基于《黄帝内经》时间节律理论对临床肺脏病证死亡节律的研究及时间护理的初探

发布时间：2018-05-31 01:25

本文选题：《黄帝内经》 + 肺病　；参考：《长春中医药大学》2016年硕士论文

【摘要】：目的整理《黄帝内经》时间节律相关理论,用现代统计学原理验证部分肺脏病证死亡时间节律的科学性,研究《黄帝内经》时间节律理论对肺脏病证患者时间护理的指导意义。方法回顾性分析2004年1月—2014年12月期间,吉林省六家三甲级医院收治的符合纳入标准的283例肺病患者的临床死亡病例,对姓氏、性别、年龄、科室、死亡诊断、最后一次病情加重抢救至死亡时长、死亡日期、死亡时间等项目进行列表整理,用SPSS22. 0进行死亡时间的录入和统计,分析死亡时间的集中趋势,显著性水平α =0. 05,以P0. 05位差异有统计学意义。结果1.283例肺病患者死亡月份分析,有统计学意义,存在月份发病率差异。2. 283例肺病患者死亡季节性分布情况,春季43例,夏季117例,秋季40例,冬季83例,季节分布有明显差异,冬季与夏季死亡较多,秋季死亡较少。3. 283例肺病患者死亡时点分析,有统计学意义,存在时点发病率差异。4. 283例肺病患者死亡昼时集中情况,全年283例分析结果表明,肺病仅在夏季、冬季存在统计学差异。夏季117例分析结果,P0. 05,求得的平均角73. 80°表明夏季肺脏病患者的死亡时间有集中趋势,凌晨04: 56为夏季肺脏病患者死亡的平均点。冬季83例分析结果,P0. 05,求得的平均角为264. 24°,表明冬季肺脏病患者的死亡时间有集中趋势,17:37为冬季肺脏病患者死亡的平均点。结论1.肺病患者病情加重多见于冬季与夏季,秋季死亡数最少。在夏季有集中在凌晨4点56分死亡的趋势,冬季有集中在17点37分死亡的趋势,与《黄帝内经》中对肺脏病死亡时间的描述基本一致,对临床时间护理工作具有一定的指导意义。2.《黄帝内经》中对于肺脏病生理、病理时间节律的描述具有一定的现实参考意义,可以指导临床护理工作从时间的角度对疾病的变化予以护理,本研究探讨的范围包括环境护理、服药护理、饮食护理、养生指导、护理管理等方面,选择最佳的护理时机,帮助患者安全度过危险期,减轻患者痛苦,增加生存质量。
[Abstract]:Objective to analyze the relevant theories of time rhythm in Huangdi Classic of Internal Medicine, and to verify the scientific nature of the rhythm of death time of partial lung disease syndrome with modern statistical principle, and to study the guiding significance of the theory of time rhythm of Huangdi Classic on time nursing of patients with lung disease syndrome. Methods from January 2004 to December 2014, the clinical death cases of 283 lung disease patients admitted to six hospitals in Jilin Province from January 2004 to December 2014 were analyzed retrospectively. The diagnosis of last name, sex, age, department and death were analyzed. The last aggravated rescue to the death of the time, death date, time of death and other items for a list, using SPSS 22. 2. 0. The inputting and statistics of death time were carried out, and the concentration trend of death time was analyzed. 05, to P0. There was statistical significance in the difference of 05 positions. Results the month of death in 1.283 patients with pulmonary disease was statistically significant, and there was a monthly incidence difference of. 2. 2. There were 43 cases in spring, 117 cases in summer, 40 cases in autumn and 83 cases in winter. Analysis of death time points in 283 patients with pulmonary disease showed statistically significant difference in incidence at time points. 4. 4. The results showed that the incidence of pulmonary disease was only in summer and there was statistical difference in winter. In summer, 117 cases were analyzed. The average angle obtained is 73. 5. The death time of the patients with pulmonary disease in summer showed a tendency of concentration, and 0456 am was the average point of death of the patients with pulmonary disease in summer. The results of analysis of 83 cases in winter were P0. The average angle obtained is 264. 24 掳, which indicates that the death time of lung disease patients in winter has a concentrated trend: 17: 37 is the average point of death of lung disease patients in winter. Conclusion 1. The exacerbation of pulmonary disease occurred in winter and summer, and the death in autumn was the least. There was a tendency of death concentrated at 04:56 in summer and 17:37 in winter, which was basically consistent with the description of the time of death of lung disease in Huangdi Classic. It has certain guiding significance for clinical time nursing work .2.The description of physiological and pathological time rhythm of pulmonary diseases in Huangdi Nei Jing has certain practical reference significance. It can guide the clinical nursing work to take care of the changes of disease from the angle of time. The scope of this study includes environmental nursing, medication nursing, diet nursing, health care guidance, nursing management and so on, so as to select the best nursing opportunity. To help patients safely through the dangerous period, alleviate the suffering of patients, and improve the quality of life.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R248.1

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