中西医结合调护措施干预下肢动脉硬化闭塞症术后临床研究
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R543.5;R248

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Clinical Study on Integrated Chinese and Western Medicine Nursing Measures Inter⁃ vening Patients After Surgery for Atherosclerosis Obliterans of Lower Extremities
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    摘要:

    目的:观察中西医结合调护措施干预下肢动脉硬化闭塞症 (ASO) 球囊扩张加支架植入术后患者的效果。方法:将80 例患者随机分为对照组和观察组各 40 例。2 组均采用球囊扩张加支架植入术治疗,术后口服阿司匹林肠溶片、西洛他唑片,给予降脂、控制血糖、降血压等减少危险因素的治疗措施,并给予综合护理措施,疗程 4 周。观察组加用疏血通注射液、穴位按摩及艾灸治疗,连续治疗 10 d。术后当天及术后 4 周,采用彩色多普勒超声仪测量踝肱指数 (ABI),评价症状、体征评分;记录术后 4 周内并发症的发生情况,出院时患者行护理满意度评价。比较 2 组的临床疗效。结果:治疗后,观察组临床疗效优于对照组 (P<0.05)。2 组 ABI 均较治疗前升高,症状、体征评分均较治疗前下降 (P<0.01)。观察组 ABI 高于对照组 (P<0.01),症状、体征评分低于对照组 (P<0.01)。观察组护理满意度高于对照组 (P<0.05)。术后 4 周,观察组并发症累积发生率为27.5%,低于对照组的 65.0%,差异有统计学意义 (P<0.01)。结论:在球囊扩张加支架植入术后给予中西医结合调护措施干预下肢 ASO 患者,可进一步减轻术后间歇性跛行、静息痛等症状,改善血液循环,减少并发症的发生,提高临床疗效和患者对护理工作的满意度。

    Abstract:

    Abstract:Objective:To observe the effect of integrated Chinese and western medicine nursing measures intervening patients with atherosclerosis obliterans(ASO) of lower extremities after balloon dilatation and stents placement. Methods:A total of 80 cases of patients were randomly divided into the control group and the observation group,40 cases in each group. Both groups were treated with balloon dilatation and stents placement. After surgery,both groups were treated with the oral administration of aspirin enteric coated tablets and cilostazol tablets, comprehensive nursing measures, and treatment measures to lower blood lipid,control blood glucose and blood pressure,and reduce other risk factors. Both groups were treated for four weeks. The observation group was additionally treated with Shuxuetong injection, point massage and moxibustion for continuous ten days. On the day after surgery and four weeks after surgery,color Doppler ultrasound was applied to measure ankle brachial index(ABI),symptoms and signs were scored on the day after surgery and four week after surgery. The occurrence of complications within 4 weeks after surgery was recorded,and nursing satisfaction was evaluated at discharge. The clinical effect was evaluated in the two groups. Results: After treatment, the clinical effect in the observation group was better than that in the control group(P<0.05). The ABI in the two groups was increased when compared with that before treatment,and scores of symptoms and signs were decreased when compared with those before treatment(P<0.01). The ABI in the observation group was higher than that in the control group(P<0.01),scores of symptoms and signs were lower(P<0.01). Nursing satisfaction in the observation group was higher than that in the control group(P< 0.05). During the first four weeks after surgery,cumulative incidence of complications was 27.5% in the observation group, lower than that of 65.0% in the control group,the difference being significant(P<0.01). Conclusion:For patients with ASO of lower extremities after balloon dilatation and stents placement, integrated Chinese and western medicine nursing measures can further relieve postoperative intermittent claudication, resting pain and other symptoms, improve blood circulation,reduce the occurrence of complications,and enhance clinical effect and nursing satisfaction.

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杜嫩,宁世杰,李艳玲.中西医结合调护措施干预下肢动脉硬化闭塞症术后临床研究[J].新中医,2021,53(7):169-173

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  • 在线发布日期: 2021-04-08
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