目的 观察中药贴敷治疗癌痛的效果.方法 对江苏省扬州市中医院肿瘤科274例采用抗癌止痛方中药贴敷治疗的患者的资料进行回顾性分析,根据治疗前数字评定量表(NRS)评分将274例患者分为轻度疼痛(n=175,NRS评分1～3分)组和中度疼痛(n=99,NRS评分4～6分)组.观察中药贴敷治疗癌痛患者的总体疗效以及轻度、中度癌痛患者的疗效.结果 274例患者采用贴敷治疗过程中,41例患者因NRS评分增加使用了吗啡处理爆发痛.轻度疼痛组治疗有效率和疼痛控制率分别为78.9％和97.1％,中度疼痛组治疗有效率和疼痛控制率分别为48.5％和58.6％.轻度疼痛组患者治疗有效率和疼痛控制率高于中度疼痛组,差异有统计学意义(P＜0.05).NRS评分为1、2、3分的患者贴敷治疗有效率分别为82.2％、79.7％、76.1％,疼痛控制率分别为97.8％、96.6％、97.2％,3种评分患者贴敷治疗后疼痛控制率和治疗有效率比较,差异无统计学意义(P＞0.05).NRS评分为4、5、6分的患者贴敷治疗有效率分别为75.8％、48.0％、26.8％.NRS评分为4分的患者贴敷治疗有效率高于NRS评分为5、6分者,差异有统计学意义(P＜0.05),而NRS评分为5分和6分患者的贴敷治疗有效率比较,差异无统计学意义(P=0.08).结论 对于NRS评分≤3分的患者而言,中药贴敷治疗是一种比较理想的治疗手段.NRS评分为4分的患者使用中药贴敷仍能够取得较好的疗效,但对于NRS评分为5分和6分的患者而言,单纯使用贴敷的疗效及疼痛控制率低,往往需要辅助止痛.
Objective To analyze the value of cooperating with emotional nursing and diet adjustment during chemotherapy in patients with lung cancer in regulating patients'' emotions and improving their quality of life. Methods From October 2020 to December 2021, 80 patients with lung cancer who received chemotherapy in our hospital were selected as the research objects. According to the random number table method, they were divided into the observation group (40 cases) and the control group (40 cases). The control group received routine nursing, the observation group was given emotional nursing and diet adjustment. The adverse emotions, adverse reactions, immune indicators and quality of life of lung cancer patients were compared and analyzed between the two groups. Normal measurement data were tested by t test; count data were tested by x2. Results The scores of anxiety, fear, depression, hostility and other adverse emotions of the patients with lung cancer in the observation group after nursing intervention were lower than those in the control group (P＜0.05). At the same time, the probability of adverse reactions after chemotherapy in the observation group was lower than that in the control group (P＜0.05). The corresponding immune indexes in the observation group were higher than those in the control group, and the quality of life scores were also higher than those in the control group (P＜0.05). Conclusion Chemotherapy for lung cancer can be combined with emotional nursing and diet adjustment, which is beneficial to improve patients'' negative emotions, enhance immune function, and improve quality of life.
目的:探讨和评价中药外敷、耳穴揿针及耳穴压豆中医外治技术联合三阶梯止痛治疗对晚期癌痛患者临床相关症状的干预效果.方法:选取本院肿瘤内科2020年7月至2021年8月收治的合并中、重度癌性疼痛、负性情绪、睡眠障碍及心理痛苦等相关症状的晚期癌症患者90例,按照中医外治护理干预措施的不同分为A组、B组、C组(每组30例).其中,A组单纯接受中西医药物治疗方案,针对疼痛程度遵循三阶梯止痛原则给予口服止痛药及抗焦虑药物;B组在A组治疗方案上联合院内制剂"抗癌止痛膏"中药穴位外敷;C组在B组治疗方案上联合耳穴揿针及耳穴压豆.对比三组患者干预4周后的癌性疼痛程度(NRS)、消极情绪(综合性医院焦虑抑郁量表HAD)、失眠(睡眠质量匹兹堡指标PSQI)及心理痛苦(DT)的缓解程度.结果:干预前,三组患者NRS、HAD、PSQI及DT得分比较,均无明显差异(P>0.05);干预4周,三组患者疼痛程度均有明显缓解,三组缓解程度差异不明显(P>0.05);A组干预前后的HAD、PSQI、DT评分无明显变化(P>0.05);B、C两组干预后的HAD得分均明显低于本组干预前,C组较B组的降低幅度更明显(P<0.05);干预后的B组PSQI及DT评估得分与干预前比较变化不明显(P>0.05),干预后的C组PSQI及DT评估得分较与干预前差异明显(P<0.05),且显著优于B组相应项目(P<0.001).结论:三阶梯止痛方案联合中药穴位外敷、耳穴揿针及耳穴压豆中医外治干预措施,可以明显缓解晚期癌痛患者癌痛、失眠及心理痛苦等临床相关症状,多种措施联合应用,效果更为显著.
