膈肌生物反馈训练对胃食管反流病的效果分析

Analysis the effect of diaphragm biofeedback training on patients with gastroesophageal reflux disease

目的探讨膈肌生物反馈训练对胃食管反流病(GERD)患者改善症状及生活质量的治疗效果。方法选取2020年6月至2022年6月新疆维吾尔自治区人民医院腹腔镜、腹壁疝外科就诊收治的83例GERD患者,采用数字表法将其随机分为对照组(41例)和研究组(42例);对照组患者给予临床常规药物及常规护理健康指导干预治疗,研究组患者在对照组治疗的基础上联合给予膈肌生物反馈训练和个性化护理干预治疗;2组均进行治疗8周。2组治疗前及治疗后收集GERD症状评分(GERDQ问卷)、生活质量测评(SF-36)、焦虑自评量表(SAS)、抑郁自评量表(SDS)以及匹茨堡睡眠质量指数量表(PSQI)等指标,对比分析2组患者改善症状和生活质量的效果,依据中国胃食管反流病专家共识意见的诊治标准对比评价2组的疗效。结果与治疗前相比,2组患者治疗后均显著改善GERD症状评分,SAS评分,SDS评分以及PSQI评分(P<0.05);同时显著提高生活质量(SF-36评分;P<0.05);而研究组改善上述指标的程度明显优于对照组,差异均有统计学意义(P<0.05);提示膈肌生物反馈训练干预措施能够明显改善患者的GERD症状和抑郁焦虑睡眠障碍的发生,提高生活质量。与对照组相比,研究组的显效率和总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论膈肌生物反馈训练及个性化护理干预治疗GERD治疗效果显著,值得进一步在临床推广应用。

Objective To investigate the effect of diaphragm biofeedback training on improving symptoms and quality of life in patients with gastroesophageal reflux disease(GERD).Methods From June 2020 to June 2022,83 patients with GERD who were admitted to our hospital in laparoscopy and abdominal hernia surgery were selected and randomly divided into control group(n=41)and research group(n=42)according to different nursing interventions;The control group treated with ordinary therapy and routine nursing health guidance intervention,while the research group was given diaphragm biofeedback training and humanistic nursing intervention on the basis of routine drug treatment and health guidance in the control group;Both groups were treated for 8 weeks.GERD symptom score(GERDQ questionnaire),quality of life assessment(SF-36),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Pittsburgh sleep quality index(PSQI)were collected before and after treatment in the two groups,and the effects of the two groups on improving the symptoms and quality of life of GERD patients were compared and analyzed.The curative effect of the two groups were evaluated according to the diagnosis and treatment standards agreed by chinese experts on GERD.Results Compared with those before treatment,GERD symptom score,SAS score,SDS score and PSQI score were significantly decreased in both groups after treatment(P<0.05),and quality of life(SF-36 score)was significantly increased in both groups(P<0.05).Compare to control group,the improvement of the above indicators in the study group markedly significant(P<0.05);It is suggested that the diaphragm biofeedback training nursing intervention can significantly improve the GERD symptoms and improve the occurrence of depression,anxiety and sleep disorders.Compared with the control group,the apparent and total effective rates of the study group were significantly higher than those of the control group;The inefficiency was significantly lower than that of the control group(P<0.05).Conclusion Diaphragm biofeedback training and personalized nursing intervention have a significant effect on GERD,which is worthy of further clinical application.