基于中医循证模式加耳穴贴压在消化道溃疡患者中的应用效果

Application effect of traditional Chinese medicine evidence-based mode plus ear acupoint compression in patients with gastrointestinal ulcer

目的探讨基于中医循证模式加耳穴贴压在消化道溃疡患者中的应用效果。方法选取2019年2月至2021年3月广东药科大学附属第二医院云浮市中医院消化内科的104例消化道溃疡患者作为研究对象,采用随机抽签法分为常规进行组、中医联合组,各52例。常规进行组采用常规干预,中医联合组在常规干预的基础上采用中医循证模式加耳穴贴压。比较两组患者干预前后反酸情况、腹痛情况、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、干预后生活质量,同时比较两组患者总遵从率、干预1个月后出血率。结果干预前,两组患者反酸、腹痛情况评分比较,差异无统计学意义(P>0.05);干预后,两组患者反酸、腹痛情况评分低于本组干预前,且中医联合组反酸、腹痛评分低于常规进行组,差异有统计学意义(P<0.05);干预前,两组患者HAMA、HAMD评分比较,差异无统计学意义(P>0.05);干预后,两组患者HAMA、HAMD评分低于本组干预前,且中医联合组HAMA、HAMD评分低于常规进行组,差异有统计学意义(P<0.05);干预后,中医联合组生理情况、家庭情况、认知情况、角色功能评分高于常规进行组,差异有统计学意义(P<0.05);中医联合组总遵从率高于常规进行组,差异有统计学意义(P<0.05);干预后1个月,中医联合组的出血率低于常规进行组,差异有统计学意义(P<0.05)。结论通过中医循证模式加耳穴贴压干预消化道溃疡患者,显著改善患者临床症状,调节焦虑、抑郁情况,提升患者的生活水平,加强整体遵从行为,降低出血率,有助于患者病情康复加快,值得推广。

Objective To explore the intervention effect of traditional Chinese medicine evidence-based mode plus ear acupoint compression in patients with gastrointestinal ulcer.Methods A total of 104 patients with gastrointestinal ulcer in the Department of Gastroenterology,the Second Affiliated Hospital of Guangdong Pharmaceutical University(Yunfu Hospital of Traditional Chinese Medicine)from February 2019 to March 2021 were selected as the research subjects,and they were divided into the conventional treatment group and the combined traditional Chinese medicine group using the"drawing method",with 52 patients in each group.The routine intervention was used in the routine group,and the evidence-based mode of traditional Chinese medicine plus auricular point sticking was used in the combined group on the basis of routine intervention.The acid reflux,abdominal pain,Hamilton anxiety acale(HAMA),Hamilton depression scale(HAMD)and quality of life after intervention were compared between the two groups.At the same time,the total compliance rate and bleeding rate after one month of treatment were compared between the two groups.Results Before the intervention,there were no significant differences in the scores of acid reflux and abdominal pain between the two groups(P>0.05).The scores of abdominal pain and abdominal pain were lower than those of the routine group,and the differences were statistically significant(P<0.05).Before the intervention,there were no significant differences in the HAMA and HAMD scores between the two groups(P>0.05).The scores of HAMD and HAMD in the two group were lower than those before the intervention,and the scores of HAMA and HAMD in the traditional Chinese medicine combination group were lower than those in the routine group,and the differences were statistically significant(P<0.05).After the intervention,the scores of physiological condition,family situation,cognition and role function in the combination group of traditional Chinese medicine were higher than those in the routine group,and the differences were statistically significant(P<0.05).One month after the intervention,the bleeding rate in the traditional Chinese medicine combination group was lower than that in the routine group,and the difference was statistically significant(P<0.05).Conclusion Through the evidence-based mode of traditional Chinese medicine and auricular plaster intervention in patients with peptic ulcer,it can significantly improve the clinical symptoms of patients,regulate anxiety and depression,improve the living standards of patients,strengthen the overall compliance behavior,reduce the bleeding rate,and help to accelerate the recovery of patients,which is worthy of promotion.