摘要
目的:探讨腹针治疗慢性腹泻的临床疗效,并观察对患者睡眠质量的影响。方法:选取2020年1月至2022年5月厦门湖里冬日晟达中医院收治的慢性腹泻患者60例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组30例。对照组接受双歧杆菌四联活菌片治疗,观察组在对照组治疗基础上加用腹针治疗,连续治疗4周。比较2组治疗后临床症状评分、临床疗效、临床症状缓解时间、睡眠质量、免疫功能。结果:1)治疗后,2组患者临床症状评分均较治疗前下降,其中观察组治疗后临床症状评分明显低于对照组,2组比较差异有统计学意义(P<0.05);2)治疗后,观察组临床总有效率为90%,对照组临床总有效率为66.67%,2组比较差异有统计学意义(P<0.05)。3)治疗后,2组患者临床症状均得到一定程度的缓解,其中观察组临床症状缓解时间短于对照组,2组比较差异有统计学意义(P<0.05)。4)治疗后,观察组患者PSQI总分低于对照组患者,2组比较差异有统计学意义(P<0.05)。5)治疗后,2组患者血清IgA、IgG、IgM水平均较治疗前升高,观察组患者血清IgA、IgG、IgM水平均高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:腹针可明显改善慢性腹泻的临床疗效,调整患者睡眠质量,其作用机制可能与调节患者的免疫能力有关。
Objective:To investigate the clinical effect of abdominal acupuncture on chronic diarrhea and observe the changes of sleep quality of patients.Methods:A total of 60 patients with chronic diarrhea were enrolled in the study,and randomly divided into control group and observation group,30 patients in each group.The control group received three bifidobacterium quadruplex live tablets,three tablets per time,three times per day,for four consecutive weeks.The observation group added abdominal acupuncture on the basis of drug use in the control group,and selected acupoints:bilateral Wailing point,bilateral Huashuimen point,Xiawan point,Zhongwan point,Guanyuan point,Qihai point,bilateral Daheng point,30 min/time.1 time/day,5 times/week,continuous treatment for 4 weeks.After the treatment,the clinical efficacy score,clinical efficacy,clinical symptom relief time,sleep state and immune function of the two groups were compared.Results:1)After treatment,the scores of clinical symptoms in the two groups were significantly lower than those before treatment(P<0.05),and the scores in the observation group were significantly lower than those in the control group(P<0.05);2)After treatment,the total clinical effective rate was 90%in the observation group and 66.67%in the control group.There was a statistically significant difference between the two groups(P<0.05).3)After treatment,the clinical symptoms of the two groups were alleviated to a certain extent,and the clinical symptom relief time of the observation group was shorter than that of the control group,with a statistically significant difference(P<0.05).4)After treatment,the total score of PSQI in the observation group was lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).5)After treatment,IgA,IgG and IgM in the two groups were higher than those before treatment(P<0.05).After treatment,the above indexes in the observation group were higher than those in the control group,with a statistically significant difference(P<0.05).Conclusion:Abdominal acupuncture can significantly improve the clinical efficacy of chronic diarrhea and adjust the sleep quality of patients.Its mechanism may be related to the immune ability of patients.
作者
林桂清
池则逢
LIN Guiqing;CHI Zefeng(Xiamen Huli Dongri Shengda TCM Outpatient Department,Xiamen 361006,China)
出处
《世界睡眠医学杂志》
2022年第12期2287-2289,2293,共4页
World Journal of Sleep Medicine
关键词
慢性腹泻
临床症状
睡眠质量
免疫能力
Chronic diarrhea
Clinical symptoms
Sleep quality
Immunity
