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中医辨证施护管理对小儿肺炎护理效果的影响

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目的 探讨中医辨证施护管理对小儿肺炎护理效果的影响。方法 以102例宿迁市中医院2021年1月至2022年12月收治的小儿肺炎患儿作为研究对象,按照随机数字表法进行分组,分为观察组及对照组。常规护理模式应用于51例对照组患儿,观察组51例患儿采用基于常规护理模式的中医辨证施护管理。比较2组患儿的护理效果。结果 观察组的肺部啰音、喘息、咳嗽消失时间、住院时间和体温恢复正常时间均较对照组优,治疗总有效率较对照组高(P均<0。05)。干预10 d后,2组的中医证候积分均较干预前低,健康调查简表评分,以及第1秒用力呼气容积、肺活量、一秒率及呼气峰流速占预计值的百分比均较干预前高,且观察组均较对照组优,组间和组内比较均有统计学差异(P均<0。05)。结论 中医辨证施护管理对肺炎患儿具有良好的临床疗效,可缓解症状及改善中医证候积分,提高肺功能和生活质量。
Effect of traditional Chinese medicine syndrome differentiation nursing management on the nursing of pediatric pneumonia
Objective To explore the effect of traditional Chinese medicine syndrome differentiation nursing management on the nursing of pediatric pneumonia.Methods A total of 102 pediatric pneumonia patients admitted to Suqian Traditional Chinese Medicine Hospital from January 2021 to December 2022 were selected as the study subjects.They were allocated into an observation group and a control group through random number table method.The conventional nursing model was applied to 51 children in the control group,while the traditional Chinese medicine syndrome differentiation nursing management was applied to 51 children in the observation group on the basis of the conventional nursing model.The nursing effects of the two groups were compared.Results The observation group had shorter time to rale disappearance,gasping disappearance,cough disappearance and defervescence and shorter length of hospital stay compared with the control group.The overall effective rate of treatment was higher in the observation group than in the control group (all P<0.05).After 10 days of intervention,the traditional Chinese medicine syndrome scores of both groups were lower than those before intervention,and the Short Form-36 Health Survey score,forced expiratory volume in 1 second,vital capacity,forced expiratory volume in 1 second/forced vital capacity,and peak expiratory flow percent predicted value were all higher than those before intervention.The above parameters of the observation group were better than those of the control group.There were significant differences between groups and within groups ( all P<0.05 ).Conclusion Traditional Chinese medicine syndrome differentiation nursing management has good clinical efficacy for children with pneumonia,which can relieve the symptoms,increase the traditional Chinese medicine syndrome scores,and improve the pulmonary function and quality of life.

pediatric pneumoniatraditional Chinese medicine syndrome differentiation nursing managementclinical efficacypulmonary function

王晶晶、叶波、陆雅丽

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宿迁市中医院,江苏 宿迁,223800

小儿肺炎 中医辨证施护管理 临床疗效 肺功能

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(11)