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重型颅脑损伤患者大承气汤灌肠及护理干预

Dachengqi decoction enema and nursing intervention on the treatment of the patients with severe craniocerebral injury
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摘要 目的分析重型颅脑损伤患者大承气汤灌肠及护理干预措施。方法选取舟山市中医院收治的60例重型颅脑损伤患者为研究对象。2组患者均予以大承气汤灌肠,对照组进行常规护理,试验组给予相应的护理干预措施,关注患者心理状态变化,为患者提供舒适的病房环境,对患者大便情况进行详细记录,消除患者负面情绪,做好肛周皮肤护理,密切关注患者血压及心率等生命体征变化情况,调整舒适体位。比较分析试验组与对照组患者护理满意度、排便情况等临床指标。结果试验组灌肠后排便率为100.0%显著高于对照组的90.0%,差异具有统计学意义(P<0.05)。试验组护理满意度为93.3%,显著高于对照组的80.0%,差异具有统计学意义(P<0.05)。结论重型颅脑损伤患者大承气汤灌肠联合护理干预能够显著改善患者排便情况,提高护理满意度。 Objective To study and analyze the effect of Dachengqi decoction enema and nursing intervention on the treatment of patients with severe craniocerebral injury.Methods60patients with severe craniocerebral injury in Zhoushan Traditional Chinese Medicine Hospital were selected as the object of this study.Two groups were coloclystered with Dachengqi decoction,the control group were given routine nursing,the experimental group were given nursing intervention measures.To pay attention to the changes of psychological state,to provide a comfortable ward environment for the patients.Stool detail was recorded.To eliminate the negative emotion of the patients,do a good job of perianal skin care,pay close attention to the changes of blood pressure and heart rate and other vital signs,adjust posture comfortable.Nursing satisfaction,defecation situation and other clinical indicators in the two groups were compared.Results The defecation rate in the experimental group after enema was100%,which was significantly higher than that in the control group(90.0%),and the difference was statistically significant(P<0.05).The satisfaction rate of nursing in the experimental group was93.3%,and in the control group was80.0%,the difference was statistically significant(P<0.05).Conclusion The patients with severe craniocerebral injury were given Dachengqi decoction enema combined with nursing intervention,which can significantly improve defecation and improve nursing satisfaction.
作者 徐丽娜 沈巧玲 袁玲玲 XU Li-na;SHEN Qiao-ling;YUAN Ling-ling(Zhoushan Traditional Chinese Medicine Hospital, Zhoushan 316000, China)
出处 《中国生化药物杂志》 CAS 2017年第11期239-240,共2页 Chinese Journal of Biochemical Pharmaceutics
关键词 重型颅脑损伤 大承气汤 灌肠 护理干预 severe craniocerebral injury dachengqi decoction enema nursing intervention
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