中医体质辨识及调护用于老年综合评估临床应用研究.docVIP

中医体质辨识及调护用于老年综合评估的临床应用研究 　　[摘要] 目的 探讨中医体质辨识及调护对老年综合评估的临床效应。 方法 选取2015年3月～2016年3月入住北京市隆福医院北苑院区养老区的老年人117例，采用随机数字表法分为干预组（58例）和对照组（59例）。干预组在常规临床、护理治疗基础上，根据中医体质辨识结果进行调护，包括中?t方药及中医技术干预；对照组仅予常规临床、护理治疗。两组分别在入住时、入住第4周、入住第8周和入住第12周进行日常生活能力（ADL）评分，并统计12周内住院率。 结果 两组入住第4、8、12周ADL评分均高于入住时（P 0.05）。干预组入住第8、12周的ADL评分均高于对照组（P 0.05）。干预组的12周内住院率低于对照组（P 0.05）。 结论 中医体质辨识及调护纳入老年综合评估有临床应用价值和意义；依据体质差异辨证施治可提高老年人ADL和认知功能，降低住院率。 　　[关键词] 中医体质分类；老年综合评估；日常生活能力；认知功能 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1673-7210（2016）12（b）-0131-04 　　Clinical application research on TCM identification and nursing in comprehensive geriatric assessment 　　ZHANG Xiaojun1 LU Yanli2 WANG Yuanli2 ZHOU Shengfang3 PENG Na4 　　1.Department of Cardiology， Beijing Longfu Hospital， Beijing 100010， China； 2.Deans Office， Beijing Longfu Hospital， Beijing 100010， China； 3.Department of Traditional Chinese Medicine， Beijing Longfu Hospital， Beijing 100010， China； 4.Department of Rehabilitation Medicine， Beijing Longfu Hospital， Beijing 100010， China 　　[Abstract] Objective To investigate clinical effect of TCM identification and nursing applied in comprehensive geriatric assessment. Methods 117 old people in North Yuan District Old Age Area of Beijing Longfu Hospital from March 2015 to March 2016 were selected. All patients were divided into intervention group （58 cases） and control group （59 cases） by using the random number table method. On the basis of general clinical nursing， intervention group was given nursing according to constitution identifications in TCM， including TCM prescription medicine and technical intervention. While control group was given only general clinical nursing treatment. ADL score when moving in， the forth week， the eighth week and the twelfth week between two groups were assessed. 12 weeks inpatient rate was calculated. Results ADL scores of two groups in the forth week， the eighth week and the twelfth week were higher than moving in （P 0.05）. ADL scores of intervention group in the eighth and t