耳穴贴压配合中医护理对糖尿病肾病血液透析患者高血压的影响.pdfVIP

齐鲁护理杂志2011年第 17卷第30期 耳穴贴压配合中医护理对糖尿病肾病 血液透析患者高血压的影响 张翠芹，魏金花，任秀花，许艳花，王 芳 (迁安市中医医院 河北 迁安 064400) 摘 要 目的：探讨耳穴贴压配合中医护理对糖尿病肾病 (DN)血液透析患者高血压的影响。方法：将DN患者85 例随机分成对照组42例和治疗组43例，对照组给予常规治疗及 口服降压药，治疗组在此基础上加用耳穴贴压配合 中医 护理疗法。结果：治疗组有效率为79．1％，对照组为57．1％，两组结果比较差异有统计学意义(P0．05)；治疗组头晕恶 心、心律失常、心力衰竭发生率明显低于对照组(P0．05)。结论：耳穴贴压配合中医护理能有效降低糖尿病肾病血液 透析患者的高血压，减少并发症，提高患者生活质量。 关键词 糖尿病肾病；血液透析 ；高血压；耳穴贴压；中医护理 中图分类号：R473．5 文献标识码：A 文章编号：1006—7256(2011)30—0022—02 EffectofauricularpointplastertherapycombinedwithTCM nursingcareonhypertension ofhemodialysispatientswithdiabeticnephropathy ZhangCui—qin，Weifin—hua，RenXiu—hua，etal (Qian?tnMunicipalHospitalofTCM，QiananHebei064400，China) Abstract Objective：ToexploretheeffectofauricularpointpiastertherapycombinedwithTCMnursingcazeonhyperten- sionofhemodialysispatientswithdiabeticnephropathy(DN)．Methods：85patientswithDNwererandomlydividedintoacon· trolgroup(n=42)andatreatmentgroup(n=43)．Thepatientsinthecontrolgroupreceivedconventionaltherapyandwere givenoralantihypertensivedrugsandthepatientsinthetreatmentgroupwereadditionallygiven auricularpointplastertherapy combinedwithnursingcraebyfollowingTCM theorybasedonthetreatmentandnursingcareinthecontrolgroup．Results：The effectiveratewas79．1％ inthetreatmentgroupand57．1％ inthecontrolgroup。thecomparisonwassignificantlydifferentbe- tweenthetwogroups(P0．05)；theincidenceofdizziness，nausea，cardiacarrh~hmiaandheartfailurewassignificantlylow— erinthetreatmentrgoupthanthatinthecontrolgroup(P0．05)．Conclusion：Auricularpointplastertherapycombinedwith TCM nursingcarecaneffectivelyrelievehypertensionofhemodialysispatientswithDN，reducecomplicationsandimprovetheir qualityoflife． Keywords DN；Hemodialysis；Hypertension；Auricularpointplastertherapy；TCM nursingcrae 近年来，糖尿病肾病 (DN)的患者越来越多，其病死率明 — 75岁。两组透析月龄、病情、每周透析次数、总超滤量、透析 显高于其他肾病所致的尿毒症。良好的血压控制有利于减少