隔姜灸联合辨证施膳对艾滋病腹泻病人胃肠功能的影响

Effects of ginger-moxibustion combined with dialectical diet on gastrointestinal function in patients with AIDS and diarrhea

[目的]探讨隔姜灸联合辨证施膳对艾滋病腹泻病人胃肠功能的影响。[方法]选取我院2016年1月—2017年6月收治的艾滋病腹泻病人72例为研究对象,将其随机分为两组,每组36例,其中对照组病人给予小檗碱片、糖盐水补液口服治疗,并在治疗期间进行腹泻常规饮食指导,观察组在此基础上给予隔姜灸联合辨证施膳,评价病人腹泻及胃肠功能改善情况,比较临床疗效,采用艾滋病生存质量量表(MOS-HIV)评价病人干预前后生存质量。[结果]干预前两组病人大便频次比较差异无统计学意义(P>0.05);干预后1d、2d、3d、7d、14d以及出院后3d、7d、10d、20d、1个月、2个月观察组病人大便频次明显低于干预前(P<0.05);干预后7d、14d及出院后观察组病人大便频次明显低于同期对照组(P<0.05);干预后7d、14d及出院后1个月、2个月观察组病人临床总有效率和胃肠功能改善总有效率均显著高于对照组(P<0.05);干预后14d、出院后1个月、2个月观察组病人的生理功能和心理功能总分均显著高于干预前且明显高于对照组(P<0.05);观察组满意度和依从性均明显高于对照组,组间比较差异有统计学意义(P<0.05)。[结论]隔姜灸联合辨证施膳可改善艾滋病腹泻病人临床症状,临床疗效好,且可改善病人胃肠功能,提高病人生存质量。

Objective：To probe into the influence of ginger moxibustion combined with a dialectical meal on gastrointestinal function in patients with AIDS and diarrhea.Methods：A total of 72 patients with AIDS diarrhea admitted in our hospital from January 2016 to June 2017 were randomly divided into two groups with 36 patients in each group.The patients in control group were treated with berberine tablets and sugar-saline water for oral administration.During the treatment,diarrhea was given routine dietary guidance.On the basis of this,the patients in observation group were given dialectical ginger moxibustion and dialectical diet to evaluate the improvement of diarrhea and gastrointestinal function and compare the clinical efficacy.The Medical Outcomes Study HIV Health Survey（MOS-HIV）was used to evaluate the patients＇ quality of life（QOL）before and after the treatment.Results：Before the implementation,the frequency of stool in two groups was statistically significant（P0.05）.On the 1 d,2 d,3 d,7 d,14 dafter implementation,and 3 d,7 d,10 d,20 d,1 month and 2 months after discharge,the frequency of stool in observation group was significantly lower than that before the implementation,the difference was statistically significant（P0.05）.On the 7 d,14 dafter implementation,and after discharge,the frequency of stool in observation group was significantly lower than that the same period in control group（P0.05）.The clinical total effective rate and improvement effective rate of gastrointestinal function in observation group on the 7 d,14 dafter the implementation and 1 month and 2 months after discharge were significantly higher than those in control group.Respectively the difference was statistically significant（P0.05）.At 14 days after implementation,1 month and 2 months after discharge,the physiological and psychological functions in observation group were significantly higher than that in control group before the implementation.The satisfaction and compliance of observation group were significantly higher than those in control group,and the differences between groups tended to improve the immune system significantly（P0.05）.Conclusions：Ginger moxibustion combined with a dialectical meal could significantly improve the clinical symptoms of AIDS patients with a good clinical efficacy,improve the patient＇s gastrointestinal function,enhance the immune system,and improve the QOL of patients in a certain degree.