摘要
目的:分析中药穴位敷贴联合静脉营养支持治疗恶阻的疗效。方法:2017年3月-2020年8月收治恶阻患者75例,随机分为三组,各25例。对照组给予静脉营养支持治疗;试验组在静脉营养支持基础上加入穴位贴敷,A组取神阙+内关穴,B组取中脘、神阙、内关、足三里。比较三组治疗效果。结果:试验A组、B组治疗总有效率均高于对照组,差异有统计学意义(P<0.05);试验A组与B组治疗总有效率比较,差异无统计学意义(P>0.05)。试验A组、B组治疗后NVP量化表评分和中医症候症状积分均低于对照组,差异有统计学意义(P<0.05);试验A组与B组治疗后NVP量化表评分和中医症候症状积分比较,差异无统计学意义(P>0.05)。试验A组、B组治疗第3天尿酮体水平均低于对照组,差异有统计学意义(P<0.05);三组治疗第7天尿酮体水平比较,差异无统计学意义(P>0.05)。试验A组、B组复发率均低于对照组,差异有统计学意义(P<0.05);试验A组与B组复发率比较,差异无统计学意义(P>0.05)。结论:中药穴位敷贴联合静脉营养支持治疗,可提升对恶阻的治疗效果。
Objective:To analyze the curative effect of acupoint application of traditional Chinese medicine combined with intravenous nutritional support in the treatment of pernicious vomiting.Methods:From March 2017 to August 2020,75 patients with pernicious vomiting were selected,they were randomly divided into the three groups with 25 cases in each group.The control group was given intravenous nutritional support treatment.The experimental group added acupoint application on the basis of intravenous nutritional support,the group A took Shenque and Neiguan acupoint,the group B took Zhongwan,Shenque,Neiguan,and Zusanli.We compared the treatment effects of the three groups.Results:The total effective rate of treatment in the experimental group A and the experimental group B was higher than that in the control group,the difference was statistically significant(P<0.05).The total effective rate of treatment in the experimental group A and the experimental group B was compared,and the difference was not statistically significant(P>0.05).The scores of NVP quantification table and traditional Chinese medicine(TCM)symptom scores of the experimental group A and the experimental B after treatment were lower than those of the control group,the difference was statistically significant(P<0.05).There was no significant difference between the experimental group A and the experimental group B in NVP quantitative scale score and TCM symptom score after treatment(P>0.05).The urine ketone body level on the third day of treatment in the experimental group A and the experimental group B was lower than that of the control group,the difference was statistically significant(P<0.05).The comparison of the urine ketone body level on the seventh day of the three groups was not statistically significant(P>0.05).The recurrence rates of the experimental group A and the experimental group B were lower than those of the control group,the difference was statistically significant(P<0.05).The recurrence rate of the experimental group A and the experimental
作者
唐琛
Tang Chen(Traditional Chinese Medicine Hospital of Liyang City,Jiangsu Province,Jiangsu Liyang 213300)
出处
《中国社区医师》
2021年第32期105-106,109,共3页
Chinese Community Doctors
关键词
中药穴位敷贴
取穴
恶阻
Acupoint application of traditional Chinese medicine
Acupoint selection
Pernicious vomiting