CAJ | 학술논문

目的探讨原发性痛风症的中医辨证施护.方法随机选择68例患者,采用随机数字法随机分为对照组34例和观察组34例.分型:湿热蕴结、瘀热阻滞、痰浊阻滞、肝肾阴虚.观察组:辨证施护,并使用自行设计的专项护理方案,专项表格为:绘制血尿酸检测曲线、症候观察表1份,每日饮食记录表1份,每日用药及外治记录表1份,记录症候好转、有效、治愈的时间,严格指导饮食、起居,疏导情志.对照组:辨证施护,未使用自行设计的护理方案.结果观察组病例血尿酸水平恢复至正常值的时间显著短于对照组,差异具有统计学意义[(15.0±2.5)d比(22.0±7.5) d;t =5.1629,P＜0.05],观察组治疗有效例数33例显著高于对照组26例,差异具有统计学意义(x2 =4.610 2,P＜0.05).结论辨证施护应用于痛风症患者,并且每天进行详尽的记录,严格执行起居、饮食、情志指导有积极的临床意义.
목적 탐토원발성통풍증적중의변증시호.방법 수궤선택68례환자,채용수궤수자법수궤분위대조조34례화관찰조34례.분형:습열온결、어열조체、담탁조체、간신음허.관찰조:변증시호,병사용자행설계적전항호리방안,전항표격위:회제혈뇨산검측곡선、증후관찰표1빈,매일음식기록표1빈,매일용약급외치기록표1빈,기록증후호전、유효、치유적시간,엄격지도음식、기거,소도정지.대조조:변증시호,미사용자행설계적호리방안.결과 관찰조병례혈뇨산수평회복지정상치적시간현저단우대조조,차이구유통계학의의[(15.0±2.5)d비(22.0±7.5) d;t =5.1629,P＜0.05],관찰조치료유효례수33례현저고우대조조26례,차이구유통계학의의(x2 =4.610 2,P＜0.05).결론 변증시호응용우통풍증환자,병차매천진행상진적기록,엄격집행기거、음식、정지지도유적겁적림상의의.
Objective To explore the application of dialectical nursing of traditional Chinese medicine in patients with gout.Methods Totals of 68 cases with gout were randomly divided into control group( n =36)and observation group (n =34).Types such as wet- hot,heat and blood stasis block,phlegm,yin deficiency of liver and kidney of cases were divided.The observation group received the dialectical nursing and selfdesigned special care programs,many special form were used such as drawing the blood uric acid detection curve,symptom observation,daily diet records list,daily medication and external treatment record.Then,the time of symptoms better,effective,cure were observed and diet,living,grooming emotion were strictly guidanced.Control group only rceived the dialectical nursing without self-designed nursing program.Results The time of blood uric decrease to normal of observation group significantly short than that of control group(15.0 ±2.5) d vs (22.0 ±7.5) d,(t =5.1629;P ＜0.05).The whole effective cases number of observation group was significantly more than that of control group ( 33 vs 26 ),( x2 =4.6102 ; P ＜ 0.05 ).Conclusions Dialectical nursing application,detailed records in every day,strict implementation of the living,diet,emotional guidance for the patients with gout have positive clinical influencing.