辨证施护对降低食管癌术后患者心律失常及焦虑发生的效果观察

2016-04-23李银花天祝县人民医院外科甘肃天祝733299

西部中医药 2016年2期

李银花天祝县人民医院外科，甘肃天祝733299

李银花
天祝县人民医院外科，甘肃天祝733299

［摘要］目的：评价辨证施护对降低食管癌患者术后心律失常发病率和焦虑情绪的效果。方法：以2013 年6月至2014年6月行食管癌手术后的90例患者为观察组，将2012年1月至2013年6月行食管癌手术后的90例患者为对照组。对照组给予输液护理、呼吸道护理、胸腔闭式引流、饮食指导、胃肠减压护理等常规护理，观察组在此基础上，给予中医辨证施护。结果：心律失常发病率观察组、对照组分别为46.7％和21.1％，2组比较差异有统计学意义(P＜0.05)。2组心律失常的类型分布比较，差异无统计学意义(P＞0.05)。焦虑发病率观察组、对照组分别为7.8％和21.1％,2组比较差异有统计学意义(P＜0.05)。2组焦虑程度比较，差异有统计学意义(P＜0.05)。结论：辨证施护可降低食管癌术后患者心律失常的发病率，并缓解患者的焦虑情绪。

［关键词］食管癌术后；护理干预；辨证施护；心律失常；焦虑

Effects of Syndrome Differentiation and Care on Decreasing the Incidences of Arrhythmia and Anxiety of the Patients after the Operation of Esophageal Cancer

LI Yinhua
Surgery Department of Tianzhu County People's Hospital,Tianzhu 733299,China

Abstract Objective:To assess the effects of syndrome differentiation and care on decreasing arrhythmia and anxiety incidences of the patients after the operation of esophageal cancer.Methods:Ninety patients who accepted the surgery of esophageal cancer from June,2013 to June,2014 were taken as the observation group,another ninety patients who received the surgery from January,2012 to June,2013 as the control group,and they were given with routine care including infusion care,respiratory tract care,thoracic close drainage,dietary guidance,gastrointestinal decompression care,the observation group accepted syndrome differentiation and care on the foundation of the care the control group accepted.Results:Arrhythmia incidences of the observation group and the control group were 46.7％ and 21.1％ respectively,and the difference had statistical meaning (P<0.05).The difference had no statistical meaning in the comparison of arrhythmia sorts between both groups (P＞0.05).Anxiety incidences of the observation group and the control group were 7.8％ and 21.1％ respectively,and the difference presented no statistical meaning (P＜0.05).The difference showed no statistical meaning in the comparison of anxiety degrees between both groups (P＞0.05).Conclusion:Syndrome differentiation and care could decrease arrhythmia incidences of the patients after the operation of esophageal cancer,and relieve their anxiety.

Keywords after the operation of esophageal cancer;nursing intervention;syndrome differentiation and care;arrhythmia;anxiety

食管癌手术创伤较大，患者术后极易发生心律失常、焦虑抑郁等并发症。有资料显示［1-2］，食管癌患者术后心律失常率高达13％～47％，合理的护理干预对食管癌手术成功率的提升有显著效果。近年来，笔者将中医辨证护理应用于90例食管癌手术患者，护理效果满意，现报道如下：