目的:利用数据挖掘技术,了解针灸疗法治疗气阴两虚型糖尿病足的选穴规律,为气阴两虚型糖尿病足的针灸疗法提供参考依据.方法:检索中国知网、中国生物医学文献数据库(CBM)、万方数据库以及PubMed中有关针灸疗法治疗气阴两虚型糖尿病足的文献,检索时限为建库至 2022 年 8 月.使用Excel表建立针灸疗法治疗气阴两虚型糖尿病足的腧穴数据库,并利用SPSS 26.0 软件对数据库中的腧穴进行频数统计,使用 SPSS Modeler 18.0 进行关联规则分析.结果:最终纳入 58 篇符合要求的文献,得到 82 条腧穴处方,涉及 45 个穴位,穴位主要分布在下肢,其中最常用的腧穴依次为足三里、三阴交、阴陵泉、关元,腧穴归经以足阳明胃经、足太阴脾经、足太阳膀胱经为主;针灸疗法治疗气阴两虚型糖尿病足的常用配伍腧穴为足三里-三阴交和三阴交-阴陵泉.结论:数据挖掘可有效分析针灸疗法治疗气阴两虚型糖尿病足的常用腧穴和腧穴配伍规律,为临床护理人员选穴提供依据.

通过掌握骨折术后疼痛的病因病机,总结治疗骨折术后疼痛的中医适宜技术,并归纳其选穴规律,以期为医护人员筛选中医适宜技术及穴位处方提供参考.

从中药湿热敷治疗腰椎间盘突出症(LDH)的作用机制、影响中药湿热敷疗效的因素及其在各型 LDH 护理中的应用方面进行综述,旨在为中药湿热敷在 LDH 中的进一步研究提供临床参考.

目的:探讨延续性护理对糖尿病肾病血液透析患者免疫功能和生活质量的影响.方法:选取2019年12月至2020年12月就诊于甘肃省中医院血液净化中心临床治疗方案相同的糖尿病肾病透析患者80例,随机分为观察组和对照组,各40例.在治疗基础上,对照组给予基础护理、运动和饮食指导;观察组在对照组的基础上施行延续性护理.记录两组患者连续干预6个月后的空腹血糖、免疫因子(CD4+、CD8+)、生活质量以及护理满意度评分,并分析干预效果.结果:干预后,观察组患者空腹血糖、CD8+水平低于对照组(P<0.05),CD4+水平高于对照组(P<0.05);干预后,观察组生活质量评分、满意度评分高于对照组(P<0.05).结论:延续性护理可有效地控制血糖水平并改善免疫功能,提高患者的生活质量和对护理人员服务的满意度.

目的:评价火龙疗法干预早期膝痹病患者的临床疗效.方法:选取早期寒湿痹阻型膝痹病患者100例,随机分为对照组和观察组各50例.观察组采用中药熥敷合剂辨证火龙疗法治疗,对照组采用中药熥敷合剂热敷法治疗.治疗1个疗程后,观察两组患者临床疗效,疼痛视觉模拟评分(visual analogue score,VAS)、骨关节炎指数评分(the Western Ontario and McMaster universities,WOMAC)、慢病管理自我效能量表评分的变化情况.结果:总有效率观察组为96％(48/50),对照组为84％(42/50),两组比较差异有统计学意义(P<0.05).VAS评分、WOMAC评分及慢病管理自我效能量评分两组治疗前比较及治疗前后组内比较,差异有统计学意义(P<0.05);治疗后组间比较,差异均有统计学意义(P<0.05).结论:火龙疗法可改善早期寒湿痹阻型膝痹病患者临床症状,临床疗效明显.

目的 观察通敷合剂火龙疗法治疗早期膝骨关节炎寒湿痹阻证的临床疗效.方法 将100例早期膝骨关节炎寒湿痹阻证患者采用随机数字表法分为对照组和治疗组,各50例.治疗组采用通敷合剂火龙疗法治疗,对照组采用通敷合剂塌渍疗法治疗,2组均连续治疗5 d.比较2组的临床疗效及治疗前后中医证候积分、视觉模拟评分法(VAS)评分、WOMAC骨关节炎指数评分.结果 2组治疗后中医证候积分、VAS评分、WOMAC骨关节炎指数评分均明显降低,与同组治疗前比较差异有统计学意义(P＜0.05),且治疗组降低更明显,与对照组治疗后比较差异均有统计学意义(P＜0.05);治疗组总有效率为96.0％(48/50),对照组为86.0％(43/50),2组比较差异有统计学意义(P＜0.05).结论 通敷合剂火龙疗法治疗早期膝骨关节炎寒湿痹阻证疗效优于通敷合剂塌渍疗法,可明显改善患者的临床症状及膝关节功能,值得临床推广应用.

