摘要
目的探讨中医护理干预对糖尿病并发肺结核患者临床疗效的影响。方法选取2012年3月~2014年2月重庆三峡中心医院收治的糖尿病并发肺结核患者84例,按随机数字表分为干预组和对照组,各组42例。对照组接受常规治疗与护理,干预组在对照组的基础上再给予中医护理（包括情志护理、健康宣教、饮食护理、针灸按摩和足部护理）,干预时间为8周,比较两组患者疗效。结果组间比较,干预前两组空腹血糖及餐后2 h血糖比较,差异均无统计学意义（P〉0.05）,干预后两组患者空腹血糖与餐后2 h血糖比较,差异有统计学意义（P〈0.05）;组内比较,两组患者干预后空腹血糖和餐后2 h血糖较干预前均明显改善,干预前后比较差异有统计学意义（P〈0.05）。干预组有29例患者发现胸腔积液显著减少,部分病例消失,而对照组只有21例胸腔积液显著减少或消失,所占比例分别为69.05%和50.00%,差异有统计学意义（P〈0.05）;干预组发现有27例结核病灶明显缩小,部分已经闭合,而对照组这类患者只有18例,所占比例分别为64.29%和42.86%,差异有统计学意义（P〈0.05）。结论中医护理干预能让患者血糖得到较好控制,促进胸腔积液和肺部结核病灶的吸收,提高疗效。
Objective To investigate the effect of traditional Chinese medical nursing intervention on clinical effects of patients with diabetes complicated with pulmonary tuberculosis.Methods 84 patients with diabetes complicated with pulmonary tuberculosis who were admitted to Chongqing Three Gorges Central Hospital from March 2012 to February2014 were selected.They were randomly divided into intervention group and control group,42 patients in each group.The control group received routine treatment and nursing,the intervention group received traditional Chinese medicine nursing（including mental nursing,health education,diet nursing,acupuncture and massage and foot care） on the basis of the control group.The intervention lasted 8 weeks,finally,the effect of the two groups was compared.Results Comparison between groups,before intervention,differences in fasting blood glucose and 2 h blood glucose after meal between the two groups had no statistically significance（P〉0.05）.After intervention,differences in fasting blood glucose and 2 h blood glucose after meal between the two groups were statistically significant（P〈0.05）.Within group comparison,after intervention,fasting blood glucose and 2 h postprandial blood glucose after meal of patients in the two groups significantly improved than before intervention,the differences were statistically significant（P〈0.05）.There were 29 patients in the intervention group whose pleural effusion significantly reduced,and some cases disappeared,while only21 cases in the control group;the proportion of effusion significantly reduced or disappeared in the two groups was69.05% and 50.00% respectively,with statistically significant difference（P〈0.05）.27 cases were found in the intervention group,whose tuberculous lesions significantly reduced,partly closed,while the control group,only 18 cases like that;the proportion of tuberculous lesions reduced or closed in the two group was 64.29% and 42.86%,there was statistically significant difference（P〈0.05）.Conclusion Traditional Chinese medical nursing intervention can make patients get better control of blood glucose,promote pleural effusion and pulmonary tuberculosis focus absorption,and promote effect.
出处
《中国医药导报》
CAS
2015年第10期159-161,165,共4页
China Medical Herald
基金
重庆市医学科研计划项目(编号20142138)
关键词
中医护理
糖尿病
肺结核
Traditional Chinese medicine nursing
Diabetes mellitus
Pulmonary tuberculosis
