中医体质辨识结合治未病对胃功能失调胃部血清水平及生活质量的影响  

Effect of Traditional Chinese Medicine Constitution Identification and Prevention of Diseases on Gastric Serum Level and Quality of Life in Patients with Gastric Dysfunction

作　　者：李秀花 LI Xiuhua(Nanping peoples Hospital,Nanping 353000,Fujian,China)

机构地区：[1]福建南平人民医院,福建南平353000

出　　处：《实用中医内科杂志》2021年第11期50-52,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：广东省中医药局建设中医药强省科研项目(2009360)。

摘　　要：目的探讨胃功能失调患者行中医体质辨识结合治未病的临床效果。方法选取医院2019年9月—2020年9月收治的60例胃功能失调患者作为研究对象,按照随机数字表法分为对照组和观察组各30例,对照组予以常规治疗,多塞平片治疗1个月。观察组在对照组的基础上予以中医体质辨识并治未病治疗,通过评估胃功能失调患者的体质量,为患者制定相适应的综合治疗方案。比较两组患者临床疗效、血清指标(胃蛋白酶原PGⅠ、胃蛋白酶原PGⅡ)、亚健康检出率及总体健康评分,其中总体健康评分包括胃肠功能监测、情感功能、精神状况等。结果观察组的总有效率为90.00%(27/30)明显高于对照组的73.33%(2/30),差异有统计学意义(P<0.05);治疗后,两组PGⅠ、PGⅡ有所上升,其中观察组明显高于对照组(P<0.05);治疗后,两组患者的亚健康检出率降低,观察组低于对照组(43.33%/70.00%)(P<0.05);观察组总体健康评分明显高于对照组(P<0.05)。结论胃功能失调患者行中医体质辨识并治未病通过改善胃部血清水平,提高生活质量,治疗效果显著。研究不足之处是没有将未病的不同类型进行合理划分,只是对于总体进行概述,今后应对不同类型的未病给予相对应的干预措施,以提高临床的应用价值,为提高有效的干预措施获得更多的理论依据。Objective To explore the clinical effect of traditional Chinese medicine constitution identification and prevention of diseases in patients with gastric dysfunction.Methods Sixty patients with gastric dysfunction treated in our hospital from September 2019 to September 2020 were randomly divided into control group(n=30,appropriate routine treatment,doxepin tablets for 1 month)and the observation group(n=30,on the basis of the control group,traditional Chinese medicine physique identification and preventive treatment).The appropriate comprehensive treatment scheme was formulated for the patients by evaluating the body mass of patients with gastric dysfunction.The clinical efficacy,serum indexes(pepsinogen PG,PGⅡ),sub-health detection rate and overall health score were compared between the two groups.The overall health score included gastrointestinal function monitoring,emotional function,mental status and so on.Results The total effective rate in the observation group was 90.00%(27/30),which was significantly higher than 73.33%(22/30)in the control group(P<0.05).After treatment,the levels of PGⅠand PGⅡin the observation group were significantly higher than those in the control group(P<0.05).After treatment,the number of patients with sub-health in the observation group was lower than that in the control group(43.33%vs 70.00%)(P<0.05).The overall health score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Traditional Chinese medicine constitution identification and treatment of patients with gastric dysfunction can improve the quality of life by improving the serum level in the stomach.This study did not reasonably divide the different types of disease prevention,but only summarized the overall situation.In the future,corresponding intervention measures should be given to different types of disease prevention,so as to improve the clinical application value and obtain more theoretical basis for improving effective intervention measures.

关 键 词：胃功能失调 体质辨识 治未病 

分 类 号：R256.3[医药卫生—中医内科学]