杜高平 許俊峰 胡秀明
【摘 要】目的:探討分析中藥熏洗機(jī)治療慢性盆腔炎的療效及護(hù)理體會(huì)。方法:選取我院2011年3月至2013年8月收治的慢性盆腔炎患者172例作為研究對(duì)象,隨機(jī)均分為對(duì)照組和觀察組,對(duì)觀察組用當(dāng)歸芍藥散基礎(chǔ)上輔以中藥熏洗治療,對(duì)對(duì)照組則用單純抗生素治療,分析兩組的療效及后續(xù)護(hù)理。結(jié)果:據(jù)我院的統(tǒng)計(jì)分析得出,相比于對(duì)照組的治療效果,觀察組的療效更優(yōu)(P<0.05),且相比于對(duì)照組,觀察組患者的臨床癥狀改善更明顯(P<0.05)。結(jié)論:經(jīng)我院研究分析得出,對(duì)于慢性盆腔炎患者的治療,采用中藥熏洗機(jī)治療效果更優(yōu),治療費(fèi)用低康、方法簡單,為了使得者能更快更好地恢復(fù),應(yīng)當(dāng)加強(qiáng)對(duì)患者的護(hù)理。
【關(guān)鍵詞】慢性盆腔炎;中藥熏洗機(jī);當(dāng)歸芍藥散;護(hù)理
Application of herbal fumigation machine in treatment of chronic pelvic inflammatory disease
Du Gaoping, Xu Junfeng, and Hu Xiuming
Wutongqiao Chinese Medicine Hospital, Leshan, Sichuan 614801
[Abstract]Objective: To study the effect of herbal fumigation machine treatment of chronic pelvic inflammatory and the nursing methods of the patients. Methods: 172 cases of patients with chronic pelvic inflammatory disease treated by our hospital during March 2011 to August 2013 were selected as research subjects and were randomly divided into a control group and an observation group. The observation group received herbal fumigation machine treatment combined with herbal medicine Dangguishaoyaosan. The control group only received simple antibiotics treatment. Analysis of the efficacy and follow-up nursing care of the two groups was conducted Results: According to the statistical analysis of the results, the therapeutic effect of the observation group was better than that of the control group (P<0.05), and the clinical improvement of symptoms in patients of the observation group was better than that of the control group.(P <0.05). Conclusion: The treatment of patients with chronic pelvic inflammatory disease using herbal fumigation machine has shown better treatment effect and the cost is affordable and the treatment is easy to conduct. For better recovery of the patients, nursing care shall be accordingly strengthened.
[key words]Chronic pelvic inflammatory disease; Herbal fumigation machine; Dangguishaoyaosan; Care
慢性盆腔炎是婦科常見多發(fā)病,具有病程長、病因復(fù)雜及復(fù)發(fā)率高等特點(diǎn),此病癥難以徹底治愈,嚴(yán)重影響和威脅婦女身心健康,并降低了其生活質(zhì)量,可導(dǎo)致不孕不育。為有效提高其治療及護(hù)理質(zhì)量,我院對(duì)收治的863例患者采用了當(dāng)歸芍藥散基礎(chǔ)上輔以中藥熏洗治療,并完善了對(duì)患者的護(hù)理,現(xiàn)報(bào)道如下。