目的:探讨时空同构康复护理模式对脑梗塞患者执行能力的影响.方法:采用回顾性方法分析本院自2017年9月至2019年7月就诊的80例脑梗塞患者的临床资料,根据护理方法不同分为对照组(40例,给予药物治疗基础上常规执行功能康复训练)与研究组(40例,给予药物治疗基础上时空同构模式执行功能的康复训练),比较两组患者GSES、Barthel、偏瘫上肢功能评分.结果:研究组患者的GSES、Barthel、偏瘫上肢功能评分均明显高于对照组,有显著差异(P<0.05).结论:脑梗塞患者采用时空同构康复护理模式可激发患者康复训练热情,改善自理能力及执行能力.

目的分析对于糖尿病肾病患者应用个性化护理在提升其血液透析依从性和预防并发症的临床效果。方法对照组为常规护理,观察组联合应用个性化护理。结果治疗依从性观察组为97.37%,对照组为86.84%,P＜0.05;并发症率观察组为5.26%,对照组为23.68%,P＜0.05。结论对于糖尿病肾病患者进行个性化护理能够有效提升其血液透析依从性,并可降低相关并发症率。

目的:总结并归纳手术室医用高值耗材的信息化管理对于医院的重要意义.方法:我院于2017年1月开始对手术室医用高值耗材采取信息化管理模式,将2017年1月至2017年12月期间手术室的80件高值医用耗材设为研究组,同时将2016年1月至2016年12月期间手术室的80件高值医用耗材设为对照组.结果:研究组高值医用耗材的损耗率和丢失率均明显低于对照组,而医护人员的满意率明显高于对照组,组间差异明显,而P＜0.05,数据在统计学分析,具有参考价值.结论:对手术室医用高值耗材采取信息化管理,是医用耗材的管理更加严格,显著降低了耗材的损耗和丢失的情况,有利于医护人员的日常工作.

目的:调查甘肃省112名中医专科护士培训后工作情况,了解中医专科护士自身提高及创新带动作用.方法:采用问卷形式,对甘肃省32所医院经过中医专科护士培训的112名中医专科护士进行问卷调查.比较培训前后中医科护士核心能力,使用效果,创新行为能力及自我核心能力.结果:培训前后112名专科护士核心能力评分比较,差异有统计学意义(P<0.05);4名(3.57％)专科护士从事行政管理工作,108名(96.43％)专科护士从事护理管理或临床护理工作;26名(23.21％)专科护士承担护理会诊;21名(18.75％)专科护士参与护理门诊工作;75名(66.96％)专科护士承担带教工作;45名(40.17％)专科护士参与科研工作;培训前后创新行为评分比较,差异有统计学意义(P<0.05).培训后自我核心能力明显提高.结论:中医专科护士培训使专科护士核心能力提高,并在临床护理、护理带教、护理科研等方面发挥了积极作用,但创新能力和创新带动作用较弱,中医专科护士培训认证及延续认证必不可少.

目的:观察ACE、CICARE及LAST护理服务在脑梗死患者康复护理中的应用效果.方法:将脑梗死恢复期患者60例随机分为观察组和对照组各30例.对照组行常规护理,观察组在对照组基础上行ACE、CICARE及LAST护理服务,比较2组患者护理满意度、Barthel指数、护理依从性、回归社会生活信心等心理状况.结果:观察组护理满意度、Barthel指数、护理治疗依从性、对回归社会生活的信心及心理状况优于对照组,差异具有统计学意义(P<0.05).结论:ACE、CICARE及LAST护理服务有利于提高脑梗死患者临床康复护理满意度,提高患者慢病自我管理能力,增加护理治疗依从性及患者回归社会生活的信心,减少焦虑及抑郁情绪等心理状况的发生.

