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目的 探讨中西医结合延续护理对慢性荨麻疹患者治疗效果及生命质量的影响.方法 将96例确诊为慢性荨麻疹的患者按照随机数字表法随机分为对照组和观察组各48例.对照组患者给予常规护理,观察组患者实施中西医结合延续护理,疗程为1年,在疗程第3、6、12个月时进行治疗效果评价,同时采用皮肤病生命质量指数(Dermatology Life Quality Index,DLQI)问卷进行生命质量评价;并于干预后2个月随访1次,评价2组患者的复发情况.结果 在疗程第3、6、12个月时,对照组与观察组的总有效率分别为75.6％(34/45)、80.0％(36/45)、82.2％ (37/45)和87.0％(40/46)、91.3％ (42/46)、93.5％(43/46),2组比较差异有统计学意义,P＜0.05; DLQI评分在疗程第3、6、12个月对照组与观察组分别为(7.82±1.95)、(7.04±1.58)、(6.56±0.88)分和(6.85±1.56)、(5.71±1.03)、(3.42±0.78)分,2组比较差异有统计学意义,P＜0.01;2组患者复发间隔时间分别为(24.75±5.07)d和(38.20±7.22)d,差异有统计学意义,P＜0.01.结论 中西医结合延续护理能显著改善慢性荨麻疹患者的治疗效果,减少复发,提高患者的生命质量,效果优于常规护理,值得临床推广应用.

Objective To explore the influence of combination of Chinese traditional and western medicine continuing nursing care on treatment outcome and quality of life of patients with chronic urticaria.Methods 96 confirmed chronic urticaria patients were selected and divided into the control group and the observation group with 48 patients in each group according to random digit table.The control group was given with routine nursing mode.The observation group received combination of Chinese traditional and western medicine continuing nursing care.The treatment lasted for 12 months.Treatment effect and Dermatology Life Qudity Index (DLQI) evaluation were executed at the end of the 3rd,6th and 12th months.The relapse was inquired 2 months after the intervention by follow-up.Results The total effective rates in the control group and the observation group at the end of the 3rd,6th and 12th months were 75.6％ (34/45),80.0％ (36/45),82.2％ (37/45) and 87.0％ (40/46),91.3％ (42/46),93.5％ (43/46),the results showed significant difference,P ＜ 0.05.DLQI scores at the end of the 3rd,6th and 12th months in the control group and the observation group were (7.82±1.95),(7.04±1.58),(6.56±0.88) scores and (6.85±1.56),(5.71±1.03),(3.42±0.78) scores,the differences were significant,P＜0.05.The relapse interval time was (24.75±5.07) days and (38.20±7.22) days,the difference was statistically significant (P＜0.01).Conclusions Combination of Chinese traditional and western medicine continuing nursing care can significantly improve treatment outcome of chronic urticaria,reduce relapse rate,increase quality of life for patients with chronic urticaria,and it is better than routine nursing care and is worthy of being popularized.