腹部穴位按摩及隔姜灸护理对脾胃虚寒型胃脘痛患者的效果研究

Study on the Effect of Abdominal Acupoint Massage and Ginger-separated Moxibustion on Patients with Gastric Pain Due to Deficient Cold of Spleen and Stomach

目的探究腹部穴位按摩及隔姜灸护理对脾胃虚寒型胃脘痛患者的临床效果。方法选取2018年5月—2020年5月江西省德兴市中医院60例脾胃虚寒型胃脘痛患者作为研究对象,随机分为观察组(常规治疗护理+腹部穴位按摩及隔姜灸)与对照组(常规治疗护理),每组30例。比较2组患者治疗前后中医证候积分变化情况,比较临床疗效及患者满意度。结果2组患者胃脘疼痛、胃脘痞满、四肢无力、纳差中医证候积分护理后均低于护理前,观察组护理后各项评分较对照组低(P<0.05),差异有统计学意义;2组患者总有效率比较,观察组93.33%(28/30)高于对照组70.00%(21/30),差异有统计学意义(P<0.05);观察组护理满意度96.67%(29/30)高于对照组的73.33%(22/30),差异有统计学意义(P<0.05)。结论腹部穴位按摩及隔姜灸护理应用于脾胃虚寒型胃脘痛,在改善患者中医证候方面有着突出效果,疗效可靠、患者满意度高,可予以推广。

Objective To explore the clinical effect of abdominal acupoint massage and ginger-separated moxibustion on patients with gastric pain due to deficient cold of spleen and stomach.Methods From May 2018 to May 2020,60 patients with epigastric pain of deficient cold of spleen and stomach type in Dexing Hospital of Traditional Chinese Medicine were selected as the research objects,and they were randomly divided into observation group(conventional treatment nursing and abdominal acupoint massage combined with ginger-separated moxibustion)and control group(routine treatment and nursing)2 groups,with 30 cases in each group.The changes of traditional Chinese medicine(TCM)syndrome scores before and after treatment were compared between the two groups of patients,and the clinical effects and patient satisfaction were compared.Results The scores of epigastric pain,epigastric fullness,limb weakness and poor appetite in 2 groups after nursing were lower than before,and the scores of observation group after nursing were lower than those of control group(P<0.05),and the difference was statistically significant.The total effective rate of observation group(93.33%,28/30)was higher than control group(70.00%,21/30),and the difference was statistically significant(P<0.05).Nursing satisfaction in the observation group(96.67%,29/30)was higher than that in the control group(73.33%,22/30),and the difference was statistically significant(P<0.05).Conclusion Abdominal acupoint massage and ginger-separated moxibustion nursing in the treatment of epigastric pain of deficient cold of spleen and stomach type have significant effects in improving patients’TCM syndromes,with reliable curative effect and high patient satisfaction,which can be promoted.