Efficacy of TCM nursing countermeasures on chronic renal failure with pulmonary infection
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摘要: 目的 观察并探讨中医护理对慢性肾衰竭合并肺部感染患者临床疗效的影响。 方法 选取2012年8月—2014年4月慢性肾衰竭合并肺部感染住院患者62例作为干预组,2010年7月—2012年7月慢性肾衰竭合并肺部感染患者51例作为对照组。对照组患者为一般护理模式,干预组则在对照组的基础上行中医护理,包括情志护理、饮食护理、中药灌肠护理。对2组患者肺部感染的临床治疗效果、肺部感染复发率以及患者入院1个月后肾小球滤过率(GFR)的变化值进行对比分析。实验数据采用SPSS 13.0统计软件进行统计分析,计量资料用x±s表示,采用t检验,等级资料采用秩和检验,计数资料采用χ2检验。 结果 2组患者临床治疗总有效率分别为56.87%、88.71%,干预组疗效优于对照组,差异有统计学意义(χ2=14.87,P<0.001);2组患者的肺部感染复发率分别为24.14%、7.27%,干预组复发率较低,差异有统计学意义(χ2=4.75,P=0.029);对照组与干预组患者入院1个月后肾小球滤过率(GFR)的变化值分别为4.08±0.44、6.57±0.89,差异有统计学意义(t=19.34,P<0.01)。 结论 中医护理组肺部感染的治愈总有效率升高,复发率降低,GFR上升水平明显高于对照组。由此可见,采取中医护理措施能够有效地对慢性肾衰竭合并肺部感染患者进行辅助治疗,提高患者自身免疫力,具有临床推广意义。Abstract: Objective To observe the effect of Traditional Chinese Medicine nursing countermeasures on the chronic renal failure with pulmonary infection. Methods All 62 cases of chronic renal failure with pulmonary infection in hospital from August,2012 to April,2014 were assigned into intervention group,while all 51 cases of chronic renal failure with pulmonary infection from July,2010 to July,2012 were selected as control group.The control group was given the general nursing;while the intervention group was given Traditional Chinese Medicine nursing additionally,including emotional nursing,diet nursing,Chinese medicine enema nursing.The clinical therapeutic effect,pulmonary infection recurrence,and the GFR 1 month after admission were compared between the two groups.The experimental data were analyzed by SPSS 13.0 software,measurement data with x±s using t test,count data using Chi-square test. Results The total effective rate of control group and intervention group were 56.87% and 88.71%,respectively,the difference was statistically significant(χ2=14.87,P<0.001);The recurrence rate of the two groups was 24.14% and 7.27%,respectively,the recurrence rate of intervention group rate decreased obviously,the difference was statistically significant(χ2=4.75,P=0.029);and the change of GFR 1 month after admission was 4.08±0.44 and 6.57±0.89,respectively,the difference was statistically significant(t=19.34,P<0.01). Conclusion Traditional Chinese Medicine nursing can effectively supply adjuvant treatment for chronic renal failure with pulmonary infection,the recurrence rate of the infections is low,the clinical efficacy can be improved obviously.TCM nursing measures can effectively assist patients to improve their own immunity and have broad clinical significance.
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