|
|
|
| Application effect of targeted nursing intervention in the treatment of chronic cholecystitis complicated with gallstones by Xiaoyan Rongshi tang |
| XIE Yu-niang |
| Department of Burn and Plastic Surgery, Ganzhou People′s Hospital, Jiangxi Province, Ganzhou 341100, China |
|
|
|
|
Abstract Objective To investigate the application effect of nursing intervention in the treatment of chronic cholecystitis complicated with gallstones by Xiaoyan Rongshi Decoction.Methods A total of 80 patients with chronic cholecystitis combined with gallstones admitted to Ganzhou People′s Hospital in Jiangxi Province from June 2019 to March 2020 were selected as study subjects, they were divided into the control group and the implementation group by random number table method, 40 cases in each group.Both groups were treated with Xiaoyan Rongshi Decoction for chronic cholecystitis.Routine nursing intervention was used in the control group and targeted nursing intervention was used in the implementation group.With total effective rate, main symptom (liver area taps, shoulder pain, right rib pain, nausea and vomiting, and stool junction) response rate, different parts (biliary calculi, within the liver and gallbladder stones)calculi discharge rate, nursing satisfaction, quality of life and psychological rating scale were compared between two groups.Results The total effective rate in the implementation group (97.50%) was higher than that in the control group(80.00%), and the difference was statistically significant (P＜0.05).The remission rate of main symptoms (percussion pain in liver and gallbladder area, shoulder distension, right costal pain, nausea and vomiting, and stool knot) in the implementation group was higher than that in the control group, and the difference was statistically significant (P＜0.05).The remission rate of stone excretion in different parts of the implementation group (biliary calculi, intrahepatic calculi and cholecystolithiasis) was higher than that in the control group, and the difference was statistically significant (P＜0.05).Nursing total satisfaction, quality of life and psychological scale scores of the implementation group were higher than those of the control group, and the differences were statistically significant (P＜0.05).Conclusion Xiaoyan Rongshi Decoction for the treatment of chronic cholecystitis with gallstones and targeted nursing intervention of the clinical efficacy is significant.
|
|
Received: 30 December 2020
|
|
|
|
| [1] |
Yugawa K.Nursing of patients with cholelithiasis and cholecystitis.[J].Kango Gijutsu，1979，25（15）：1967-1970.
|
| [2] |
单秋旺，霍鹏，李琳琳，等.中药消炎利胆汤联合常规西药对胆结石微创术后患者胆囊功能、炎性因子和临床疗效的影响[J].湖南中医药大学学报，2019，39（11）：1399-1402.
|
| [3] |
郭海燕.优质护理在普外科肝胆类疾病患者中的应用分析[J].临床医药文献电子杂志，2018，5（65）：153.
|
| [4] |
周玲.针对性护理对老年痴呆症患者认知功能及日常生活活动能力的影响[J].当代护士，2020，27（8）：133-135.
|
| [5] |
王健.消炎排石汤治疗胆道结石合并胆道炎126 例临床观察[J].甘肃中医学院学报，2009，26（5）：19-20.
|
| [6] |
鲁意，高允海.慢性胆囊炎的中西医治疗进展[J].实用中医内科杂志，2020，34（2）：4-6.
|
| [7] |
张颖.复杂性肝内胆结石患者术后的引流管管道护理与追踪[J].广东医学，2017，38（2）：329-331.
|
| [8] |
刘英.中医护理在老年胆结石患者中的应用效果[J].光明中医，2019，34（19）：3036-3038.
|
| [9] |
苏振飞.消石利胆胶囊联合优思弗治疗慢性胆囊炎合并胆结石的效果分析[J].当代医药论丛，2017，15（22）：71-72.
|
| [10] |
王瑞超.舒肝化石汤治疗胆石症（肝郁气滞证）的临床研究[D].石家庄：河北中医学院，2019.
|
| [11] |
Arung W，Dinganga N，Ngoie E，et al.First steps of laparoscopic surgery in Lubumbashi：problems encountered and preliminary results[J].Pan Afr Med J，2015，21：1634-1641.
|
| [12] |
汪成书，张永晨.慢性胆囊炎、胆石症的饮食护理[J].湖南中医杂志，2009，25（6）：76-77.
|
| [13] |
陈宇华，王晓素.慢性胆囊炎的中医药治疗进展[J].世界中西医结合杂志，2016，11（12）：1763-1766.
|
| [14] |
时昭红，任顺平，唐旭东，等.消化系统常见病急慢性胆囊炎、胆石症中医诊疗指南（基层医生版）[J].中华中医药杂志，2020，35（2）：793-800.
|
| [15] |
孙胜男，王岩.清肝利胆逐石汤治疗脂肪肝合并胆石症临床观察[J].社区医学杂志，2020，18（5）：344-348.
|
| [16] |
孙飞，彭海燕.胆囊切除术后综合征的中医认识和治疗进展[J].世界华人消化杂志，2010，18（16）：1694-1700.
|
| [17] |
王玉龙，曹桂萍，吴泽君.前列承气片的质量标准提升研究[J].中国处方药，2019，17（12）：24-26.
|
| [18] |
左予桐，高文远，贾伟，等.中药防治胆石症的研究进展[J].中国中药杂志，2004，29（9）：14-16，93.
|
| [19] |
隋晓丹，邓厚波，刘铁军.中医药防治非酒精性脂肪肝病的研究进展[J].世界华人消化杂志，2013，21（18）：1708-1713.
|
|
|
|
