中医护理联合康复训练对气管切开患者康复效果的临床研究
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R248.2

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Clinical Study on Chinese Medicine Nursing Combined with Rehabilitation Training for Patients Undergoing Tracheotomy
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    摘要:

    目的:观察中医护理联合康复训练应用于气管切开患者的临床疗效。方法:随机选择住院且行气管切开患者80例,按照护理方法不同分为对照组与观察组,各40例。对照组给予常规治疗与护理;观察组在对照组的基础上加用康复训练与中医护理,观察疗程为6周;记录2组肺部感染人数,评价2组呼吸系统症状疗效及治疗前后症状评分;统计2组拔管成功率。结果:肺部感染率观察组为2.5%,对照组为17.5%,2组比较,差异有统计学意义(P<0.05)。呼吸系统症状疗效总有效率观察组为92.5%,对照组为62.5%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组患者呼吸系统症状咳嗽、喘息、胸膈满闷、咳痰等评分均较治疗前明显下降(P<0.05),且观察组各项评分均低于对照组(P<0.05)。拔管成功率观察组为67.5%,对照组为42.5%,2组比较,差异有统计学意义(P<0.05)。结论:气管切开后治疗期间实施康复训练与中医护理,可较好地改善患者呼吸系统症状,加速患者康复,降低肺部感染发生率,提高拔管成功率。

    Abstract:

    Objective: To observe the clinical effect of Chinese medicine nursing combined with rehabilitation training for patients undergoing tracheotomy.Methods:Selected 80 cases of patients who were hospitalized and undergoing tracheotomy,and divided them into the control group and the observation group according to different nursing methods,40 cases in each group.The control group received routine treatment and nursing,while the observation group additionally received rehabilitation training combined with Chinese medicine nursing.The observation lasted for 6 weeks.Recorded the number of patients with pulmonary infection in both groups,evaluated the therapeutic effect of symptoms in respiratory system and symptom scores in both groups before and after treatment,and statistically analyze the success rate of extubation.Results: The pulmonary infection rate was 2.5% in the observation group and 17.5% in the control group,difference being significant(P<0.05).The total effective rate of symptoms in respiratory system was 92.5% in the observation group and 62.5% in the control group,difference being significant(P < 0.05).After treatment,scores of such symptoms in respiratory system as cough,wheezing,distention and fullness in chest and expectoration in both groups were significantly lower than those before treatment(P< 0.05);each score above in the observation group was lower than that in the control group(P < 0.05).The success rate of extubation was 67.5% in the observation group and 42.5% in the control group,difference being significant(P < 0.05).Conclusion: During treatment,the application of rehabilitation training combined with Chinese medicine nursing after tracheotomy can well improve the symptoms in respiratory system,accelerate recovery,reduce the incidence of pulmonary infection and promote the success rate of extubation.

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施红,华小凤.中医护理联合康复训练对气管切开患者康复效果的临床研究[J].新中医,2020,52(2):138-140

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  • 在线发布日期: 2020-01-14
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