旋覆代赭汤加味治疗脾胃虚弱型2型糖尿病胃轻瘫的护理配合及效果研究  

Nursing Cooperation and Effect Research of Modified Inula and Hematite Decoction in Treatment of Type 2 Diabetes Gastroparesis and Spleen Stomach Weakness

作　　者：骆焕兴 黄各宁 钟朝政 LUO Huanxing;HUANG Gening;ZHONG Chaozheng(Emergency Department,Conghua District Traditional Chinese Medicine Hospital,Guangzhou,Guangdong 510900;Department of Spleen and Stomach Diseases,Conghua District Traditional Chinese Medicine Hospital,Guangzhou,Guangdong 510900;Physical Examination Department,Conghua District Traditional Chinese Medicine Hospital,Guangzhou,Guangdong 510900)

机构地区：[1]广州市从化区中医医院急诊科,广东广州510900 [2]广州市从化区中医医院脾胃病科,广东广州510900 [3]广州市从化区中医医院体检科,广东广州510900

出　　处：《智慧健康》2024年第5期90-93,共4页Smart Healthcare

摘　　要：目的 探讨旋覆代赭汤加味治疗脾胃虚弱型2型糖尿病胃轻瘫的护理配合及效果。方法 选取2020年1月—2021年12月在本院治疗的脾胃虚弱型2型糖尿病胃轻瘫患者29例为研究对象,按照随机数字表法分为观察组(n=15)和对照组(n=14)。两组患者均给予口服多潘立酮片联合旋覆代赭汤加味治疗,同时对照组患者予以常规护理方法,观察组患者在常规护理的基础上实施个体化护理方法。比较两组患者干预前后胃肠激素[胃动素(MTL)、胃泌素(GAS)以及生长抑素(SS)]、消化道症状评分。结果 干预后,两组MTL、GAS、SS水平均明显降低,与干预前比较差异有统计学意义(P<0.05),且观察组MTL、GAS、SS水平降低幅度大于对照组,差异有统计学意义(P<0.05);两组患者腹胀、厌食、早饱、腹痛、恶心或呕吐、嗳气症状评分均明显降低,与治疗前比较差异有统计学意义(P<0.05),且观察组患者腹胀、厌食、早饱、腹痛、恶心或呕吐、嗳气症状评分降低幅度大于对照组,差异有统计学意义(P<0.05)。结论 对旋覆代赭汤加味治疗脾胃虚弱型2型糖尿病胃轻瘫的患者实施个体化护理干预有利于改善临床症状,调节胃肠激素水平,值得临床应用推广。Objective To explore nursing cooperation and effect of modified Inula and Hematite Decoction in treatment of type 2 diabetes gastroparesis and spleen stomach weakness.Methods The paper chose 29 patients with type 2 diabetes gastroparesis of spleen stomach weakness in our hospital from January 2020 to December 2021,and divided them into observation group(n=15) and control group(n=14) according to random number table.Two groups were treated with oral domperidone tablets combined with modified Inula and Hematite decoction,control group with routine nursing,and observation group with individualized nursing on the basis of routine nursing.Gastrointestinal hormones [motilin(MTL),gastrin(GAS),and somatostatin(SS)] and gastrointestinal symptom scores were compared between two groups before and after intervention.Results After intervention,levels of MTL,GAS,and SS in both groups were significantly lower than before intervention,with statistically significant difference(P< 0.05).Observation group had lower MTL,GAS,and SS levels than control group,with statistically significant difference(P< 0.05).Symptom scores of abdominal distension,anorexia,early satiety,abdominal pain,nausea or vomiting,and belching in two groups were significantly lower than before treatment,with statistical significance(P<0.05).in addition,observation group had lower symptom scores of abdominal distension,anorexia,early satiety,abdominal pain,nausea or vomiting,and belching than control group,with statistical significance(P<0.05).Conclusion Individualized nursing intervention can improve clinical symptoms and regulate gastrointestinal hormone levels of patients with type 2 diabetes gastroparesis of spleen stomach weakness treated with modified Inula and Hematite Decoction,which is worthy of clinical application and promotion.

关 键 词：旋覆代赭汤 2型糖尿病胃轻瘫 个体化护理 临床效果 

分 类 号：R248.1[医药卫生—中医临床基础]