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作 者:毛海燕 李晓云 杜囚鹏 MAO Haiyan;LI Xiaoyun;DU Qiupeng(The First Hospital of Integrated Traditional Chinese and Western Medicine of Beijing,Beijing 100026,China)
出 处:《西部中医药》2025年第4期127-130,共4页Western Journal of Traditional Chinese Medicine
基 金:中医基础理论研究所第十一批(2020年度)自主选题“院所协同创新科研专项基金”项目(YZ-1767)。
摘 要:目的:观察中医特色护理技术对消化内镜微创息肉治疗患者术后恢复及并发症发生率的影响。方法:选择90例行消化内镜微创息肉治疗患者,根据入院患者住院日期与患者入院当日序号相加后,按末尾数单双号随机分为观察组和对照组,每组45例。对照组予常规护理,观察组在对照组基础上予中医特色护理,疗程5~7天。比较两组术后肠道功能恢复情况,负性情绪[焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)]评分、生活质量评定量表(SF-36)评分及并发症发生率。结果:干预后,观察组术后肠道功能恢复更快(P<0.05);两组SAS、SDS评分均降低(P<0.05),观察组低于对照组(P<0.05);两组SF-36评分均升高(P<0.05),观察组高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论:中医特色护理技术可促进消化内镜微创息肉治疗患者术后恢复,减少并发症,缓解不良情绪,提高生活质量。Objective:To observe the influence of TCM-featured nursing technology on postoperative recovery and the complication rates in patients undergoing minimally invasive endoscopic resection of polyps.Methods:Altogether 90 patients who underwent minimally invasive endoscopic resection of polyps were chosen,and divided into the observation group and the control group according to the odd or even number of the last digit of the sum of the hospitalization date and the serial number on the day of admission,n=45 cases.The control group accepted conventional care,TCM-featured nursing was administered to the observation group based on routine care,the course of the treatment was five to seven days.To compare postoperative intestinal function recovery,the scores of negative moods including SAS and SDS,SF-36 scores and complication rates between both groups.Results:After the intervention,the recovery of intestinal function was faster in the observation group after the operation(P<0.05);SAS and SDS were lowered in the two groups(P<0.05),the observation group was lower than the control group(P<0.05),the scores of SF-36 were elevated in the two groups(P<0.05),the observation group was higher than the control group(P<0.05);the complication rates of the observation group were lower than these of the control group(P<0.05).Conclusion:TCM-featured nursing technology could promote postoperative recovery of the patients treated by minimally invasive endoscopic resection of polyps,reduce the complications,relieve bad mood and improve the quality of life.
关 键 词:息肉 消化内镜 微创 中医特色护理技术 肠道功能
分 类 号:R248.2[医药卫生—中医临床基础]
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