中药穴位贴敷治疗喘病患者的护理(1)

http://www.100md.com 2019年1月25日 《中外医疗》 2019年第3期

     [摘要] 目的 探讨中药穴位贴敷治疗支气管哮喘的临床疗效及有效护理方法。方法 方便选取2018年2—7月该院收治的102例支气管哮喘患者为研究对象，随机分两组。对照组51例，予以患者常规西医治疗及护理；实验组51例，患者在对照组基础上加用中药穴位贴敷及中医护理，对比观察两组治疗后中医症候改善情况，评价临床疗效。结果 实验组治疗有效率(92.16%)和护理满意度(94.12%)高于对照组，差异有统计学意义(χ2=3.037，P<0.05；χ2=4.306，P<0.05)；实验组不良反应率(1.96%)与对照组差异无统计学意义(χ2=0.882，P>0.05)。结论 中药穴位贴敷治疗哮喘疗效确切，配合护理，可有效稳定患者病情，改善临床症状，值得临床推广使用。

    [关键词] 支气管哮喘；中药；穴位贴敷；护理；中医疗效

    [中图分类号] R48 [文献标识码] A [文章编号] 1674-0742(2019)01(c)-0135-03

    Nursing Care of Patients with Asthma Treated by Acupoint Sticking with Traditional Chinese Medicine

    ZHAO Hua

    Department of Respiratory， Liyang Traditional Chinese Medicine Hospital， Liyang， Jiangsu Province， 211300 China

    [Abstract] Objective To investigate the clinical efficacy and effective nursing methods of acupoint sticking with traditional Chinese medicine in the treatment of bronchial asthma. Methods 102 patients with bronchial asthma who were admitted to our hospital from February in July 2018 were conveniently selected and randomly divided into two groups. 51 patients in the control group were treated with conventional Western medicine and nursing. In the experimental group， 51 patients were treated with traditional Chinese medicine acupoint sticking and Chinese medicine nursing on the basis of the control group. The improvement of TCM symptom after treatment was compared and the clinical efficacy was evaluated. Results The effective rate of treatment (92.16%) and nursing satisfaction (94.12%) were higher in the experimental group than in the control group. The difference was statistically significant (χ2=3.037， P<0.05； χ2=4.306， P<0.05)； adverse reactions in the experimental group of (1.96%) was not statistically different from the control group (χ2=0.882， P>0.05). Conclusion Acupoint application of traditional Chinese medicine is effective in the treatment of asthma. Cooperating with nursing can effectively stabilize the patient's condition and improve clinical symptoms. It is worthy of clinical promotion.

    [Key words] Bronchial asthma； Traditional Chinese medicine； Acupoint application； Nursing； TCM curative effect

    支氣管哮喘是由多种细胞和细胞组分参与的气道慢性炎症性疾病，可见广泛多变的可逆性气流受限。该病病因与诱因众多，致病机制复杂，与遗传、免疫眼震、神经机制、气道高反应性、变应原等多种因素有关[1]。目前，本病尚无特效疗法，临床多采用以抗炎治疗为主的长期综合治疗以控制症状，减少或避免复发。在中医学中，哮喘属“喘证”范畴，由宿痰伏于肺，在诱因引触下，痰阻气闭、肺失宣降、气道挛急所引起[2]。穴位贴敷是传统中医学常用疾病外治方法，该院近年以中药穴位贴敷治疗哮喘取得理想效果，该研究现以2018年2—7月该院102例哮喘患者为例进行分析探讨，报道如下。

    1 资料与方法

    1.1 一般资料

    方便选取该院收治的102例哮喘患者为研究对象，随机分两组。实验组(51例)：男26例，女25例；年龄30～84岁，平均(61.7±9.3)岁；病程2-14年，平均(4.5±3.6)年。对照组(51例)：男25例，女26例；年龄32～85岁，平均(61.4±9.0)岁；病程2～13年，平均(4.3±3.5)年。两组一般资料差异无统计学意义(P>0.05)，具有可比性。(赵桦)

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