中医治疗糖尿病性肾病临床护理体会.docVIP

中医治疗糖尿病性肾病的临床护理体会 　　[摘要] 目的 分析中医治疗糖尿病性肾病的临床护理方法与效果。方法 研究对象为2014年7月―2015年7月该院糖尿病性肾病患者84例，施行中医治疗，并按不同临床护理分组。42例接受常规护理，入组对照组；给予余42例中医整体护理，入组实验组。观察对比效果。 结果 实验组护理有效率为95.24%，对照组护理有效率为83.33%。两组相比较，实验组护理有效率明显高于对照组，且UAER、24 h尿蛋白定量改善明显优于对照组，组间差异有统计学意义（P0.05）。结论 中医治疗糖尿病性肾病采用中医整体护理，效果确切，可推广运用。 　　[关键词] 糖尿病性肾病；中医治疗；中医整体护理；效果 　　[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062（2016）01（b）-0184-03 　　Clinical Nursing Experience of Treating Diabetic Nephropathy with Traditional Chinese Medicine 　　GUAN Bing-jie 　　Chinese Liuhe County Hospital of Jilin province，Tonghua，Jilin Province， 135300 China 　　[Abstract] Objective To analyze the clinical nursing method and effect of treating diabetic nephropathy with traditional Chinese medicine. Methods 84 cases of diabetic nephropathy in our hospital from July 2015 to July 2014 were treated with traditional Chinese medicine and grouped according to different clinical nursing. 42 cases received routine nursing， the control group was given， and more than 42 cases of TCM holistic nursing， and the experimental group was given to the experimental group. Observation contrast effect. Results The efficiency of the experimental group was 95.24%， and the control group was 83.33%. Compared with the control group， the effective rate of the experimental group was significantly higher than that of the control group， and the 24h and UAER urine protein quantitative improvement was significantly better than the control group （P0.05）， with significant difference between the groups （）， with statistical significance. Conclusion TCM treatment of diabetic nephropathy with Chinese medicine overall nursing， the effect is exact， can promote the use of. 　　[Key words] Diabetic nephropathy； Traditional Chinese medicine； TCM holistic nursing； Effect 　　糖尿病性肾病为糖尿病微血管并发症，临床较常见，病情严重，对患者寿命及生活质量有极大影响，为终末期肾病主要原因。中医学将此病列入“消渴病”和“肾病”范畴，认为气阴两虚、阴虚燥热和阴阳两虚为此病病机特点[1]。结合中医消渴病肾病理论研究，主张给予患者中医辩证施护，除给予相应中医治疗外，还需做好对患者的健康护理，促进疗效。现取2014年7月―2015年7月该院中医治疗糖尿病性肾病84例，回顾中医整体护理的方法及效果，现报道如下。 　　1 资料与方法