中医辨证施护在痛风患者中的应用

目的探讨原发性痛风症的中医辨证施护。方法随机选择68例患者，采用随机数字法随机分为对照组34例和观察组34例。分型：湿热蕴结、瘀热阻滞、痰浊阻滞、肝肾阴虚。观察组：辨证施护，并使用自行设计的专项护理方案，专项表格为：绘制血尿酸检测曲线、症候观察表1份，每日饮食记录表1份，每日用药及外治记录表1份，记录症候好转、有效、治愈的时间，严格指导饮食、起居，疏导情志。对照组：辨证施护，未使用自行设计的护理方案。结果观察组病例血尿酸水平恢复至正常值的时间显著短于对照组，差异具有统计学意义[（15．0±2．5）d比（22．0±7．5）d；t=5．1629，P〈0．05]，观察组治疗有效例数33例显著高于对照组26例，差异具有统计学意义（x2=4．6102，P〈0．05）。结论辨证施护应用于痛风症患者，并且每天进行详尽的记录，严格执行起居、饮食、情志指导有积极的临床意义。

Application of dialectical nursing of traditional Chinese medicine in patients with gout

Objective To explore the application of dialectical nursing of traditional Chinese medicine in patients with gout. Methods Totals of 68 cases with gout were randomly divided into control group（ n = 36） and observation group （ n = 34）. Types such as wet - hot, heat and blood stasis block, phlegm, yin deficiency of liver and kidney of cases were divided. The observation group received the dialectical nursing and self- designed special care programs, many special form were used such as drawing the blood uric acid detection curve, symptom observation, daily diet records list, daily medication and external treatment record. Then, the time of symptoms better, effective, cure were observed and diet, living, grooming emotion were strictly guidanced. Control group only received the dialectical nursing without self-designed nursing program. Results The time of blood uric decrease to normal of observation group significantly short than that of control group（ 15.0 ± 2.5 ） d vs （ 22.0± 7.5 ） d, （ t = 5. 1629 ; P 〈 0.05 ）. The whole effective cases number of observation group was significantly more than that of control group （ 33 vs 26 ） , （ x2 = 4. 6102 ; P 〈 0.05 ）. Conclusions Dialectical nursing application, detailed records in every day, strict implementation of the living, diet, emotional guidance for the patients with gout have positive clinical influencing.