穴位贴敷联合益生菌治疗ICU内抗生素相关性腹泻的临床观察  

Clinical Observation of Acupoint Application Combined with Probiotics Treatment for Antibiotic Related Diarrhea in ICU

作　　者：刘婧[1] 龚桃林 贺资淋 岳燕 陈诗嘉 Liu Jing;Gong Taolin;He Zilin;Yue Yan;Chen Shijia(Hospital of Chengdu University of Traditional Chinese Medicine,Sichuan,Chengdu 610072,China)

机构地区：[1]成都中医药大学附属医院,四川成都610072 [2]成都中医药大学,四川成都610072

出　　处：《中国中医急症》2024年第4期672-675,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：四川省干部保健科研课题(2021-514)。

摘　　要：目的观察基于俞募配穴理论指导的穴位贴敷联合益生菌治疗抗生素相关性腹泻(AAD)(脾肾阳虚证)的疗效。方法将84例患者按随机数字表法分为试验组与对照组各42例。对照组给予双歧杆菌三联活菌片口服或鼻饲,每日3次;试验组在对照组基础上加用穴位贴敷治疗,每日1次,每次6~8 h。连续治疗7 d。观察临床疗效、大便杆球比、腹泻Hart评分与腹泻程度评分。结果试验组脱落1例,对照组脱落2例。试验组总有效率为80.49%,明显高于对照组的65.00%(P<0.05)。试验组治疗后腹泻Hart评分与腹泻程度评分均高于对照组(P<0.05)。两组患者未见明显不良反应。结论采用俞募配穴理论指导的穴位贴敷联合益生菌治疗AAD临床疗效较好,可以有效改善患者腹泻临床症状。Objective:To observe the effect of acupoint application combined with probiotics on antibiotic associated diarrhea(AAD)with syndrome of spleen and kidney Yang deficiency based on the theory of Shu-mu acupoints.Methods:84 patients with AAD admitted to ICU who met the inclusion and exclusion criteria were randomly divided into the experimental group and control group,42 patients each.The control group was given bifidobacterium triplet orally or nasal feeding,3 times a day;the experimental group was additionally treated with acupoint application on the basis of the control group,once a day for 6~8 h each time.The treatment lasted for 7days.The clinical efficacy,rod-ball ratio of stool,Hart score and diarrhea degree score were observed.Results:One case dropped off in the experimental group and two cases in the control group.The total effective rate of the experimental group was 80.49%,which was significantly higher than 65.00%of the control group,and the difference between the two groups was statistically significant(P<0.05).The Hart score and diarrhea degree score of experimental group were higher than those of control group after treatment(P<0.05).No obvious adverse reactions were observed in the two groups.Conclusion:The combination of acupoint application with probiotics guided by the theory of Shu-mu acupoints has good clinical effect in the treatment of AAD,which can effectively improve patients′clinical symptoms of diarrhea,and is worth popularizing.

关 键 词：抗生素相关性腹泻 俞募配穴法 穴位贴敷 临床疗效 

分 类 号：R595.3[医药卫生—内科学]