摘要
目的探讨中医推拿、生姜穴位贴敷配合穴位按摩在改善血液透析患者胃肠道不适中的应用效果。方法选取江西中医药大学附属医院2020年1—12月实施治疗的60例血透期间出现胃肠道不适患者作为研究对象,按照随机数字表法分为对照组(30例)与观察组(30例)。对照组采用生姜穴位贴敷与穴位按摩结合治疗,观察组在对照组的基础上使用中医推拿治疗。比较两组的治疗效果、治疗前后的胃动素、P物质含量,中医证候积分(恶心呕吐、食入即吐、呕吐清水、头晕厌食)及生活质量(心理状态、躯体健康、社会角色、物质生活)情况。结果观察组的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组的胃动素、P物质含量比较,差异无统计学意义(P>0.05);治疗后,观察组的胃动素、P物质含量高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组的中医证候积分低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组的生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论血透期间出现胃肠道不适患者予以中医推拿、生姜穴位贴敷结合穴位按摩治疗的临床效果显著,可有效缓解胃肠道不适,增加胃动力,减少中医证候,提高生活质量。
Objective To study the clinical significance of Traditional Chinese Medicine Massage,ginger acupoint application combined with acupoint massage in the treatment of gastrointestinal discomfort during hemodialysis.Methods A total of 60 patients with gastrointestinal discomfort during hemodialysis in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January to December 2020 were selected and randomly divided into control group(30 cases)and observation group(30 cases).The control group was treated with ginger acupoint application combined with acupoint massage,and the observation group was treated with Traditional Chinese medicine massage on the basis of the control group.The therapeutic effect,motilin and substance P content before and after treatment,Traditional Chinese Medicine syndrome score(nausea and vomiting,vomiting,vomiting water,dizziness and anorexia)and quality of life(mental state,physical health,social role,material life)were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the contents of motilin and substance P in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the Traditional Chinese Medicine syndrome score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the quality of life score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of Traditional Chinese Medicine massage,ginger acupoint application combined with acupoint massage in patients with gastrointestinal discomfort during hemodialysis is significant,which can effectively alleviate gastrointestinal discomfort,increase gastric motility,reduce Traditional Chinese Medicine syndromes and improve quality of life.
作者
陈凤香
陈常莲
刘佩佩
李清萍
揭丽思
晏子友
CHEN Feng-xiang;CHEN Chang-lian;LIU Pei-pei;LI Qing-ping;JIE Li-si;YAN Zi-you(Department of Nephrology,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330006,China)
出处
《中国当代医药》
CAS
2021年第25期174-177,共4页
China Modern Medicine
基金
江西省中医药管理局科技计划(2020A0073)。
关键词
中医推拿
生姜穴位贴敷
穴位按摩
血液透析
胃肠道不适
治疗效果
Traditional Chinese Medicine Massage
Ginger acupoint application
Acupoint massage
Hemodialysis
Gastrointestinal discomfort
Therapeutic effect
