灸法结合穴位按摩对脾胃虚寒型胃脘痛患者预后的影响  

Effect of moxibustion combined with acupoint massage on the prognosis of patients with spleen and stomach defi ciency-cold type epigastric pain

作　　者：张春菊 黄秀 周丽 刘艳 杨梅英 孟丹丹 李春梅 ZHANG Chunju;HUANG Xiu;ZHOU Li;LIU Yan;YANG Meiying;MENG Dandan;LI Chunmei(Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou 221003,China)

机构地区：[1]徐州市中医院,江苏省徐州市221003

出　　处：《护理实践与研究》2025年第4期485-490,共6页Nursing Practice and Research

基　　金：江苏省卫生健康委员会科研项目(编号:M2021067)。

摘　　要：目的探讨灸法结合穴位按摩对脾胃虚寒型胃脘痛患者预后的影响效果,为改善脾胃虚寒型胃脘痛患者的预后提供参考。方法选取医院2023年1月—2024年3月接收的脾胃虚寒型胃脘痛患者100例作为研究对象,根据组间基本特征具有可比性分为对照组和观察组,每组50例。对照组患者在常规治疗及护理基础上给予黄芪建中汤治疗,观察组患者在对照组基础上给予灸法结合穴位按摩干预。干预14 d后通过疼痛数字评价量表评分、胃肠疾病中医症状评分、症候疗效评价两组患者的预后效果。结果两组患者疼痛程度得分的比较,治疗7 d、治疗14 d观察组低于对照组,差异有统计学意义(P组间<0.05);两组患者疼痛程度得分随时间的延长而降低,差异有统计学意义(P时间<0.05);随着时间的延长,观察组与对照组的差别逐渐增大,差异有统计学意义(P交互<0.05)。干预前,两组患者嗳气反酸、倦怠乏力、胃脘胀满评分比较差异无统计学意义(P>0.05);干预14 d后,观察组患者嗳气反酸、倦怠乏力、胃脘胀满评分低于对照组,差异有统计学意义(P<0.05)。干预14 d后,观察组患者症候疗效高于对照组,差异有统计学意义(P<0.05)。结论灸法结合穴位按摩能够提高脾胃虚寒型胃脘痛患者临床症候疗效,减轻其胃痛程度,改善胃肠疾病临床症状表现,对改善患者预后效果满意。Objective To investigate the effect of moxibustion combined with acupoint massage on the prognosis of patients with spleen and stomach defi ciency-cold type epigastric pain,providing a reference for improving the prognosis of such patients.Methods A total of 100 patients with spleen and stomach defi ciency-cold type epigastric pain admitted to the hospital from January 2023 to March 2024 were selected as research subjects.According to the comparability of basic characteristics between the groups,they were divided into a control group and an observation group,with 50 cases in each group.The control group received Huangqi Jianzhong decoction in addition to conventional treatment and nursing care,while the observation group received moxibustion combined with acupoint massage intervention on the basis of the control group.After 14 days of intervention,the prognosis of the two groups of patients was evaluated using the numerical rating scale score for pain,the traditional Chinese medicine symptom score for gastrointestinal diseases,and the symptom effi cacy evaluation.Results On the 7th and 14th days of treatment,the pain score in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The pain scores of the two groups of patients decreased over time,the diff erences were statistically signifi cant(P<0.05).As the observation period extended,the inter-group diff erences gradually increased,the diff erences were statistically signifi cant(P<0.05).Before the intervention,there was no statistically signifi cant diff erence in the belching and acid refl ux,fatigue,and gastric distension scores between the two groups(P>0.05).After 14 days of intervention,the scores of belching and acid refl ux,fatigue,and gastric distension in the observation group were lower than those in the control group,the diff erences were statistically signifi cant(P<0.05).After 14 days of intervention,the symptom effi cacy in the observation group was higher than that in the control group,t

关 键 词：胃脘痛 脾胃虚寒型 灸法 穴位按摩 预后效果 

分 类 号：R473.57[医药卫生—护理学]