中医专科管理干预联合艾灸、穴位贴敷对终末期肝病患者的干预效果  

Intervention effect of traditional Chinese medicine specialty intervention combined with moxibustion and acupoint patching on patients with end-stage liver disease

作　　者：赵丽娜[1] 张坤[2] 韩倩[1] 王志华[1] 夏梦甜 ZHAO Lina;ZHANG Kun;HAN Qian;WANG Zhihua;XIA Mengtian(Department of Infection Pediatrics,Shijiazhuang Fifth Hospital,Shijiazhuang,Hebei 050020;Department of Nursing,Shijiazhuang Fifth Hospital,Shijiazhuang,Hebei 050020)

机构地区：[1]河北省石家庄市第五医院感染儿科,河北石家庄050020 [2]河北省石家庄市第五医院护理部,河北石家庄050020

出　　处：《河北中医》2023年第11期1859-1862,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2020年度中医药类科研计划项目(编号:2020284)。

摘　　要：目的观察中医专科管理干预联合艾灸、穴位贴敷对终末期肝病患者的干预效果。方法选取2020年1月至2021年12月石家庄市第五医院收治的终末期肝病患者72例,根据随机摸球法分成观察组(n=36)和对照组(n=36)。对照组予常规干预,观察组予中医专科管理干预联合艾灸、穴位贴敷干预,均干预4周。比较2组干预前后临床症状评分、疼痛视觉模拟评分(VAS)、健康调查简表(SF-36)评分,并统计2组并发症。结果干预后,2组胁肋胀痛、腰腿酸软、食欲不佳、五心烦热、口干咽燥、头晕耳鸣评分及疼痛VAS均低于本组干预前(P<0.05),且观察组各项症状评分及疼痛VAS均显著低于对照组(P<0.05)。干预后,2组SF-36各维度评分均显著高于本组干预前(P<0.05),且观察组均高于对照组(P<0.05)。观察组并发症发生率8.33%(3/36),对照组并发症发生率27.78%(10/36),观察组低于对照组(P<0.05)。结论对终末期肝病患者给予中医专科管理干预联合艾灸、穴位贴敷干预,能够减轻临床相关症状及并发症发生率,缓解疼痛,改善患者生活质量。Objective To observe the intervention effect of traditional Chinese medicine(TCM)specialty intervention combined with moxibustion and acupoint patching on patients with end-stage liver disease(ESLD).Methods From January 2020 to December 2021,seventy-two ESLD patients admitted to Shijiazhuang Fifth Hospital were assigned to control group(n=36)and observation group(n=36)by random touch ball method,in which they received routine intervention and TCM specialty intervention combined with moxibustion and acupoint patching,respectively.The intervention was carried out for 4 weeks to compare clinical symptoms score,visual analogue scale(VAS)for pain,the 36-item Short-Form Health Survey(SF-36).The complication was assessed.Results After intervention,the scores of hypochondrium distending pain,lassitude loin and legs,poor appetite,five feverish centres,dry mouth and throat,dizziness and tinnitus and VAS in the both groups were significantly decreased(P<0.05),which were significantly lower in the observation group than in the control group(P<0.05).SF-36 scores in the both groups were significantly increased(P<0.05),which in the observation group were more prevalent compared with the control group(P<0.05).The rate of complications in the observation group was significantly lower than that in the control group(8.33%[3/36]vs 27.78%[10/36],[P<0.05],respectively).Conclusion For ESLD patients,TCM specialty intervention combined with moxibustion and acupoint patching can alleviate clinical symptoms and reduce the incidence of complications,relieve pain and improve quality of life.

关 键 词：终末期肝病 灸法 穴位贴敷疗法 疼痛 生活质量 

分 类 号：R575.053.1[医药卫生—消化系统]