艾灸配合穴位贴敷干预血液透析胃肠功能紊乱效果分析  

Effect Analysis of Moxibustion Combined with Acupoint Application Intervening Gastrointestinal Dysfunction in Hemodialysis

作　　者：俞芳洁 李月琴[1] 潘英 YU Fangjie;LI Yueqin;PAN Ying

机构地区：[1]杭州市中医院肾内科,浙江杭州310021

出　　处：《新中医》2020年第4期161-163,共3页New Chinese Medicine

摘　　要：目的:观察在常规疗法基础上加用艾灸配合穴位贴敷干预血液透析胃肠功能紊乱的临床效果。方法:将110例出现胃肠功能紊乱的血液透析患者随机分为对照组和观察组各55例。2组均予常规疗法和护理措施,观察组同期加予艾灸和中药穴位贴敷,连续7天为1个疗程,共治疗4个疗程。治疗前后评定胃肠功能紊乱症状评分。4周后,患者评价护理满意度。比较2组的临床疗效。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2组恶心、呕吐、腹胀、厌食、其他症状评分和总分均较治疗前下降(P<0.01),观察组4项症状评分和总分均低于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在常规治疗与护理基础上加用艾灸联合穴位贴敷干预血液透析患者,能有效改善胃肠功能紊乱情况,提高临床疗效和患者对护理措施的满意度。Objective:To observe the clinical effect of moxibustion combined with acupoint application on the basis of routine therapy intervening gastrointestinal dysfunction in hemodialysis. Methods: A total of 110 cases of patients were randomly divided into the control group and the observation group,with 55 cases in each group. Both groups were given routine therapy and nursing measures,and the observation group was additionally given moxibustion and acupoint application of Chinese medicine. Both groups were treated for four courses, seven days being a course. The symptom scores of gastrointestinal dysfunction were evaluated before and after treatment. After four weeks,nursing satisfaction was evaluated.aThe clinical effect in the two groups was compared. Results:After treatment,the clinical effect in the observation group was better than that in the control group(P<0.05). The scores of nausea, vomiting, abdominal distension, anorexia and other symptoms and the total scores in the two groups were all decreased when compared with those before treatment(P<0.01),and the above scores in the observation group were all lower than those in the control group(P<0.01). The nursing satisfaction in the observation group was higher than that in the control group(P<0.05). Conclusion:On the basis of routine treatment and nursing,the additional application of moxibustion combined with acupoint application intervening the patients with hemodialysis can effectively improve the gastrointestinal dysfunction and enhance the clinical effect and the patients’ satisfaction with the nursing measures.

关 键 词：胃肠功能紊乱 血液透析 中西医结合疗法 护理 艾灸 穴位贴敷 

分 类 号：R574.4[医药卫生—消化系统]