首页|集束化护理结合坤土建中法在预防化学治疗相关恶心、呕吐中的应用

集束化护理结合坤土建中法在预防化学治疗相关恶心、呕吐中的应用

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目的 探析在化学治疗(简称"化疗")相关恶心、呕吐预防护理中采用集束化护理结合坤土建中法的效果。方法 此次研究定于2021年1月至2022年12月,收集120例化疗病例,均来自于广西中医药大学第一附属医院,分组根据奇偶数字法,60例/组。对照组采用集束化护理+托烷司琼+模拟剂干预,观察组采用集束化护理+托烷司琼+坤土建中法干预。比较2组的治疗有效率、恶心和呕吐发生率、卡氏评分及肝肾功能指标。结果 观察组的治疗有效率和卡氏评分均高于对照组(P均<0。05),观察组在化疗后第1~5天和第7天的恶心和呕吐发生率均低于对照组(P均<0。05),观察组在化疗前和化疗后3个月的丙氨酸氨基转移酶、天门冬氨酸转氨酶、甲胎蛋白和总胆红素水平与对照组比较均无统计学差异(P均>0。05)。结论 集束化护理配合坤土建中法的实施可有效预防化疗相关恶心、呕吐,疗效佳,且患者在护理后的肝肾功能指标和体力较好。
Application of cluster nursing combined with Kuntujianzhong therapy in preventing nausea and vomiting related to chemotherapy
Objective To explore the effect of using cluster nursing combined with Kuntujianzhong therapy in the prevention of nausea and vomiting related to chemotherapy.Methods This study was conducted from January 2021 to December 2022.A total of 120 chemotherapy cases from the First Affiliated Hospital of Guangxi University of Chinese Medicine were collected.They were grouped according to the odd and even number method,with 60 cases in each group.The control group received cluster nursing+tropisetron+simulator intervention,while the observation group received cluster nursing+tropisetron+Kuntujianzhong therapy intervention.The effective rate of treatment,incidence of nausea and vomiting,Karnofsky score,and liver and kidney function indexes were compared between the two groups.Results The effective rate of treatment and Karnofsky score of the observation group were higher than those of the control group(both P<0.05).The incidence of nausea and vomiting in the observation group was lower than that in the control group on the 1st to 5 th day and 7 th day after chemotherapy(all P<0.05).There was no statistically significant difference in the levels of alanine aminotransferase,aspartate aminotransferase,alpha fetoprotein,and total bilirubin between the observation group and the control group before and 3 months after chemotherapy(all P>0.05).Conclusion The implementation of cluster nursing combined with Kuntujianzhong therapy can effectively prevent nausea and vomiting related to chemotherapy,with good therapeutic effects,and the liver and kidney function indexes and physical strength of patients are both well after nursing.

chemotherapycluster nursingKuntujianzhong therapypreventionnausea and vomiting

霍佳妮、黎柳娟、谭丽丹

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广西中医药大学第一附属医院,广西南宁,530000

化学治疗 集束化护理 坤土建中法 预防 恶心、呕吐

广西中医药局自筹经费科研课题广西壮族自治区中医药重点学科建设项目

GZZC2020039GZXK-Z-20-56

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(3)
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