中药保留灌肠联合盆腔康复操对气滞血瘀型慢性盆腔炎护理效果的研究

发布时间：2018-06-03 10:20

本文选题：慢性盆腔炎 + 气滞血瘀型　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:探讨在妇科门诊常规护理的基础上,采用中药保留灌肠、盆腔康复操、中药保留灌肠联合盆腔康复操对气滞血瘀型慢性盆腔炎患者护理效果,分析总结最佳的护理方法,为气滞血瘀型慢性盆腔炎患者提供科学、有效的护理措施。方法:采用随机数字表法,选取2016年03月至20 17年1月哈尔滨市某三级甲等医院妇科门诊符合纳入标准的患者132例为研究对象。研究者对其进行研究项目和方案的说明与介绍,在知情同意并自愿参加的原则上,按照就诊时间随机分为4组,每组33例。A组患者(对照组)在妇科门诊常规对慢性盆腔炎患者护理基础上,不给于其他的护理干预、B组患者在妇科门诊常规护理基础上进行中药保留灌肠、C组患者在妇科门诊常规护理基础上进行盆腔康复操、D组患者在妇科门诊常规对护理基础上进行中药保留灌肠及盆腔康复操。选取中医证候评分标准、体征评分标准、盆腔疼痛评分标准三项评价指标作为评价的标准,干预时间为14天,对四个组中的患者进行干预前后综合治疗效果、中医证候积分评价、体征积分评价和盆腔疼痛积分评价,以此来对四组护理效果进行分析,探寻气滞血瘀型慢性盆腔炎最佳的中医护理方法。结果:1.试验前入组患者一般资料、中医证候评分、体征评分、盆腔疼痛评分,差异均无统计学意义(P0.05),具有可比性;2.在综合疗效方面,A组痊愈率12.12%、显效率30.30%、总有效率81.82%;B组痊愈率18.18%、显效率39.39%,总有效率90.91%;C组痊愈率9.09%、显效率36.36%,总有效率87.88%;D组痊愈率30.30%,显效率48.48%,总有效率96.97%。四组综合疗效比较,差异有统计学意义(P0.05);3.干预后四组患者中医证候疗效比较,A组痊愈率18.18%、显效率33.33%、总有效率87.88%;B组痊愈率24.24%、显效率36.36%,总有效率93.94%;C组痊愈率21.21%、显效率39.39%,总有效率90.91%;D组痊愈率42.42%,显效率39.39%,总有效率96.97%。在改善中医症状方面,D组在干预前后积分差值比较,差异有统计学意义(P0.05);4.干预后四组患者体征疗效比较,A组痊愈率9.09%、显效率30.30%、总有效率78.79%;B组痊愈率18.18%、显效率36.36%,总有效率84.85%;C组痊愈率15.15%、显效率42.42%,总有效率81.82%;D组痊愈率24.24%,显效率51.52%,总有效率93.94%。干预前后积分差值比较,差异有统计学意义(P0.05);5.干预后四组患者疼痛疗效比较,A组痊愈率9.09%、显效率33.33%、总有效率90.91%;B组痊愈率18.18%、显效率39.39%,总有效率96.97%;C组痊愈率21.21%、显效率30.30%,总有效率93.94%;D组痊愈率27.27%,显效率51.52%,总有效率96.97%。干预前后疼痛积分差值比较,差异有统计学意义(P0.05)。结论:1.在气滞血瘀型慢性盆腔炎妇科门诊常规护理的基础上,对患者采用中药保留灌肠、盆腔康复操或中药保留灌肠联合盆腔康复操均取得了一定的护理效果;2.采取妇科门诊常规护理加中药保留灌肠联合盆腔康复操对气滞血瘀型慢性盆腔炎患者的护理效果最佳,且不受年龄、婚孕状况和病情轻重程度的影响。
[Abstract]:Objective : To study the nursing effect of traditional Chinese medicine retention enema , pelvic rehabilitation exercise , traditional Chinese medicine retention enema combined with pelvic rehabilitation exercises on patients with chronic pelvic inflammatory disease . The total effective rate was 87.88 % , the recovery rate of group D was 30.30 % , the effective rate was 48.48 % , the total effective rate was 96.97 % , the total effective rate was 93.94 % , the recovery rate of group B was 21.21 % , the effective rate was 39.39 % , the total effective rate was 93.94 % , the recovery rate of group B was 21.21 % , the effective rate was 39.39 % , the total effective rate was 84.85 % , the recovery rate in group C was 15.15 % , the effective rate was 42.42 % , the total effective rate was 80.82 % , the recovery rate in group D was 24.24 % , the effective rate was 51.52 % . The total effective rate was 93.94 % . After intervention , the difference was statistically significant ( P0.05 ) . The recovery rate of group A was 18.18 % , the effective rate was 39.39 % , the total effective rate was 96.97 % , the recovery rate of group B was 27.27 % , the effective rate was 51.52 % , the total effective rate was 96.97 % .
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71

【参考文献】