辨证施护膝骨性关节炎40例.docVIP

辨证施护膝骨性关节炎40例 　　【摘要】 目的：观察膝骨性关节炎患者采用中医辨证施护效果，旨在总结出简便易行、效果满意的护理方法。方法：76例膝骨性关节炎患者，随机分为辨证施护组40例，常规护理组36例，辨证施护组在常规护理的基础上，根据患者的体质、症状采用中医辨证施护，观察两组患者的临床护理效果。结果：辨证施护组患者住院治疗时间（14.37±1.25）d，关节肿胀消失（7.12±2.34）d；膝关节积液消失（12.00±0.56）d，总有效率90.00%；一般常规护理组住院治疗时间（21.00±2.18）d，关节肿胀消失（14.15±2.68）d，膝关节积液消失（15.00±0.47）d，总有效率72.22%；辨证施护组明显优于常规护理组（P0.05）。结论：中医辨证施护可以明显提高临床疗效，缩短住院时间，改善关节肿胀，促进关节腔积液吸收，改善关节僵硬，减轻患者痛苦，增加患者生活信心，提高患者生活质量，值得临床推广。 　　【关键词】 膝骨性关节炎； 辨证施护； 效果 　　中图分类号 R684.3 文献标识码 B 文章编号 1674-6805（2016）17-0063-02 　　【Abstract】 Objective：To observe the care effect of knee arthritis patients using traditional Chinese medicine dialectical nursing，intended to summarize the simple，satisfactory methods of care.Method：Seventy-six cases of knee osteoarthritis were randomly divided into the dialectical nursing group（40 cases），and the routine care group（36 cases），the dialectical nursing group was used Chinese dialectical nursing according the patients physical symptoms on the basis of routine care，the clinical care effects of the two groups were observed.Result：The hospitalized time was （14.37±1.25）d，the joint swelling disappears was （7.12±2.34）d，knee effusion disappeared （12.00±0.56）d，the total efficiency was 90.00% in the dialectical nursing group.The hospitalization time was （21.00±2.18）d，joint swelling disappeared was （14.15±2.68）d，knee effusion disappeared was （15.00±0.47）d，the total efficiency was 72.22% in the routine care group，there were significant differences in two groups（P0.05）.Conclusion：Chinese dialectical nursing can significantly improve the clinical efficacy，shorten hospital stays，improve joint swelling，promote joint effusion absorption，improve joint stiffness，relieve the suffering of patients，increase patient confidence in life and improve the quality of life of patients，worthy of promotion in clinical. 　　【Key words】 Knee osteoarthritis； Dialectical nursing； Effect 　　First-author’s address：The Affiliated Hospital of Shanxi University of Traditional Chinese Medicine，Xianya