目的:探讨MMSE与数字测试A评估在脑梗塞时空同构情景模拟康复训练中的应用效果.方法:选取我院2017年7月至2019年3月80例脑梗塞患者,首次诊断为执行功能障碍,随机分为观察组和对照组,各40例.对照组给予奥拉西坦、银杏叶片药物治疗基础上常规执行功能康复训练,观察组在对照组的基础上执行时空同构模式执行功能的康复训练,比较两组患者执行功能及认知功能.结果:两组间患者康复治疗前及治疗10天MMSE数值及连线测试A数值差异无统计学意义(P>0.05).经治疗20天后,观察组MMSE评分高于对照组,差异具有统计学意义(P>0.05);治疗20天后,观察组连线测试A数值低于对照组,差异具有统计学意义(P<0.05).结论:时空同构康复训练模式对脑梗塞患者执行功能恢复有一定的促进作用,为临床康复治疗提供了依据.

目的:观察少腹逐瘀汤对子宫内膜异位症大鼠丝裂原激活蛋白激酶(MAPK)/细胞外信号调节激酶(ERK)信号通路的影响,探讨少腹逐瘀汤治疗子宫内膜异位症的分子机制.方法:健康雌性SD大鼠随机分为空白对照组、模型组、痛经宝阳性对照组及少腹逐瘀汤低、中、高剂量组.构建大鼠子宫内腹异位症模型,药物处理4周后,HE染色观察异位子宫组织的病理变化;ELISA法检测宫腔组织中肿瘤坏死因子 α(TNF-α)、白细胞介素6(IL-6)及IL-8的含量;RT-qPCR检测宫腔组织中ERK、血管内皮生长因子(VEGF)和基质金属蛋白酶9(MMP-9)的mRNA表达量;Western blot检测宫腔组织中核因子-κB(NF-κB)、MAPK和MAPK-ERK激酶(MEK)的蛋白含量.结果:与模型组相比,少腹逐瘀汤中、高剂量组大鼠子宫组织中TNF-α、IL-6及IL-8含量显著降低(P<0.05),ERK、VEGF和MMP-9的mRNA表达量显著降低(P<0.05),NF-κB、MEK和MAPK的蛋白表达显著下降(P<0.05).结论:少腹逐瘀汤通过调节MAPK/ERK信号通路中关键分子的作用,达到治疗子宫内膜异位症的效果.

目的:分析中医护理优势,探讨中医护理专科化发展方向及措施,以促进中医护理向专科化方向发展.方法:通过对万方数据知识服务平台、中国知网(CNKI)、中国生物医学文献数据库(CBM)等进行文献检索,分析中医护理优势及中医护理专科化发展趋势.结果:共检索文献91篇,经查重、筛选,共纳入文献26篇,中医护理优势相关文献8篇,中医护理专科化发展文献18篇.结论:中医护理优势独特,发展空间广阔,且以专科化发展方向为趋势,但中医护理发展缓慢,思考中医护理发展的有效途径是每位中医护理人应尽的责任.

There is great potential in which TCM nursing outpatient possesses the advantages of disease treat-ment, rehabilitation and health maintenance, health care based on SWOT principle analysis, but it is still in ex-ploratory stage, and the operation mode is not stable, when confronting the advantages and the opportunity of TCM nursing outpatient development, the chanllege and restraining factors of its development should be faced squarely, and the suggestions of promoting TCM nursing outpatient development were raised.

Objective:To discuss the effects of time and space isomorphic model jointed with psychological care on early cognitive disorder of the patients with cerebral infarction. Methods:All 120 patients were allocated to the observation group No.1, the observation group No.2 and the control group, 40 cases each group, the control group accepted conventional cognitive functional rehabilitation training, the observation group No.1 were given time and space isomorphic rehabilitation training and the observation group No.2 time and space isomorphic rehabilitation training jointed with psychological care, cognitive ability and psychological state of the patients were observed since the second day after admission, the tenth day and the 20th day after training by MoCa scales, Barthel index assessment scale and HAM scales. Results: The scales of rehabilitation training scales of three groups, the observation group No.1 and the observation group No.2 were superior to the control group, and the observation group No.2 was superior to the observation group No.1 in the effects. The comparisons among three groups had the difference, and the difference had statistical meaning (P<0.05 ). Conclusion: Time-space isomorphic model constructing basic living things object model environment, could avoid the repetition and clutter, meet spatial belonging of the patients, inspire the patients' confidence and initiative of rehabilitation training. It is helpful to whole rehabilitation of the patients when time-space isomorphic model, psychological care, psychological rehabilita-tion and cognitive rehabilitation complement each other simultaneously.

