CAJ | 학술논문

目的：临床对照分析中医护理对改善肿瘤化疗后胃肠道反应的应用效果及推广价值。方法：随机选取我科于2012年12月-2014年2月间收治的168例肿瘤化疗后出现胃肠道反应的患者，根据临床护理模式将病例随机分为实验组与对照组，分别给予中医护理干预（环境护理、情志护理、饮食护理、用药护理、艾灸和按摩护理）与常规护理，对照分析不同护理模式对改善患者胃肠道反应的临床效果。结果：实验组患者经中医护理干预后出现胃肠道反应者为19例（反应率为22.62%），而对照组经常规护理后出现胃肠道反应者为55例（反应率为65.48%），组间比较胃肠道反应率具有明显差异性（P<0.05）。结论：通过长期临床对照试验可见，中医护理模式可有效减弱肿瘤化疗后患者出现的胃肠道反应，对提高化疗治疗效果具有重要的临床辅助价值。
목적：림상대조분석중의호리대개선종류화료후위장도반응적응용효과급추엄개치。방법：수궤선취아과우2012년12월-2014년2월간수치적168례종류화료후출현위장도반응적환자，근거림상호리모식장병례수궤분위실험조여대조조，분별급여중의호리간예（배경호리、정지호리、음식호리、용약호리、애구화안마호리）여상규호리，대조분석불동호리모식대개선환자위장도반응적림상효과。결과：실험조환자경중의호리간예후출현위장도반응자위19례（반응솔위22.62%），이대조조경상규호리후출현위장도반응자위55례（반응솔위65.48%），조간비교위장도반응솔구유명현차이성（P<0.05）。결론：통과장기림상대조시험가견，중의호리모식가유효감약종류화료후환자출현적위장도반응，대제고화료치료효과구유중요적림상보조개치。
Objective: To analyze clinical effects and promotional value of TCM nursing on gastrointestinal reactions in cancer patients after chemotherapy. Methods: 168 patients from December 2012 to February 2014 in our hospital were selected and randomly divided into the test group and the control group by nursing model; TCM nursing intervention (including environmental care, emotional care, diet care, medication care, moxibustion and massage) and conventional care were given two groups respectively. Clinical efficacy of different nursing model on gastrointestinal reactions was compared. Results: After the treatment, there were 19 cases of gastrointestinal reactions (the incidence was 22.62%) in the test group and 55 cases of gastrointestinal reactions (the incidence was 65.48%) in the control group; gastrointestinal reaction incidence between two groups have significant difference (P<0.05). Conclusion: TCM nursing model could effectively reduced gastrointestinal reactions in patients after cancer chemotherapy, with important significance to improve the clinical efficacy of chemotherapy.