中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
23期
92-94
,共3页
黄玲群%徐小丽%余培南%何志球
黃玲群%徐小麗%餘培南%何誌毬
황령군%서소려%여배남%하지구
中西医结合%毒蛇咬伤%护理干预%拔罐治疗仪%中药泻下法
中西醫結閤%毒蛇咬傷%護理榦預%拔罐治療儀%中藥瀉下法
중서의결합%독사교상%호리간예%발관치료의%중약사하법
Integrated Chinese and Western medicine%Poisonous snakebite%Nursing intervention%Cupping therapy instrument%Herbal purgation
目的：研究被毒蛇咬伤患者的有效治疗方法，同时探索其优质的护理过程。方法：选取2013年5月-2014年10月因被毒蛇咬伤而入住本院的158例患者作为研究对象，随机将其均分为对照组和治疗组，每组79例。对照组患者采用西医常规治疗和常规护理，治疗组患者在西医治疗的基础上加用中医疗法，即：患者出现呼吸肌麻痹现象时，可实施拔罐治疗和中药泻下法；当患者出现上肢明显肿胀现象时，可实施拔罐治疗，并且在常规护理基础上加用护理干预。对两组患者的起效时间、住院时间、肿胀开始消退时间、肿胀彻底消退时间、患者治疗效果及患者对治疗结果满意程度进行对比分析。结果：经治疗及护理后，治疗组的起效时间、肿胀开始消退时间、肿胀彻底消退时间及住院时间均显著短于对照组，治疗总有效率98.73%显著高于对照组的89.87%，治疗组患者对治疗效果的满意度98.73%显著高于对照组的89.87%，差异均有统计学意义（P<0.05）。结论：给予被毒蛇咬伤的患者中西医结合的治疗方法，并积极实施护理干预，不但可以有效提前起效、肿胀开始消退及肿胀彻底消退的时间，还可以缩短住院时间，提高患者的治疗总有效率以及满意率，临床效果显著，深受患者好评，值得推广至相关临床中。
目的：研究被毒蛇咬傷患者的有效治療方法，同時探索其優質的護理過程。方法：選取2013年5月-2014年10月因被毒蛇咬傷而入住本院的158例患者作為研究對象，隨機將其均分為對照組和治療組，每組79例。對照組患者採用西醫常規治療和常規護理，治療組患者在西醫治療的基礎上加用中醫療法，即：患者齣現呼吸肌痳痺現象時，可實施拔罐治療和中藥瀉下法；噹患者齣現上肢明顯腫脹現象時，可實施拔罐治療，併且在常規護理基礎上加用護理榦預。對兩組患者的起效時間、住院時間、腫脹開始消退時間、腫脹徹底消退時間、患者治療效果及患者對治療結果滿意程度進行對比分析。結果：經治療及護理後，治療組的起效時間、腫脹開始消退時間、腫脹徹底消退時間及住院時間均顯著短于對照組，治療總有效率98.73%顯著高于對照組的89.87%，治療組患者對治療效果的滿意度98.73%顯著高于對照組的89.87%，差異均有統計學意義（P<0.05）。結論：給予被毒蛇咬傷的患者中西醫結閤的治療方法，併積極實施護理榦預，不但可以有效提前起效、腫脹開始消退及腫脹徹底消退的時間，還可以縮短住院時間，提高患者的治療總有效率以及滿意率，臨床效果顯著，深受患者好評，值得推廣至相關臨床中。
목적：연구피독사교상환자적유효치료방법，동시탐색기우질적호리과정。방법：선취2013년5월-2014년10월인피독사교상이입주본원적158례환자작위연구대상，수궤장기균분위대조조화치료조，매조79례。대조조환자채용서의상규치료화상규호리，치료조환자재서의치료적기출상가용중의요법，즉：환자출현호흡기마비현상시，가실시발관치료화중약사하법；당환자출현상지명현종창현상시，가실시발관치료，병차재상규호리기출상가용호리간예。대량조환자적기효시간、주원시간、종창개시소퇴시간、종창철저소퇴시간、환자치료효과급환자대치료결과만의정도진행대비분석。결과：경치료급호리후，치료조적기효시간、종창개시소퇴시간、종창철저소퇴시간급주원시간균현저단우대조조，치료총유효솔98.73%현저고우대조조적89.87%，치료조환자대치료효과적만의도98.73%현저고우대조조적89.87%，차이균유통계학의의（P<0.05）。결론：급여피독사교상적환자중서의결합적치료방법，병적겁실시호리간예，불단가이유효제전기효、종창개시소퇴급종창철저소퇴적시간，환가이축단주원시간，제고환자적치료총유효솔이급만의솔，림상효과현저，심수환자호평，치득추엄지상관림상중。
Objective:To research the effective treatment method of patients with poisonous snakebite while exploring its quality care process.Method:158 patients with poisonous snakebite admitted to our hospital from May 2013 to October 2014 were selected as research objects,they were randomly divided into the control group and the treatment group,79 cases in each group.The control group was given routine treatment of Western medicine and usual care,the treatment group was given traditional Chinese medicine therapy on the basis of the Western medicine treatment,patients were given cupping therapy and herbal purgation when patients with respiratory muscle paralysis;when patients with upper extremity swelling obviously,patients was given cupping therapy,and given nursing intervention on the basis of usual care.The onset time,hospital stay,the swelling began to subside time,swelling to completely subside time,treatment effect and patient satisfaction with the treatment between the two groups were compared and analyzed.Result:After treatment and nursing,the onset time,the swelling began to subside time, swelling to completely subside time and hospital stay of the treatment group were significantly shorter than those of the control group,the total effective rate of the treatment group was (98.73%) significantly higher than 89.87% of the control group,the patient satisfaction with the treatment of the treatment group was (98.73%) significantly higher than 89.87% of the control group,the differences were statistically significant(P<0.05).Conclusion:Integrated Chinese and Western medicine in the treatment of patients with poisonous snakebite,and actively implement the nursing intervention,not only can advance the onset of effect,the swelling begin to subside and the swelling to completely subside time,shorten hospital stays and improve the total effective rate and patients’ satisfaction,the clinical effect is significant,praised by patients,is worthy of promotion to the relevant clinic.
