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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

21

期数:

2020年08期

页码:

1134-1138

栏目:

论　著

出版日期:

2020-08-28

文章信息/Info

Title:

Application effect of comprehensive personalized nursing on patients with spleen and kidney yang deficiency chronic congestive heart failure treated by traditional Chinese and western medicine

作者:

栾海燕1; 李峥2

辽宁中医药大学附属医院（1.介入中心，2. 心病一科），沈阳 110032

Author(s):

LUANHai-yan; LIZheng

AffiliatedHospital of LiaoningUniversityofTraditional Chinese Medicine,Shenyang110032,China Correspondingauthor:LUANHai-yan,E-mail:lhyyytg@163.com

关键词:

综合个性化护理; 慢性充血性心力衰竭; 中西医结合疗法

Keywords:

Comprehensive personalized nursing;  Chronic congestive heart failure;  Integrated traditional Chinese and western medicine therapy

分类号:

R473.5

DOI:

-

摘要:

目的 探讨综合个性化护理联合中西医结合疗法治疗脾肾阳虚型慢性充血性心力衰竭（CHF）的临床疗 效。方法 选取2017年9月—2018年8月辽宁中医药大学附属医院诊治的110例脾肾阳虚型CHF患者，随机分 成观察组和对照组，每组55例。两组均予以相同中西医结合治疗，对照组给予常规护理干预治疗，观察组在对照 组治疗基础上予以综合个性化护理干预。观察治疗前后心功能疗效、中医症候疗效、中医证候评分情况、心理状 态、生活质量改善情况，以及左心室收缩末期内径（LVDs）、左心室舒张末期内径（LVDd）、左心室射血分数 （LVEF）、C反应蛋白（CRP）水平、B型钠尿肽（BNP）指标改善情况。结果 治疗后，观察组心功能改善有 效率及中医证候疗效明显高于对照组，差异有统计学意义（P<0.05）。与治疗前比较，治疗后两组中医证候评分 均显著下降，且观察组低于对照组，差异有统计学意义（P<0.05）。治疗后，观察组BNP、LVEF水平高于对照 组，观察组CRP水平低于对照组，差异有统计学意义（P<0.05）；治疗后，观察组LVDs、LVDd低于对照组， 差异有统计学意义（P<0.05）。治疗前，两组焦虑（SAS）、抑郁（SDS）评分比较，差异无统计学意义（P> 0.05）；治疗后，观察组SAS、SDS评分均显著低于对照组，差异有统计学意义（P<0.05）。治疗后，观察组生活 质量各项评分均显著低于对照组，差异有统计学意义（P<0.05）。结论 综合个性化护理能够对临床治疗起到辅 助作用，增强患者依从性，减轻患者的临床症状，提高患者生活质量。

Abstract:

Objective To investigate the clinical effect of comprehensive personalized nursing combined with traditional Chinese and western medicine in the treatment of chronic congestive heart failure with spleen and kidney yang deficiency. Methods Totally110 patients with chronic congestive heart failure of spleen and kidney yang deficiency diagnosed in Affiliated Hospital of Liaoning University of Tradi-tional Chinese Medicine from September 2017 to August 2018 were randomly divided into observation group and control group, 55 cases in each group. Both groups were treated with the same combination of traditional Chinese and western medicine. The control group was given routine nursing intervention; the observation group was given comprehensive personalized nursing intervention based on the nursing of the control group. These indexes such as cardiac function efficacy, traditional Chinese medicinesymptom efficacy, traditional Chinese medicine syndrome score, psychological status, improvement of life quality, left ventricular end- systolic diameter （LVDs）, left ventricular end- diastolic diameter （LVDd）, left ventricular ejection fraction（LVEF）, C-reactive protein（CRP）levels, and B-type na-triuretic peptide（BNP）before and after treatment in both groups were observed and compared.Results After treatment, the effective rate of improvement of cardiac function and traditional Chinese medi-cine syndrome efficacy in the observation group were higher than those in those control group（P< 0.05）. Compared with the pre-treatment, the traditional Chinese medicine syndrome scores of the two groups were significantly decreased, especially in the observation group after treatment（P<0.05）. After treatment, compared with the control group, the levels of BNP and LVEF were significantly higher, the CRP level was significantly lower in the observation group （P<0.05）. After treatment,LVDsand LVDdin the observation group were significantly lower than those in the control group（P<0.05）. Be-fore treatment, there were no difference in sedation-agitation scale（SAS）and sleep disorders special-ty（SDS）scores between the two groups（P>0.05）; after treatment, the SAS and SDS scores of the observation group were significantly lower than those of the control group（P<0.05）. After treatment, the every scores of life quality in the observation group were significantly lower than those in the con-trol group（P<0.05）. Conclusion Comprehensive personalized nursing can play an auxiliary interven-tion effect for the treatment, enhance patient compliance, reduce the clinical symptoms, and improve the quality of life in patients with chronic congestive heart failure.

参考文献/References:

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备注/Memo

备注/Memo:

基金项目：辽宁省科学技术计划项目（201602485） 作者简介：栾海燕，大学本科，主管护师，研究方向：中医心内护理 通信作者：栾海燕，E-mail: lhyyytg@163.com

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更新日期/Last Update: 2020-08-28