中医辨证护理联合饮食管理对甲状腺癌根治术后患者的干预效果观察  

Intervention effect of traditional Chinese medicine syndrome differentiation nursing combined with dietary management in patients after radical thyroidectomy

作　　者：曾丽静 李玉玲[1] 刘斐 ZENG Lijing;LI Yuling;LIU Fei(Department of Vascular and Thyroid Surgery,Guangdong Provincial Hospital of Traditional Chinese Medicine University Town Branch,Guangzhou,Guangdong 511400,China)

机构地区：[1]广东省中医院大学城医院血管甲状腺外科,广东广州511400

出　　处：《医药前沿》2025年第12期120-124,共5页Journal of Frontiers of Medicine

摘　　要：目的观察中医辨证护理联合饮食管理对甲状腺癌根治术后患者的干预效果。方法回顾性分析2022年6月—2023年12月广东省中医院大学城医院收治的80例甲状腺癌根治术后患者的临床资料,根据护理方法分为两组各40例,对照组给予常规护理,观察组在常规护理基础上给予中医辨证护理联合饮食管理。记录两组术后并发症发生率,评估预后营养指数、睡眠质量、心理症状及癌因性疲乏程度。结果观察组术后长期声音沙哑、颈部不适、手足抽搐/麻木、口干、消化道反应的发生率低于对照组(P<0.05);两组术后预后营养指数均不同程度升高,且观察组术后14、30 d预后营养指数高于对照组(P<0.05);两组术后睡眠质量均不同程度改善,且观察组术后7、14、30 d匹兹堡睡眠质量指数(PSQI)低于对照组(P<0.05);两组术后心理症状评分均不同程度降低,且观察组术后14 d心理症状评分低于对照组(P<0.05);两组术后疲乏评分均不同程度降低,且观察组术后14、30 d疲乏评分低于对照组(P<0.05)。结论对甲状腺癌根治术后患者实施中医辨证护理联合饮食管理,可有效减少术后并发症,并达到改善营养状态、睡眠质量、心理症状及疲乏的作用。Objective To explore the intervention effect of traditional Chinese medicine syndrome differentiation nursing combined with dietary management in patients after radical thyroidectomy.Methods A retrospective analysis was conducted on the clinical data of 80 patients who underwent radical thyroidectomy from June 2022 to December 2023 in Guangdong Provincial Hospital of Traditional Chinese Medicine University Town Branch,the patients were divided into two groups of 40 cases each based on nursing methods,the control group received routine nursing,while the observation group received traditional Chinese medicine syndrome differentiation nursing combined with dietary management in addition to routine nursing.The incidence of postoperative complications were recorded,and the prognostic nutritional index,sleep quality,psychological symptoms,and cancerrelated fatigue were assessed.Results The incidence of postoperative long-term sound hoarse,neck discomfort,hand-foot cramps/numbness,dry mouth and gastrointestinal reactions in the observation group were lower than those in the control group(P<0.05);the prognostic nutritional index increased to varying degrees in both groups,the prognostic nutritional index of the observation group were higher than those of the control group at 14 and 30 days after operation(P<0.05);the sleep quality improved in both groups,the Pittsburgh Sleep Quality Index(PSQI)of the observation group were lower than those of the control group after operation at 7,14 and 30 days after operation(P<0.05);the psychological symptom scores decreased in both groups,the psychological symptom score of the observation group were lower than those of the control group at 14 days after operation(P<0.05);the fatigue scores decreased in both groups,the fatigue score of the observation group were lower than those of the control group at 14 and 30 days after operation(P<0.05).Conclusions The implementation of traditional Chinese medicine syndrome differentiation nursing combined with dietary management in patients after

关 键 词：甲状腺癌 中医辨证护理 饮食管理 术后并发症 营养状态 癌因性疲乏 

分 类 号：R473[医药卫生—护理学]