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中医护理干预在自拟溃结灌肠散灌肠法治疗溃疡性结肠炎中的临床效果

作者:邓玲玲1 侯来成1 郑草花1 文小敏2

所属单位:1.佛山市禅城区朝阳医院 (广东 佛山 528000)2.南方医科大学中西医结合医院 (广东 广州 510000)

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摘要

目的 观察评价中医护理干预在自拟溃结灌肠散灌肠法治疗溃疡性结肠炎(UC)中的临床效果。方法 选择2015年3 月-2018年2月期间医院收治的溃疡性结肠炎患者138例,均采用自拟溃结灌肠散灌肠法治疗,并随机对照试验(RCT) 分为两组,对照组69例给予常规护理;观察组69例在对照组基础上给予综合护理干预,并比较两组的临床效果。结 果 护理干预前,两组临床症状积分无统计学差异(t=0.1674,P>0.05),护理干预后,观察组与对照组临床症状积 分均明显的降低(t=15.3076、13.0539,P<0.05),观察组患者积分明显的低于对照组(t=11.0285,P<0.05),观 察组总有效率为98.55%显著地高于对照组的75.36%(χ2 =16.3556,P=0.0000),观察组护理满意度为97.73%显著地 高于对照组的79.55%(χ2 =12.6407,P=0.0000)。结论 自拟溃结灌肠散灌肠法治疗UC并运用中医护理干预,有效的 提高临床治愈率与护理满意度,显著地缓解患者临床症状,值得临床大力推广应用。

Objective To observe and evaluate the clinical effect of traditional Chinese medicine nursing intervention in the treatment of ulcerative colitis (UC) with Kuijie enema and intestine. Methods A total of 138 patients with ulcerative colitis treated in the hospital between March 2015 and February 2018 were selected and treated by self-made pudding enema and intestine, and randomized controlled trials (RCT) were divided into two groups. Control group 69 Cases were given routine care. 69 patients in the observation group were given comprehensive nursing interventions on the basis of the control group, and the clinical effects of the two groups were compared. Results Before the nursing intervention, there was no significant difference in clinical symptom scores between the two groups (t=0.1674, P>0.05). After the nursing intervention, the clinical symptom scores of the observation group and the control group were significantly reduced (t=15.3076, 13.0539, P<0.05). The scores of patients in the observation group were significantly lower than those in the control group (t=11.0285, P<0.05). The total effective rate was 98.55% in the observation group was significantly higher than that in the control group (75.36%) (χ2 =16.3556, P=0.0000). The satisfaction rate of observation in the observation group was 97.73% was significantly higher than 79.55% in the control group (χ2 =12.6407, P=0.0000). Conclusion Self-made pudding enema and intestine evacuation therapy for UC and traditional Chinese medicine nursing intervention can effectively improve the clinical cure rate and nursing satisfaction, significantly relieve the clinical symptoms of patients, and it is worthy of clinical application.

【关键词】溃疡性结肠炎;溃结灌肠散灌肠法;中医护理干预

【中图分类号】R656.9;R574.62

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2018.04.011

前言

溃疡性结肠炎(ulcerative colitis,UC)又称 慢性非特异性溃疡性结肠炎,是指结肠和直肠发生 非特异性慢性炎症性病变(主要限于大肠黏膜和黏膜 下层),主要与遗传、免疫、环境及感染等所致的, 临床以腹痛、腹泻、黏液性脓血便、里急后重、呕吐和体重减轻等症状为主,其病情极易反复,迁延 难愈,其发病率居高不下,严重影响患者生活质量 (QOL)[1-3]。UC治疗主要以外科手术、中医药、生物制 剂类、水杨酸类药物及中医特色疗法为主。UC的治疗 目标是诱导并维持临床缓解、促进黏膜愈合,保持机体免受外界的破坏或损失,减少复发、并发症的发生 及改善患者生存质量[4-5]。中医药治疗UC疗效确切, 具有多靶点整体调节、副反应少等优势[6]。中药保留 灌肠治疗UC能够减少内服药物的数量及剂量,温补阳 气,能够有效地调节经气、平衡阴阳,而且安全性 高[7]。西方医学认为,心理、遗传、感染等因素均会 导致UC的发生,对患者的身体健康和心理健康带来较 大危害[8]。在自拟溃结灌肠散灌肠法治疗UC实施优质 综合护理干预,取得满意疗效,现将研究结果总结分 析报道如下。