摘要
目的探讨个性化饮食方案在肝硬化腹水患者中的应用效果。方法前瞻性随机对照试验,以广西中医药大学附属瑞康医院2021年2月至2022年6月收治的103例肝硬化腹水患者作为研究对象,采用随机数字表法将患者分为联合组(51例)与对照组(52例)。对照组采用常规护理干预+红外线理疗仪,在此基础上,联合组加行个性化饮食方案干预。两组均干预3周。比较干预前后两组临床指标、腹胀程度、腹水分级。结果干预后,两组腹围、双侧踝关节平均周径低于干预前,且联合组小于对照组,差异有统计学意义(P<0.05);干预后两组24 h尿量高于干预前,且联合组高于对照组,差异有统计学意义(P<0.05)。干预后,两组腹胀分级优于干预前,且联合组优于对照组,差异有统计学意义(P<0.05)。干预后,两组腹水程度优于干预前,且联合组优于对照组,差异有统计学意义(P<0.05)。结论红外线理疗仪联合个性化饮食方案可有效降低肝硬化腹水患者腹围、双侧踝关节周径,提高尿量,改善腹胀、腹水分级。
Objective To investigate the effect of personalized diet in patients with liver cirrhosis ascites.Methods A prospective randomized controlled study was conducted in 103 liver cirrhotic ascites patients admitted to Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine from February 2021 to June 2022.The patients were divided into a combination group(51 cases)and a control group(52 cases)by random number table method.The control group was treated with conventional nursing intervention+infrared physiotherapy instrument.On this basis,the combined group was treated with personalized diet program intervention.Both groups were treated for three weeks.The clinical indexes,degree of abdominal distension,and grade of ascites were compared between the two groups before and after intervention.Results After intervention,the abdominal circumference and bilateral ankle average circumference of the two groups were lower than those before intervention,and the combined group were lower than those of the control group,and the differences were statistically significant(P<0.05).Urine volume at 24 h after intervention was higher in both groups than that before intervention,and the combined group was higher than the control group,and the differences were statistically significant(P<0.05).After intervention,the abdominal distension grading of the two groups was better than that before intervention,and that of the combined group was better than that of the control group,and the differences were statistically significant(P<0.05).After intervention,the degree of ascites of the two groups was better than that before intervention,and that of the combined group was better than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Infrared physiotherapy instrument combined with personalized diet can effectively reduce abdominal circumference,bilateral ankle average circumference,increase urine volume,and improve abdominal distension and ascites grade in patients with liver cirrhosis ascites.
作者
李慧
李桂凤
张媛媛
LI Hui;LI Guifeng;ZHANG Yuanyuan(Department of Hepatology,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Guangxi Zhuang Autonomous Region,Nanning 530011,China)
出处
《中国医药导报》
CAS
2024年第1期172-175,180,共5页
China Medical Herald
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200652)。
关键词
红外线理疗仪
肝硬化腹水
饮食
Infrared physiotherapy instrument
Liver cirrhosis ascites
Diet
