中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
36期
102-104
,共3页
中西医%辨证护理%冠心病%PCI%胸痛
中西醫%辨證護理%冠心病%PCI%胸痛
중서의%변증호리%관심병%PCI%흉통
Traditional Chinese%Dialectical nursing%Coronary artery disease%Percutaneous coronary intervention%Chest pain
目的：探讨中西医结合辨证护理对冠心病PCI术后胸痛的影响。方法：选取2008年7月-2012年8月本院确诊治疗的冠心病PCI术后胸痛患者156例，按照随机数字表法分为辨证组和常规组各78例，两组患者均给予常规用药、健康宣教等基础护理，辨证组患者在此基础上给予中医辨证护理。统计分析两组患者护理后临床症状和遵医的改善情况，应用Zung氏焦虑自评量表（SAS）评分评定的焦虑状况。结果：辨证组心绞痛治疗总有效率显著高于常规组，差异有统计学意义（P<0.01）；辨证组治疗后总依从率明显高于常规组，差异有统计学意义（P<0.01）；辨证组治疗后SAS评分、住院时间明显低于常规组，前者护理满意度明显高于后者，差异均有统计学意义（P<0.05）。结论：中西医结合辨证护理可有效提高冠心病PCI术后胸痛患者心绞痛治疗效果，改善患者的遵医情况和焦虑状况，缩短患者住院时间和提高满意度，值得临床作进一步推广。
目的：探討中西醫結閤辨證護理對冠心病PCI術後胸痛的影響。方法：選取2008年7月-2012年8月本院確診治療的冠心病PCI術後胸痛患者156例，按照隨機數字錶法分為辨證組和常規組各78例，兩組患者均給予常規用藥、健康宣教等基礎護理，辨證組患者在此基礎上給予中醫辨證護理。統計分析兩組患者護理後臨床癥狀和遵醫的改善情況，應用Zung氏焦慮自評量錶（SAS）評分評定的焦慮狀況。結果：辨證組心絞痛治療總有效率顯著高于常規組，差異有統計學意義（P<0.01）；辨證組治療後總依從率明顯高于常規組，差異有統計學意義（P<0.01）；辨證組治療後SAS評分、住院時間明顯低于常規組，前者護理滿意度明顯高于後者，差異均有統計學意義（P<0.05）。結論：中西醫結閤辨證護理可有效提高冠心病PCI術後胸痛患者心絞痛治療效果，改善患者的遵醫情況和焦慮狀況，縮短患者住院時間和提高滿意度，值得臨床作進一步推廣。
목적：탐토중서의결합변증호리대관심병PCI술후흉통적영향。방법：선취2008년7월-2012년8월본원학진치료적관심병PCI술후흉통환자156례，안조수궤수자표법분위변증조화상규조각78례，량조환자균급여상규용약、건강선교등기출호리，변증조환자재차기출상급여중의변증호리。통계분석량조환자호리후림상증상화준의적개선정황，응용Zung씨초필자평량표（SAS）평분평정적초필상황。결과：변증조심교통치료총유효솔현저고우상규조，차이유통계학의의（P<0.01）；변증조치료후총의종솔명현고우상규조，차이유통계학의의（P<0.01）；변증조치료후SAS평분、주원시간명현저우상규조，전자호리만의도명현고우후자，차이균유통계학의의（P<0.05）。결론：중서의결합변증호리가유효제고관심병PCI술후흉통환자심교통치료효과，개선환자적준의정황화초필상황，축단환자주원시간화제고만의도，치득림상작진일보추엄。
Objective:To discuss the effect of combine traditional Chinese and dialectical nursing on PCI postoperative chest pain of coronary artery disease.Method:156 patients with PCI postoperative chest pain of coronary artery disease were selected from July 2008 to August 2008 in our hospital, according to the random distribution, all patients were divided into the dialectical group and the conventional group, two groups of patients were given conventional drugs based nursing, health education, the dialectical group of patients on the basis of the given Chinese medicine dialectical nursing, two groups of patients after nursing clinical symptoms and follow the improvement of the medical situation were analyzed, as well as the application of self-evaluation of Zung’s anxiety scale (SAS) rating anxiety condition.Result:The dialectical group of patients with angina pectoris treatment of total effective rate was significantly higher than the conventional group,the difference was statistically significant (P<0.05). The dialectical group of patients with angina pectoris treatment of total compliance rate was significantly higher than the conventional group (P<0.05). The dialectical group after treatment in patients with SAS scores, the length of time patients were significantly lower than the conventional group, the former nursing satisfaction was significantly higher than the latter (P<0.05).Conclusion:Combine traditional Chinese and dialectical nursing can effectively improve the effect of PCI postoperative chest pain in patients with coronary heart disease angina pectoris treatment, improve the patients according to the medical situation and anxiety, shorten in-hospital time and improve the degree of satisfaction, it’s worth for further clinical promotion.
