中医护理模式在痿证患者中应用的临床研究-黄浦区科学技术协会.DOCVIP

PAGE 7 中医护理模式在痿证患者中应用的临床研究 吴继萍 上海中医药大学附属曙光医院神经内科 上海 200021 摘要：目的 通过本课题的研究，旨在探讨中医辨证施护特点，研究中医辨证施护的特点，力求初步建立一整套痿证患者的中医护理模式。方法 根据随机原则，选择痿证病例90例，随机分为实验和对照两组。实验组按主证的辨证分型。即①肺热津伤证、② 湿热浸淫证、③脾胃虚弱证、④瘀阻脉络证、⑤肝肾亏虚证共为5型。每型10例痿证患者，共为50例痿证患者。对照组40例。实验组在常规护理的基础上，以中医的“整体观念”作指导，“辨证论治”为依据，进行“辨证施护”，对照组给予常规护理。结果 实验组总有效率为96％，对照组总有效率为47.5％，p0.01，两组疗效有统计学意义。结论 将望、闻、问、切等中医基本理论与护理学知识相结合，护理程序与辩证施护相结合，护理技术操作与中医传统治疗方法相互补，全面评估患者的健康问题，满足患者的基本要求，建立一整套痿证患者的中医护理模式，是必要的，也是可行的。 关节词： 中医护理模式 痿证患者 Study on systerm of TCM in flaccidity syndrome sufferer Wu Ji Ping (shuguang Hospital affiliated to Shanghai University of TCM, . Shanghai 200021,china) 【Abstract】 [Objective]: To investigate the claracteristics of the nursing system of TCM is in order to establish a preliminary intact nursing system of TCM in flaccidity syndrome sufferer .[Methods]: On the grounds of random principle, 90 flaccidity syndrome sufferers were randomized into intervention group and control group. The syndrome differentiation typing of the intervention group by principal sign is: ①flaccidity due to lung-heat ;②damp-hat flaccidity; ③weekness of spleen and stomach ;④ecchymoma ;⑤deficiency of liver-yin and kidney-yin. Each typing has ten patients, while the total quantity is 50.There are 40 instance in the other group. In intervention group, besides the conventional nursing care, have been given the nursing based on syndrome differentiation by the instruction of concept of wholism and basis of treatment based on syndrome differentiation, while the control one is only given the conventional nursing care. [Results]:The general effective rate of the intervention group is 96. %,and the other one is 47.5%(P0.01).The manage of statistics is significant difference .[Conclusion]: Take the basic TCM theorem like inspection, auscultation and olfaction, interrogation, pulse feeling and palpation etc and the knowledge of nursing care, the care program and nursing based on syndrome differentiation ,nursing intervention and the conventional