1 資料與方法
1.1 一般資料
此次研究的對(duì)象為我院我院2011年3月至2013年8月收治的172例慢性盆腔炎患者,患者的平均年齡為(38.45±3.52)歲,平均病程為(2.87±0.92)年,我院將其隨機(jī)均分為對(duì)照組和觀察組,病例選擇標(biāo)準(zhǔn):①受試年齡范圍18~50歲之間;②中醫(yī)辨證屬濕熱疲阻證者;③符合慢性盆腔炎西醫(yī)診斷標(biāo)準(zhǔn);④能接受治療、觀察及檢查者;我院此次的排除標(biāo)準(zhǔn):①妊娠期或近期準(zhǔn)備妊娠的婦女;②年齡在50歲以上者或18歲以下者;③對(duì)本藥過敏者;④未按規(guī)定用藥無法判定療效者;⑤并有心肝腎和造血系統(tǒng)免疫系統(tǒng)等患者;⑥不符合慢性盆腔炎西醫(yī)診斷標(biāo)準(zhǔn)。且兩組在年齡、病程等一般資料的方面的比較不具統(tǒng)計(jì)學(xué)意義(P>0.05)。
1.2 方法
1.2.1 治療方法 本次研究中,我院對(duì)對(duì)照組的86例患者,采用單純抗生素治療,用甲硝陛,2片/次,3次/d,并用左氧氟沙星,2片/次,2次/d;對(duì)于觀察組的86例患者,我院在采用當(dāng)歸芍藥散基礎(chǔ)上輔以中藥熏洗治療,具體治療中,用獲菩和澤瀉12g、白芍18g、當(dāng)歸和白術(shù)9g,對(duì)帶下多患者,應(yīng)當(dāng)加牛膝9g、砂仁10g、慧飲仁20g、黃柏9g;對(duì)血疲明顯患者,應(yīng)當(dāng)加土鱉蟲9g、赤芍9g、桃仁9g;此外,我院對(duì)氣虛顯著患者,應(yīng)當(dāng)加黃茂和黨參各15g及五味子9g,對(duì)于寒癥明顯患者,應(yīng)當(dāng)加干姜15g、吳茱黃和肉桂各9g;對(duì)于疼痛劇烈患者,應(yīng)當(dāng)加延胡索巧15g、香附9g。早晚各一劑,1劑/d,水煎。我院對(duì)患者療效的評(píng)價(jià)則根據(jù)《中藥新藥臨床研究指導(dǎo)原則》中相關(guān)標(biāo)準(zhǔn)來進(jìn)行[1-3]。
1.2.2 護(hù)理方法 ①健康指導(dǎo):為了提高患者對(duì)此病的認(rèn)識(shí)和了解,使其更配合治療,應(yīng)當(dāng)對(duì)患者進(jìn)行有效的健康指導(dǎo),護(hù)理人員就慢性盆腔炎方面的知識(shí)進(jìn)行講解,并借助多媒體的形式讓患者了解此病癥的表現(xiàn)方式及成功治療的例子,樹立起患者治療的信心,鼓勵(lì)家人對(duì)患者給予更多支持和關(guān)懷,為患者營造良好的治療環(huán)境;②起居指導(dǎo):在對(duì)慢性盆腔炎患者的護(hù)理過程中,應(yīng)當(dāng)指導(dǎo)其多散步鍛煉,并堅(jiān)持下來,舒展肌肉和增強(qiáng)抵抗力,應(yīng)當(dāng)少去人群密集的地方,注意避免勞累,改善盆腔充血,使得慢性盆腔炎的復(fù)發(fā)率降至最低,促進(jìn)機(jī)體組織的新陳代謝,促進(jìn)治療的有效性進(jìn)行;③飲食指導(dǎo):患者飲食應(yīng)高熱量,易消化,且高蛋白,高維生素,對(duì)于小腹冷痛、怕冷患者,可給予桂圓肉、姜湯紅糖水等,并用茯苓金櫻瘦肉湯進(jìn)行食療,取石菖蒲12克、豬瘦肉100g、土茯苓50g、金櫻子15g、芡實(shí)30g,加入適量的清水、食鹽煲湯,對(duì)于慢性盆腔炎患者療效更好;④心理護(hù)理:我院認(rèn)為,盆腔炎是婦科常見病中較為特殊的一種,其一旦發(fā)病難以痊愈,這勢必會(huì)為患者帶來心理方面的消極影響。針對(duì)此,我院認(rèn)為應(yīng)當(dāng)對(duì)患者進(jìn)行有效的心理護(hù)理,若缺少良好的心態(tài),對(duì)于后續(xù)治療是極其不利的,所以應(yīng)當(dāng)進(jìn)行心理護(hù)理方面的干預(yù),培養(yǎng)其合理的飲食,加之健康的心態(tài),更利于治療的有效開展[4]。
1.3 統(tǒng)計(jì)學(xué)分析
本次治療中,在對(duì)患者治療中相關(guān)數(shù)據(jù)的統(tǒng)計(jì)處理方面運(yùn)用了SPSS 13.0軟件,用χ2檢驗(yàn)計(jì)數(shù)資料,組間差異比較具有統(tǒng)計(jì)學(xué)意義用P<0.05表示。
2 結(jié)果
據(jù)我院的統(tǒng)計(jì)分析顯示,對(duì)照組治愈56例,治療總有效率為65.12%;而觀察組治愈78例,則為90.70%。相比之下,觀察組的療效更顯著(P<0.05),且在臨床癥狀改善方面,相比于對(duì)照組的患者,觀察組患者的改善更為明顯(P<0.05)。如表1。