肠易激综合征患者的心理测评及其中医护理方案研究

Psychological Measurement and Traditional Chinese Medical Nursing Care Regimen for Patients with Irritable Bowel Syndrome

【目的】探讨肠易激综合征患者心理问题及中医护理方案干预的效果。【方法】运用国际医学认可的心理测评量表SCL-90,对60例肠易激综合征患者在入院后进行心理测评,并根据测评结果,实施中医护理方案,出院前再次进行测评,将2次测评结果进行数据统计分析。【结果】(1)经中医护理干预后,临床治愈6例(10.0%),显效22例(36.6%),有效25例(41.7%),总有效率为88.3%。(2)心理测评结果:患者在躯体性、人际关系、忧郁、焦虑、敌对和恐怖方面,经中医护理干预后均较治疗前显著改善(P<0.05或P<0.01),但在偏执方面改善不明显(P﹥0.05);与正常人(常模值)比较,除焦虑、敌对2项指标外,其他各项指标差异均无统计学意义(P﹥0.05)。【结论】对肠易激综合征患者进行科学的心理测评结果表明:运用中医护理方案进行干预,能明显缓解患者的临床心理状态,帮助患者进行有效调适,解决临床护理工作中存在的不足,从而提高疗效,改善患者的生存质量。

Objective To observe the effect of Huazhuo Jiedu Qingyou Recipe （HJQR）, which is based on the theory of pathogenesis of turbid toxicity, on the clinical symptoms, gastroscopic features and Helicobacter pylori （HP） infection rate in patients with Helicobacter pylori associated gastritis （HPAG）, and to search effective prescription for HPAG. Methods Sixtyfour HPAG patients were equally randomized into two groups. The treatment group was treated with oral use of modified HJQR （ mainly composed of Herba Taraxaci, Herba Hedyotis Diffusae, Herba Portulacae Grandiflorae, Rhizoma Coptidis, Cortex Magnoliae Officinalis, Fructus Aurantii Immaturus, Radix Paeoniae AIba, Radix Aucklandiae, Rhizoma Corydahs, Radix Notoginseng, and Radix Glycyrrhizae）. The control group was given trigeminy regimen which consisted of Rabeprazole capsules, Amoxicillin capsules and Metronidazole tablets. The general state, gastroscopic features and HP eradiation rate were observed before and after treatment. Results The improvement of symptoms and gastroscopic features in the treatment group was superior to that in the control group （P 〈 0. 05）, but the difference of HP eradiation rate was insignificant （ P 〉 0.05 ）, which indicated that the effect on HP infection was similar in the two groups. Conclusion Modified HJOR is effective for the treatment of HPAG. and is worth of further research.