中药保留灌肠联合心理护理干预治疗老年慢性肾衰临床观察

The Clinical Observation of Elderly Chronic Renal Failure Patients Treated by Traditional Chinese Medicine Retention Enema with Psychological Nursing Intervention

摘要: 目的：探讨中药保留灌肠联合心理护理干预治疗老年慢性肾衰的效果。方法：抽取我院2016年3月至2017年7月收治的老年慢性肾衰患者60例为研究对象，以完全双盲法分组：对照组30例行常规西医治疗，并辅助实施常规护理，观察组30例行中药保留灌肠治疗，并辅助实施心理护理干预，观察两组治疗前后肾功能指标及血液流变学指标变化情况，并对治疗效果进行评估。结果：1) 实验组干预后HAMA评分、HAMD评分显著低于对照组(P < 0.05)；2) 实验组治疗后BUN、Scr、24hUpro显著低于对照组(P < 0.05)；3) 实验组治疗后全血高切粘度、显著低于对照组(P < 0.05)；4) 实验组治疗总有效率显著高于对照组(P < 0.05)。结论：在给予中药保留灌肠的同时，给予患者心理护理干预，可有效缓解患者负面情绪，改善血液流变学，促进肾功能恢复，增强治疗效果，值得推广。

Abstract: Objective: To study the treatment effect of elderly chronic renal failure patients treated by the traditional Chinese medicine retain enema combined psychological nursing intervention. Methods: We selected 60 elderly patients with chronic renal failure as the research object from March 2016 to July 2017. We divided the patients into two groups with full double-blind method. The control group had 30 cases, which used routine western medicine therapy and auxiliary implement routine nursing. The 30 cases of observation group were taken Chinese medicine retention enema treatment and auxiliary implementation psychological nursing intervention. We observed the changes of renal function indexes and hemorheology index of the two groups before and after the treatment, and evaluated the therapeutic effect. Results: 1) HAMA score and HAMD score of the experimental group after intervention were significantly lower than control group (P < 0.05); 2) BUN, Scr, 24 hupro of the experimental group after treatment were significantly lower than control group (P < 0.05); 3) The whole blood high shear viscosity of the experimental group after treatment was significantly lower than control group (P < 0.05); 4) The total effective rate of the experimental group was significantly higher than that of control group (P < 0.05). Conclusion: When patients treated by the traditional Chinese medicine retain enema with psychological nursing intervention at the same time, it can effectively relieve patients with negative emotions, improve the blood rheology, promote kidney function recovery, enhance the treatment effect, and it is worth promoting.