痛风气雾剂治疗急性痛风性关节炎的用药综合护理
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摘要
目的探讨急性痛风性关节炎患者应用痛风气雾剂和得宝松治疗的用药护理。方法选择2014年6月至2016年12月北京协和医院和云南省中医医院接诊的急性痛风性关节炎患者98例,随机分成观察组和对照组各49例,2组患者均予关节内注射得宝和口服秋水仙碱,观察组患者加痛风气雾剂外用,观察对比2组疗效、疼痛缓解程度,在分析疗效基础上探究合理的用药护理方法。结果 2组在药物治疗的同时,采取了积极有效的护理措施,观察组患者的疼痛程度显著低于对照组,观察组的肿痛消失时间2.6 d明显比对照组3.8 d缩短,观察组的疗效明显优于对照组(Z=-1.995,P=0.046)。患者的治疗满意度达到97.96%(96/98)。结论药物治疗急性痛风性关节炎需要合理的用药护理和指导,痛风气雾剂是治疗痛风关节炎的有效辅助药物。
Objective To explore the nursing care of gout aerosol and apricot treating acute gouty arthritis.Me thods 98 patients with acute gouty arthritis who were admitted to Peking Union Medical College Hospital and Yunnan Provincial Hospital from June 2014 to December 2016 were randomly divided into observation group and control group(n = 49). Both groups were given intra-articular injection Pao and oral colchicine, observation group of patients with gout air aerosol topical,observed and compared the two groups of efficacy,pain relief,based on the analysis of the efficacy of a reasonable approach to drug care.Re s ults In the two groups,the patients were treated with positive and effective nursing measures. The pain degree of the observation group was significantly lower than that of the control group. The disappearance time of the swelling and pain in the observation group was shorter than that in the control group at 3.8 days(Z =-1.995, P = 0.046). The patient's satisfaction was 97.96%(96/98).Conclusion Drug treatment of acute gouty arthritis needs a reasonable medication care and guidance,gout aerosol is an effective adjuvant drug for the treatment of gouty arthritis.
Objective To explore the nursing care of gout aerosol and apricot treating acute gouty arthritis.Me thods 98 patients with acute gouty arthritis who were admitted to Peking Union Medical College Hospital and Yunnan Provincial Hospital from June 2014 to December 2016 were randomly divided into observation group and control group(n = 49). Both groups were given intra-articular injection Pao and oral colchicine, observation group of patients with gout air aerosol topical,observed and compared the two groups of efficacy,pain relief,based on the analysis of the efficacy of a reasonable approach to drug care.Re s ults In the two groups,the patients were treated with positive and effective nursing measures. The pain degree of the observation group was significantly lower than that of the control group. The disappearance time of the swelling and pain in the observation group was shorter than that in the control group at 3.8 days(Z =-1.995, P = 0.046). The patient's satisfaction was 97.96%(96/98).Conclusion Drug treatment of acute gouty arthritis needs a reasonable medication care and guidance,gout aerosol is an effective adjuvant drug for the treatment of gouty arthritis.
引文
[1]梁曼. 21例青年痛风性关节炎病人的护理[J].全科护理,2014,12(01):39.
[2]李迎春,徐建华.急性痛风性关节炎的发病机制及研究进展[J].安徽医学,2013,34(01):96-98.
[3]林金丽,李华轩,谭文遍.消肿定痛膏加仙人掌外敷治疗痛风性关节炎的疗效观察及护理[J].全科护理,2013,11(34):3190-3191.
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[6]万玲玲,刘雪芳,陈芳.心理护理干预对痛风性关节炎患者焦虑抑郁情绪和生活质量的影响[J].吉林医学,2013,34(25):5244-5245.
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[8]刘军慧,钟飞,韩少玲,等.秋水仙碱、苯溴马隆胶囊联合治疗痛风性关节炎非急性发作期[J].昆明医科大学学报,2018,39(02):71-75.
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[10]苗雅琇. 30例中药内服外敷治疗急性痛风性关节炎的临床观察[J].当代护士,2015,01(下旬刊):102-104.
[11]JANSSENS H J,FRANSEN J,VAN DE LISDONK E H,et al. A diagnostic rule for acute gouty arthritis in primary care without joint fluid analysis[J]. Archives of internal medicine,2010,170(13):1120-1126.
[12]王国梁,王福科,张红,等.高尿酸血症与高脂血症的相关分析[J].昆明医科大学学报,2014,35(03):142,155.
[13]OWENS D,WHELAN B,MCCARTHY G. A survey of the management of gout in primary care[J]. Irish medical journal,2008,101(5):147-149.
