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中医辨证护理对急性心肌梗死患者胃肠道功能的改善作用

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目的 探讨给予急性心肌梗死患者中医辨证护理对其胃肠道功能的改善作用.方法 选取 2021 年 8 月至2022 年10 月期间盐城市第一人民医院收治的 96 例急性心肌梗死患者为研究对象,按信封随机法分为对照组(48 例,开展常规护理)和观察组(48 例,开展中医辨证护理).比较2 组患者的便秘情况、临床疗效、胃肠道功能、不良事件发生率及不良情绪.结果 干预7d后,观察组患者的排便间隔、排便时间、大便性状和排便困难度评分,以及焦虑自评量表和抑郁自评量表评分均较对照组低,且 2 组均较干预前降低,差异均有统计学意义(P均<0.05).干预7d后,2 组患者每分钟的肠鸣音次数均较干预前增加,腹胀时间均较干预前缩短(P均<0.05),且观察组的上述情况均较对照组更优(P均<0.05).与对照组相比,观察组的治疗总有效率更高,不良事件总发生率更低(P均<0.05).结论 中医辨证护理能够显著改善急性心肌梗死患者的胃肠道功能,缓解其便秘情况和不良情绪,并降低不良事件发生率,临床疗效较好.
Effect of traditional Chinese medicine syndrome differentiation nursing on the improvement of gastrointestinal function in patients with acute myocardial infarction
Objective To explore the improvement effect of traditional Chinese medicine syndrome differentiation nursing on the gastrointestinal function of patients with acute myocardial infarction.Methods A total of 96 patients with acute myocardial infarction admitted to Yancheng No.1 People's Hospital from August 2021 to October 2022 were selected as the research subjects.They were assigned into a control group(48 cases who received routine nursing)and an observation group(48 cases who received traditional Chinese medicine syndrome differentiation nursing)using envelope randomization.The constipation status,clinical efficacy,gastrointestinal function,incidence of adverse events,and negative emotions of the two groups were compared.Results After 7 days of intervention,the observation group had lower scores than the control group in the defecation interval,defecation time,stool characteristics,and degree of difficult defecation,as well as the Self-Rating Anxiety Scale and the Self-Rating Depression Scale.Those scores in both groups decreased compared with those before intervention.There were statistical differences(all P<0.05).After 7 days of intervention,the frequency of bowel sounds in 1 minute in both groups increased compared with that before intervention,and the duration of abdominal distension was shortened compared with that before intervention(all P<0.05).The observation group performed better than the control group(both P<0.05).Compared with the control group,the observation group had a higher total effective rate of treatment and a lower total incidence of adverse events(both P<0.05).Conclusion Traditional Chinese medicine syndrome differentiation nursing can significantly improve the gastrointestinal function of patients with acute myocardial infarction,alleviate their constipation and negative emotions,and reduce the incidence of adverse events,with good clinical efficacy.

acute myocardial infarctiontraditional Chinese Medicine syndrome differentiation nursinggastrointestinal functionconstipation

王持蕾、程赟赟、陈华烨、邵筱敏

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盐城市第一人民医院,江苏 盐城,224006

急性心肌梗死 中医辨证护理 胃肠道功能 便秘

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(4)