目的 加强紧密型医联体、医共体建设,通过线上平台整合线下医疗卫生资源,构建整合型医疗服务模式.方法 通过"互联网+"医疗服务、医疗健康、分级诊疗、卫生应急,促进线上与线下医疗资源的高效整合.结果 有效解决群众看病就医难、医疗信息共享渠道不畅、医疗服务业务不贯通、疫情防控难等现实难题.结论 "互联网+医疗服务"在构建整合型医疗服务模式、提高基层医疗健康和卫生应急方面潜力巨大,需要聚焦突破、加强攻关、拓展应用.
目的:观察个体化中药贴敷治疗晚期癌痛的临床疗效.方法:将50例晚期癌痛患者采用随机方法分为治疗组和对照组各25例,治疗组采用个体化中药贴敷,对照组予传统中药贴敷.比较2组患者疼痛改善和生活质量状况.结果:治疗组疼痛减轻程度优于对照组,生活质量高于对照组,差异均有显著性意义(P<0.05).结论:个体化中药贴敷可减缓晚期癌痛患者症状,改善精神状态,提高生活质量.
Objective:To compare and evaluate the sterilization effect of the leaves of atractylodes chinensis and ultraviolet radiation.
Objective:To investigate the clinical effect of TCM hydropathic compress combined with field effect treatment machine on treating joint motion obstacle of semiplegia patients.Methods:20 patients of joint motion obstacle were treated with TCM hydropathic compress and field effect treatment machine.Results:Of all the 20 patients,2 case was cured,16 cases were improved and 2 case was ineffective.Conclusion:TCM hydropathic compress combined with field effect treatment machine had a significant effect on treating joint motion obstacle.
Objective: To observe the efficacy of TCM lavipeditum combined with acupressure in treating palpitations insomnia Methods: 72 cases of patinets were randomly divided into experimental group and control group, 36 cases in each group. The control group received acupressure treatment, the experimental group were treated with TCM lavipeditum treatment more, comparing the clinical efficacy in the two groups. Results: The total efficiency of control group was 69.4%, and 91.6% in experimental group. Conclusion: The efficacy was great for TCM lavipeditum combined with acupressure treating palpitations insomnia.
Objective: To investigate the experience on treating severe pressure sores with Self-intended TCM recipe.Methods: TCM was soaked with cold water for half an hour firstly;fire to boil 10 minutes,small fire boiling for 20 minutes,100 ml of gravy was taken to sterile medicine bags for alternate after filter.The liquid soaked gauze to scrub the wound surface,after the infrared radiation will be home-made TCM powder to spray the wound surface,topical sterile gauze.After 7～15 days of observation,condition improved.Conclusion: TCM plus intensive nursing was effective,worthy of clinical application
糖尿病是一种以慢性血糖水平增高为特征的代谢性疾病,糖尿病发病率高,目前治疗效果并不好,且并发症多,可导致多器官与组织的慢性进行性病变,而且病程长,给患者及家庭社会造成巨大负担,糖尿病在中医上属于消渴,病因多为禀赋不足,素体阴虚,复加饮食不节,情志失调,劳欲过度致肺燥、胃热、肾虚而成,病机是燥热偏盛,阴津亏耗,若迁延日久,阴损及阳,可致气阴两虚,或阴阳俱虚,若失治误治,护理不当,常可并发雀目、耳聋、疮疡、痈疡、泄泻、水肿、中风,严重影响生命质量.
