摘要
目的探讨穴位按摩结合贴敷在气滞型功能性消化不良(FD)患者中的应用效果.方法回顾性分析本院2019年8月—2021年8月收治的92例气滞型FD患者的临床资料,按治疗方式不同将其分为两组,每组46例.将接受常规护理的46例患者纳入对照组,将在此基础上接受穴位按摩结合贴敷干预的46例患者纳入观察组,两组均连续干预2周.对比两组患者的中医证候积分、胃肠激素水平、心理状态、生活质量及护理满意度.结果干预2周后,观察组的各项中医症候积分均低于对照组,组间差异有统计学意义(P<0.05).干预2周后,观察组的胃动素、胃泌素水平均高于对照组,组间差异有统计学意义(P<0.05).干预2周后,观察组的焦虑自评量表、抑郁自评量表评分分别为(41.53±2.12)分、(40.32±2.67)分,均低于对照组,组间差异有统计学意义(P<0.05).干预2周后,观察组的SF-36各维度评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的护理满意度为93.48%,高于对照组的78.26%,差异有统计学意义(P<0.05).结论穴位按摩结合贴敷可改善气滞型FD患者的中医症候及心理状态,促进胃肠激素水平复常,显著提升其生活质量及护理满意度,值得临床推广使用.
Objective To investigate the effect of acupoint massage combined with sticking in patients with functional dyspepsia(FD)of Qi stagnation type.Methods The clinical data of 92 patients with Qi stagnation FD admitted to our hospital from August 2019 to August 2021 were retrospectively analyzed and were divided into two groups according to different treatment methods,with 46 cases in each group.46 patients receiving routine nursing were included in the control group,and 46 patients receiving acupoint massage combined with sticking intervention on this basis were included in the observation group.Both groups were continuously intervened for 2 weeks.The TCM syndrome score,gastrointestinal hormone level,psychological state,quality of life and nursing satisfaction were compared between the two groups.Results After intervention,the scores of TCM symptoms in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After 2 weeks of intervention,the levels of motilin and gastrin in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After 2 weeks of intervention,the self-rating anxiety scale and self-rating depression scale scores of the observation group were(41.53±2.12)points and(40.32±2.67)points,respectively,which were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).After 2 weeks of intervention,the scores of each dimension of the SF-36 in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The nursing satisfaction of the observation group was 93.48%,higher than 78.26%of the control group,the difference was statistically significant(P<0.05).Conclusion Acupoint massage combined with sticking can improve the TCM symptoms and psychological state of Qi stagnation type FD patients,promote the level of gastrointestinal hormone recovery,significantly improve their quality of life and nursing satisfaction,and is worthy of clinical application.
作者
樊霞
丁雪梅
卢姗姗
FAN Xia;DING Xuemei;LU Shanshan(Department of Spleen and Stomach Diseases,Rizhao Hospital of Traditional Chinese Medicine,Rizhao Shandong,276800,China;Health Management Center,Rizhao Hospital of Traditional Chinese Medicine,Rizhao Shandong,276800,China)
出处
《反射疗法与康复医学》
2023年第6期12-15,44,共5页
Reflexology And Rehabilitation Medicine
关键词
气滞型功能性消化不良
穴位按摩
穴位贴敷
中医证候
生活质量
Qi stagnation type functional dyspepsia
Acupoint massage
Acupoint sticking
TCM syndromes
Quality of life
