SDS of the two groups were significantly lower than those before intervention(P<0.05),which in the observation group were significantly lower than those of the control group(P<0.05).The first exhaust time,first defecation time,first meal time,and hospitalization time in the observation group were significantly shorter than those of the control group(P<0.05).The total complication rate in the observation group were significantly lower than those of the control group(3.33%vs 15.00%,P<0.05).Conclusion TCM appropriate techniques have a rapid recovery effect for patients with Qi deficiency and blood stasis syndrome after bone surgery,which is helpful to shorten the recovery time,improve sleep quality and emotional state,and alleviate postoperative pain and complications.

关 键 词：中医适宜技术 骨外科术后 气虚血瘀证 快速康复 

分 类 号：R289.6[医药卫生—方剂学]