Objective: To discuss the values of position management in nursing management of operating room. Methods: Position management was carried out from July, 2014 to July, 2016 in the nursing management of operating room (the study group), and was not carried out from June, 2013 to June, 2014 (the control group), they were compared and studied, one hundred patients and 30 nursing staffs in the operating room were chosen and investigated, the patients' statisfactory rate to the operation and the nurses' satisfactory rate to the position in both groups were compared. Results: The study group was higher than the control group in the satisfactory rate to preoperative visit, the reception, the service attitude, the guidance work and the service continuity (P＜0.05); the study group was higher than the control group in the nursing staffs' satisfactory rate to position cognition, performance allocation and scheduling (P＜0.05). Conclusion: The implementation of position management in the nursing management of the operating room could raise not only the patients' satisfactory rate to the care, but also the nursing staffs' satisfactory rate to position management.

目的:探讨马斯洛需求层次理论对骨科术前健康指导的影响.方法:将100例患者随机分为观察组和对照组各50例,对照组采用骨科优质护理术前健康指导,观察组按马斯洛需求层次理论的5个层次有针对性的给予术前健康指导.比较2组满意度及焦虑抑郁评分.结果:满意度对照组为86.0％,观察组为96.0％;焦虑、抑郁评分对照组分别为(51.91±5.83)分、(58.94±8.79)分,观察组分别为(42.63±4.86)分、(49.82±6.54)分.2组比较差异均有统计学意义(P＜0.05).结论:基于马斯洛需要层次论的骨科术前健康指导能明显提高患者满意度、减轻患者术前焦虑、抑郁情绪.

目的:分析辨证施药火龙疗法干预早期膝骨关节炎的效果.方法:将160例早期膝骨关节炎患者按就诊顺序分为对照组和观察组,对照组按中医诊疗规范给予药物治疗、物理治疗、运动治疗、健康教育等,观察组在对照组基础上给予辨证施药火龙疗法治疗.以痛疼指数和临床疗效作为评价指标,观察两组患者效果.结果:疼痛干预效果:观察组治疗前疼痛评分5.55±0.16,治疗后1.39±0.088,治疗前后p≤0.05,差异具有统计学意义.对照组治疗前疼痛评分5.5±0.16,治疗后1.91±0.14,治疗前后p≤0.05,差异具有统计学意义.且治疗前观察组与对照组比较,p≥0.05,差异无统计学意义.而治疗后观察组与对照组比较,p≤0.05,差异具有统计学意义.临床治疗效果:治疗组治愈率、显效率、有效率、总有效率均高于对照组,而无效率小于对照组,2组比较p≤0.05,差异具有统计学意义.结论:辨证施药火龙疗法有助于患者早期膝骨关节炎患者疼痛症状改善,有助于提高整体治疗效果,促进患者康复.

Objective:To observe the application of the TCM nursing in the treatment ofosteoporotic vertebral compression fractures with balloon angioplasty.Methods:87 patients were randomly divided into the observation group (49 cases) and the control group (38 cases).The control group was given the conventional nursing and the observation group was given the TCM nursing durrig the perioperative stage.Visual analogue scale (VAS) score,JOA score,hospital stays and the occurrence rate of the complications were compared between two groups.Results:There were significant differences between the VAS score,JOA score and hospital stays of two groups (P＜0.05),The complications incidence of the observation group was 4.08％,the control group was 18.42％,and the difference was statistically significant (P＜0.05).Conclusion:TCM nursing is benefit for improving the VAS score and JOA score of the patients with osteoporotic vertebral compression fractures treated by balloon angioplasty,shorten the hospital stays and reduce the occurrence rate of complications.