热敏灸联合中药热奄包治疗糖尿病胃轻瘫效果观察  

Clinical effect observation of heat-sensitive moxibustion combined with traditional Chinese medicine Reyan Bao(Febrile package)in the treatment of diabetic gastroparesis patients

作　　者：胡佳 胡晴 谢小丽 HU Jia;HU Qing;XIE Xiao-li

机构地区：[1]高安市中医院急诊科,江西高安330800 [2]高安市中医院门诊部,江西高安330800 [3]高安市中医院神经内科,江西高安330800

出　　处：《中国疗养医学》2024年第1期62-65,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的探讨热敏灸联合中药热奄包干预在糖尿病胃轻瘫(DGP)中的应用效果。方法选取高安市中医院2021年1月至2023年1月收治的70例DGP患者,按随机数字表分为两组,各35例。对照组予以常规护理干预,观察组加用热敏灸联合中药热奄包干预,持续4周。比较两组临床症状评分、胃动力学指标、胃肠激素水平、舒适度及生活质量。结果观察组干预后早饱、恶心呕吐、腹痛、腹胀评分为(0.89±0.12)分、(0.78±0.11)分、(0.92±0.14)分、(0.72±0.13)分,低于对照组的(1.05±0.14)分、(0.97±0.13)分、(1.15±0.17)分、(0.94±0.15)分,胃收缩频率为(7.89±1.14)次/min,高于对照组的(5.87±1.02)次/min,胃排空时间为(85.41±6.34)min,短于对照组的(92.41±7.12)min(P<0.05);观察组干预后胃动素、生长抑素水平为(342.41±30.25)ng/L、(9.24±1.03)ng/L,低于对照组的(387.46±33.24)ng/L、(11.54±1.12)ng/L,胃泌素为(29.85±2.27)pg/mL,高于对照组的(26.34±2.24)pg/mL(P<0.05);观察组干预后简化舒适状况量表(GCQ)评分中生理、心理、精神、社会文化和环境及总分均高于对照组(P<0.05);观察组干预后世界卫生组织生活简易量表(WHOQOL-BREF)中各领域评分高于对照组(P<0.05)。结论热敏灸联合中药热奄包干预可改善DGP患者胃动力学指标,调节胃肠激素水平,缓解疾病症状,提高患者舒适度及生活质量。Objective To explore the effect of heat-sensitive moxibustion combined with the intervention of traditional Chinese medicine Reyan Bao(Febrile package)in the treatment of diabetic gastroparesis(DGP).Methods Seventy patients with DGP admitted to Gao'an Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were selected and divided into two groups according to the random number table,with 35 cases in each group.The control group was treated with routine nursing intervention,and the observation group was treated with heat-sensitive moxibustion combined with Chinese medicine Reyan Bao intervention for 4 weeks.Clinical symptom score,gastrodynamic index,gastrointestinal hormone level,comfort level and quality of life were compared between the two groups.Results After intervention,the clinical symptom scores of the observation group were(0.89±0.12)points,(0.78±0.11)points,(0.92±0.14)points,and(0.72±0.13)points,which were lower than the control group(1.05±0.14)points,(0.97±0.13)points,(1.15±0.17)points,and(0.94±0.15)points.The gastric contraction frequency was(7.89±1.14)times/min,which was higher than the control group(5.87±1.02)times/min,and the gastric emptying time was(85.41±6.34)minutes,which was shorter than the control group(92.41±7.12)minutes(P<0.05);After intervention,the levels of motilin and somatostatin in the observation group were(342.41±30.25)ng/L and(9.24±1.03)ng/L,which were lower than those in the control group(387.46±33.24)ng/L and(11.54±1.12)ng/L,while gastrin was(29.85±2.27)pg/mL,which was higher than that in the control group(26.34±2.24)pg/mL(P<0.05);After intervention,the physiological,psychological,spiritual,socio-cultural,environmental,and total scores on the simplified comfort questionnaire(GCQ)in the observation group were higher than those in the control group(P<0.05);After intervention,the observation group scored higher than the control group in various fields on the world health organization quality of life BREF(WHOQOL-BREF)(P<0.05).Conclusion Heat-sens

关 键 词：糖尿病胃轻瘫 热敏灸 中药热奄包 胃动力学 胃肠激素 

分 类 号：R248.1[医药卫生—中医临床基础]