本文選題：《黃帝內(nèi)經(jīng)》 + 肺病��； 參考：《長春中醫(yī)藥大學》2016年碩士論文

【摘要】：目的整理《黃帝內(nèi)經(jīng)》時間節(jié)律相關理論,用現(xiàn)代統(tǒng)計學原理驗證部分肺臟病證死亡時間節(jié)律的科學性,研究《黃帝內(nèi)經(jīng)》時間節(jié)律理論對肺臟病證患者時間護理的指導意義。方法回顧性分析2004年1月—2014年12月期間,吉林省六家三甲級醫(yī)院收治的符合納入標準的283例肺病患者的臨床死亡病例,對姓氏、性別、年齡、科室、死亡診斷、最后一次病情加重搶救至死亡時長、死亡日期、死亡時間等項目進行列表整理,用SPSS22. 0進行死亡時間的錄入和統(tǒng)計,分析死亡時間的集中趨勢,顯著性水平α =0. 05,以P0. 05位差異有統(tǒng)計學意義。結果1.283例肺病患者死亡月份分析,有統(tǒng)計學意義,存在月份發(fā)病率差異。2. 283例肺病患者死亡季節(jié)性分布情況,春季43例,夏季117例,秋季40例,冬季83例,季節(jié)分布有明顯差異,冬季與夏季死亡較多,秋季死亡較少。3. 283例肺病患者死亡時點分析,有統(tǒng)計學意義,存在時點發(fā)病率差異。4. 283例肺病患者死亡晝時集中情況,全年283例分析結果表明,肺病僅在夏季、冬季存在統(tǒng)計學差異。夏季117例分析結果,P0. 05,求得的平均角73. 80°表明夏季肺臟病患者的死亡時間有集中趨勢,凌晨04: 56為夏季肺臟病患者死亡的平均點。冬季83例分析結果,P0. 05,求得的平均角為264. 24°,表明冬季肺臟病患者的死亡時間有集中趨勢,17:37為冬季肺臟病患者死亡的平均點。結論1.肺病患者病情加重多見于冬季與夏季,秋季死亡數(shù)最少。在夏季有集中在凌晨4點56分死亡的趨勢,冬季有集中在17點37分死亡的趨勢,與《黃帝內(nèi)經(jīng)》中對肺臟病死亡時間的描述基本一致,對臨床時間護理工作具有一定的指導意義。2.《黃帝內(nèi)經(jīng)》中對于肺臟病生理、病理時間節(jié)律的描述具有一定的現(xiàn)實參考意義,可以指導臨床護理工作從時間的角度對疾病的變化予以護理,本研究探討的范圍包括環(huán)境護理、服藥護理、飲食護理、養(yǎng)生指導、護理管理等方面,選擇最佳的護理時機,幫助患者安全度過危險期,減輕患者痛苦,增加生存質量。
[Abstract]:Objective to analyze the relevant theories of time rhythm in Huangdi Classic of Internal Medicine, and to verify the scientific nature of the rhythm of death time of partial lung disease syndrome with modern statistical principle, and to study the guiding significance of the theory of time rhythm of Huangdi Classic on time nursing of patients with lung disease syndrome. Methods from January 2004 to December 2014, the clinical death cases of 283 lung disease patients admitted to six hospitals in Jilin Province from January 2004 to December 2014 were analyzed retrospectively. The diagnosis of last name, sex, age, department and death were analyzed. The last aggravated rescue to the death of the time, death date, time of death and other items for a list, using SPSS 22. 2. 0. The inputting and statistics of death time were carried out, and the concentration trend of death time was analyzed. 05, to P0. There was statistical significance in the difference of 05 positions. Results the month of death in 1.283 patients with pulmonary disease was statistically significant, and there was a monthly incidence difference of. 2. 2. There were 43 cases in spring, 117 cases in summer, 40 cases in autumn and 83 cases in winter. Analysis of death time points in 283 patients with pulmonary disease showed statistically significant difference in incidence at time points. 4. 4. The results showed that the incidence of pulmonary disease was only in summer and there was statistical difference in winter. In summer, 117 cases were analyzed. The average angle obtained is 73. 5. The death time of the patients with pulmonary disease in summer showed a tendency of concentration, and 0456 am was the average point of death of the patients with pulmonary disease in summer. The results of analysis of 83 cases in winter were P0. The average angle obtained is 264. 24 擄, which indicates that the death time of lung disease patients in winter has a concentrated trend: 17: 37 is the average point of death of lung disease patients in winter. Conclusion 1. The exacerbation of pulmonary disease occurred in winter and summer, and the death in autumn was the least. There was a tendency of death concentrated at 04:56 in summer and 17:37 in winter, which was basically consistent with the description of the time of death of lung disease in Huangdi Classic. It has certain guiding significance for clinical time nursing work .2.The description of physiological and pathological time rhythm of pulmonary diseases in Huangdi Nei Jing has certain practical reference significance. It can guide the clinical nursing work to take care of the changes of disease from the angle of time. The scope of this study includes environmental nursing, medication nursing, diet nursing, health care guidance, nursing management and so on, so as to select the best nursing opportunity. To help patients safely through the dangerous period, alleviate the suffering of patients, and improve the quality of life.
【學位授予單位】：長春中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R248.1

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