中西医结合治疗对慢性肺源性心脏病的疗效观察和护理体会

目的:观察中西医结合治疗与护理对慢性肺源性心脏病的作用。方法:将符合标准的32例患者按入组先后顺序平均分为两组。对照组采用常规西医治疗和护理,观察组加用川芎嗪注射液和生脉注射液治疗,并采取中医情志护理和优质护理。结果:观察组和对照组总有效率分别为93.75%、81.25%;组间比较,差异无统计学意义(P>0.05)。两组心功能较治疗前均有所改善,以观察组为优,但组间差异无统计学意义(P>0.05)。两组患者HAMD和HAMA评分较治疗前均下降,生活质量评分均增高。与本组治疗前比较,差异均有统计学意义(P<0.01),组间比较,差异均有统计学意义(P<0.05)。观察组和对照组对护理工作的非常满意率分别为75.00%、25.00%,总满意率分别为100%、93.75%;组间比较,非常满意率差异有统计学意义(P<0.05),总满意率差异无统计学意义(P>0.05)。结论:中西医结合疗法联合情志护理和优质护理对慢性肺源性心脏病疗效显著,优于常规西医治疗和护理。

Clinical Analysis of Combining Chinese and Western Medicine on Treating Chronic Pulmonary Heart Disease and Nursing Experience

Objective：To observe the clinical affect of combination of traditional Chinese and Western medicine and nursing care on patients with chronic pulmonary heart disease. Methods ： A total of 32 patients were divided into two groups according to the order into the groups. 16 cases treated with conventional Western medicine and nursing were taken as the control group, and the other 16 cases treated with Chuanxiongqin injection, Shengmai injection and emotion thought nursing of traditional Chinese medical science and quality nursing were taken as the observation group. Results ： The total effective rate of observation group and control group respectively was 93.75% and 81.25%, and the differences had statistical significance（P 〈 0. 05）. The heart func- tion of two groups was both improved, and the observation group was better than the control group, but the differences between groups had no statistical significance（P 〉 0. 05）. The scores of HAMD and HAMA of two groups were lower and the life quality scores were higher than that before treatment. Compared to those before treatment, the differences between two groups had statisti- cal significance（ P 〈 0. 01 ）, and the differences between groups had statistical significance（ P 〈 0. 05 ）. The more nursing satisfac- tion rates of observation group and control group were respectively 75.00% and 25.00%, and the differences had statistical sig- nificance（P 〈 0.05 ）. The total nursing satisfaction rates were respectively 100% and 93.75%, but the differences between groups had no statistical significance （ P 〉 0. 05 ）. Conclusion ：The clinical effect of combination of traditional Chinese and Western medicine and nursing care of emotion thought and quality on patients with chronic pulmonary heart disease is better than conven- tional Western medicine and nursing care.