[14]夏艳玲,张春霞,徐丽珍,等.综合护理在痛风性关节炎患者中的应用效果及其对遵医行为的影响[J].临床合理用药杂志,2017,10(27):167-168.
[15]谢琴.中西医结合治疗痛风性关节炎的综合护理体会[J].中国中医药现代远程教育,2015,13(20):118-119.
[16]徐西林,杨珺,张晓峰.针灸治疗急性痛风性关节炎的临床疗效观察[J].针灸临床杂志,2011,27(08):17-18.
[17]陆萍,魏艳,项淑英.中西医结合治疗护理急性痛风性关节炎60例[J].中医临床研究,2018,10(01):129-130.
[18]刘孟渊.加味四妙散治疗高尿酸血症及急性痛风性关节炎的临床研究[J].辽宁中医杂志,2011,38(04):675-677.
[19]刘维超,李兆福,万春平,等.痛风气雾剂皮肤用药毒性实验研究[J].亚太传统医药,2015,11(07):8-10.
[20]刘维超,万春平,钟晓君,等.痛风气雾剂抗炎镇痛作用的研究[J].中华中医药杂志,2015,30(06):2131-2134.
[21]张琼予,孙李萍,向月应.护理干预对类风湿关节炎患者心理状态及临床疗效的影响[J].昆明医科大学学报,2015,36(08):162-164.
[2]李迎春,徐建华.急性痛风性关节炎的发病机制及研究进展[J].安徽医学,2013,34(01):96-98.
[3]林金丽,李华轩,谭文遍.消肿定痛膏加仙人掌外敷治疗痛风性关节炎的疗效观察及护理[J].全科护理,2013,11(34):3190-3191.
[4]宋江淮,陈洁,饶一武.仙人掌外敷治疗足痛风的观察与护理[J].上海护理,2014,14(3):54-56.
[5]刘燕兰.中药高位足浴联合丹七止痛膏外敷治疗急性痛风性关节炎的疗效观察[J].护理研究,2014,28(8):992-993.
[6]万玲玲,刘雪芳,陈芳.心理护理干预对痛风性关节炎患者焦虑抑郁情绪和生活质量的影响[J].吉林医学,2013,34(25):5244-5245.
[7]朱月华,钟小铃,张小翠.个体化护理在急性痛风性关节炎患者中的应用研究[J].中国现代药物应用,2018,12(10):176-177.
[8]刘军慧,钟飞,韩少玲,等.秋水仙碱、苯溴马隆胶囊联合治疗痛风性关节炎非急性发作期[J].昆明医科大学学报,2018,39(02):71-75.
[9]刘晓玉.痛风性关节炎的护理[J].中国中医急症,2011,20(4):688.
[10]苗雅琇. 30例中药内服外敷治疗急性痛风性关节炎的临床观察[J].当代护士,2015,01(下旬刊):102-104.
[11]JANSSENS H J,FRANSEN J,VAN DE LISDONK E H,et al. A diagnostic rule for acute gouty arthritis in primary care without joint fluid analysis[J]. Archives of internal medicine,2010,170(13):1120-1126.
[12]王国梁,王福科,张红,等.高尿酸血症与高脂血症的相关分析[J].昆明医科大学学报,2014,35(03):142,155.
[13]OWENS D,WHELAN B,MCCARTHY G. A survey of the management of gout in primary care[J]. Irish medical journal,2008,101(5):147-149.
[14]夏艳玲,张春霞,徐丽珍,等.综合护理在痛风性关节炎患者中的应用效果及其对遵医行为的影响[J].临床合理用药杂志,2017,10(27):167-168.
[15]谢琴.中西医结合治疗痛风性关节炎的综合护理体会[J].中国中医药现代远程教育,2015,13(20):118-119.
[16]徐西林,杨珺,张晓峰.针灸治疗急性痛风性关节炎的临床疗效观察[J].针灸临床杂志,2011,27(08):17-18.
[17]陆萍,魏艳,项淑英.中西医结合治疗护理急性痛风性关节炎60例[J].中医临床研究,2018,10(01):129-130.
[18]刘孟渊.加味四妙散治疗高尿酸血症及急性痛风性关节炎的临床研究[J].辽宁中医杂志,2011,38(04):675-677.
[19]刘维超,李兆福,万春平,等.痛风气雾剂皮肤用药毒性实验研究[J].亚太传统医药,2015,11(07):8-10.
[20]刘维超,万春平,钟晓君,等.痛风气雾剂抗炎镇痛作用的研究[J].中华中医药杂志,2015,30(06):2131-2134.
[21]张琼予,孙李萍,向月应.护理干预对类风湿关节炎患者心理状态及临床疗效的影响[J].昆明医科大学学报,2015,36(08):162-164.