摘要
目的:探讨中医护理干预肝郁脾虚型功能性消化不良(Functional Dyspepsia,FD)患者临床疗效。方法:选取南京市高淳中医院脾胃科门诊及病房60例肝郁脾虚型FD患者,按照随机数字表法分为中医护理组和对照组,每组各30例,中医护理组给予中医护理干预+奥美拉唑+氟哌噻吨美利曲辛,对照组则单纯服用奥美拉唑+氟哌噻吨美利曲辛。结果:两组经治疗后4周,中医护理组的总有效率优于对照组,差异具有统计学意义(P<0.05);中医护理组经治疗4周后中医症状积分:腹胀、纳少、便溏、烦躁易怒、嗳气、反酸症状优于治疗前,差异具有统计学意义(P<0.05);对照组中医症状积分:腹胀、神疲乏力症状优于治疗前,差异有统计学意义(P<0.05);两组干预后中医护理组焦虑自评量表积分(Self-rating Anxiety Scale,SAS)、抑郁自评量表积分(Self-rating Depression Scale,SDS)改善优于治疗前,差异有统计学意义(P<0.05);对照组SDS积分改善优于治疗前,差异有统计学意义(P<0.05)。结论:中医护理干预能够有效治疗FD肝郁脾虚型患者的症状,优于单纯服用奥美拉唑+氟哌噻吨美利曲辛治疗。中医护理干预治疗等辅助手段的治疗能够有效帮助患者改善负性不良情绪,提高FD的治愈率。
Objective: To explore the clinical effect of traditional Chinese medicine nursing intervention on functional dyspepsia(FD) of liver stagnation and spleen deficiency. Methods: 60 patients with functional dyspepsia of liver depression and spleen deficiency in outpatient department and ward of Nanjing Gaochun Hospital of Traditional Chinese Medicine were selected and divided into the traditional Chinese medicine nursing group and the control group according to random number table method, with 30 cases in each group.The traditional Chinese medicine nursing group was given traditional Chinese medicine nursing intervention + omeprazole + delexin, while the control group was given omeprazole + delexin alone. Results: 4 weeks after treatment, the effective rate of the traditional Chinese medicine nursing group was better than that of the control group, and the difference was statistically significant(P<0.05);After 4 weeks of treatment, traditional Chinese medicine(TCM) symptom scores in the TCM nursing group were as follows: abdominal distension, hypoxia,loose stool, irritability, belching and acid regurgitation were better than those before treatment, and the difference was statistically significant(P<0.05);In the control group, symptoms of abdominal distension and fatigue were better than those before treatment, and the difference was statistically significant(P<0.05);The improvement of self-rating anxiety scale(SAS) and self-rating depression scale(SDS)scores in the TCM nursing group after intervention was better than that before treatment, and the difference was statistically significant(P<0.05). The improvement of SDS score in the control group was better than that before treatment, the difference was statistically significant(P<0.05). Conclusion: Nursing intervention of traditional Chinese medicine can effectively treat the symptoms of functional dyspepsia patients of liver stagnation and spleen deficiency, which is better than the simple administration of omeprazole + delexin treatment.Traditional Chinese medicine
出处
《中医临床研究》
2021年第9期23-25,30,共4页
Clinical Journal Of Chinese Medicine
基金
南京市科学计划项目——中西医结合护理干预对肝郁型功能性消化不良的临床观察(201715080)。
