子午流注穴位按摩联合果胶治疗肠内营养相关性腹泻临床研究

Clinical Study on Point Massage Based on Midnight-Midday Ebb-Flow Theory Combined with Pectin for Patients with Enteral Nutrition-Related Diarrhea

目的:观察子午流注穴位按摩联合果胶治疗肠内营养相关性腹泻的临床疗效。方法:选取80例重症监护室(ICU)行肠内营养治疗患者,按随机数字表法分为治疗组和对照组,每组40例。对照组肠内营养前经胃管注入为舒能果胶,治疗组在对照组基础上予以子午流注穴位按摩,2组均治疗7 d。比较2组临床疗效、止泻时间、肠内营养治疗时间及ICU住院时间;比较2组治疗第1天及治疗后肠内营养耐受性评分;比较2组治疗前后24 h大便半定量评分(Hart评分)、腹泻症状积分及胃肠道生活质量指数(GIQLI)。结果:治疗组总有效率为95.00%,高于对照组的80.00%(P<0.05)。治疗组止泻时间短于对照组(P<0.05)。治疗后,2组肠内营养耐受性评分均较治疗第1天降低,Hart评分均较治疗前降低(P<0.05);治疗组肠内营养耐受性评分、Hart评分均低于对照组(P<0.05)。治疗后,2组腹泻症状积分均较治疗前降低(P<0.05),GIQLI评分均较治疗前升高(P<0.05);治疗组腹泻症状积分低于对照组(P<0.05),GIQLI评分高于对照组(P<0.05)。结论:子午流注穴位按摩联合果胶能够显著改善ICU肠内营养相关性腹泻患者的临床症状,缩短止泻时间,提高其肠内营养耐受性及生活质量。

Objective: To observe the clinical effect of point massage based on midnight-midday ebb-flow theory combined with pectin for patients with enteral nutrition-related diarrhea. Methods:A total of 80 cases of intensive care unit(ICU) patients who was given enteral nutrition were selected and divided into the treatment group and the control group according to the random number table method,40 cases in each group. The control group was given infusion of Weishuneng pectin through gastric tube before enteral nutrition,and the treatment group was additionally given point massage based on midnight-midday ebb-flow theory additionally. Both groups were treated for 7 days. The clinical effect, the checking diarrhea time,the duration of enteral nutrition,and the hospitalization time in ICU were compared between the two groups.Before and after treatment, the score of enteral nutrition tolerance, 24-hour stool semi-quantitative score(Hart score),symptom score of diarrhea,and the score of gastrointestinal quality of life index(GIQLI) were compared between the two groups. Results:The total effective rate was 95.00% in the treatment group,higher than that of 80.00% in the control group(P<0.05). The checking diarrhea time in ICU in the treatment group were shorter than those in the control group(P<0.05).After treatment,the scores of enteral nutrition tolerance and Hart scores were decreased when compared with those before treatment(P<0.05). After treatment,the score of enteral nutrition tolerance and Hart score in the treatment group were lower than those in the control group(P<0.05). After treatment,symptom scores of diarrhea in the two groups were decreased when compared with those before treatment(P<0.05), and GIQLI scores were increased(P<0.05). After treatment,symptom score of diarrhea in the treatment group was lower than that in the control group(P<0.05),and GIQLI score was higher(P<0.05). Conclusion:In the treatment of patients with enteral nutrition-related diarrhea in ICU,the therapy of point massage based on midnight-midday ebb-flow theory combined with pectin can significantly improve their clinical symptoms,shorten the checking diarrhea time,as well as enhance enteral nutrition tolerance and quality of life.