摘要
目的:观察药食同源物质食方对缓解气虚血瘀型心衰病患者口渴症的治疗效果,探讨药食同源物质食方在临床饮食护理中的应用价值。方法:2020年6月至2021年7月,选取黑龙江省某三级甲等医院收治的72例气虚血瘀型心衰病患者为研究对象,随机分为对照组和观察组各36例。对照组在常规饮食护理基础上用频饮水法进行干预,观察组在常规饮食护理的基础上用药食同源物质食方进行干预。在干预前、干预4天、干预1周、干预2周时分别测量口渴痛苦量表得分(TDS)、中医证候积分和日饮水量(包括食物中所含水量)的变化。结果:干预前,两组的TDS得分、日饮水量比较差异无统计学意义(P>0.05);干预后,两组TDS得分、日饮水量均降低,且观察组降低的程度更加明显,差异有统计学意义(P<0.05)。干预前、干预4天、干预1周两组的中医证候积分比较差异无统计学意义(P>0.05);干预2周后,两组患者的中医证候积分差异有统计学意义(P<0.05)。结论:药食同源物质食方可以有效缓解气虚血瘀型心衰病患者的口渴强度,改善中医证候,降低饮水量。
objective:To observe the therapeutic effect of medicine and food homologous substance formula on relieving thirst in patients with heart failure of qi deficiency and blood stasis type,and to further explore the application value of medicine and food homologous substance formula in clinical diet nursing.Methods:A total of 72 patients with heart failure of qi deficiency and blood stasis treated in a third-grade class-A hospital in Heilongjiang Province were included and were randomly divided into the control group(n=36)and the observation group(n=36)from June 2020 to July 2021.The control group received frequent drinking combined with routine diet nursing,and the observation group received medicine and food homologous substance formula on the basis of routine diet nursing.The changes of thirst pain scale score(TDS),TCM syndrome score and daily drinking water(including water content in food)were measured before intervention,4 days,1 week and 2 weeks after intervention respectively.Results:There was no significant difference in TDS score and daily drinking water between the control group and the observation group before intervention.The TDS score and daily drinking water in the two groups all decreased after intervention,while the observation group decreased significantly larger than the control group(P<0.05).There was no significant difference in TCM syndrome scores between the two groups before intervention,4 days and 1 week after intervention(P>0.05),but there was significant difference in TCM syndrome scores between the two groups after 2 weeks of intervention(P<0.05).Conclusion:The medicine and food homologous substance formula can effectively relieve the thirst intensity,improve the TCM syndrome and reduce the amount of drinking water in patients with heart failure of qi deficiency and blood stasis.
作者
许赫
穆欣
刘雅鑫
付雪松
毕玉晗
XU he;MU Xin;LIU Yaxin;FU Xuesong;BI Yuhan(Heilongjiang University of Chinese Medicine,Harbin Heilongjiang 150040;First affiliated Hospital,Heilongjiang University of Chinese Medicine;China-Japan Friendship Hospital)
出处
《天津护理》
2022年第3期297-300,共4页
Tianjin Journal of Nursing
基金
黑龙江中医药大学研究生创新科研项目(2020yjscx028)。
关键词
药食同源物质
口渴症
气虚血瘀型心衰病
饮食护理
Medicine and food homologous substance formula
Thirst
Qi deficiency and blood stasis
Heart failure
Diet nursing
