手指点穴联合雷火灸干预老年脾肾阳虚型抗生素相关性腹泻的应用效果观察

Application effect of points massage with thunder fire moxibustion on antibiotic-associated diarrhea of spleen-kidney Yang deficiency in the elderly

目的:观察手指点穴联合雷火灸治疗老年脾肾阳虚型抗生素相关性腹泻(AAD)的应用效果,探讨该方法应用于临床的意义与优势。方法:选取符合纳入标准的60例患者,随机分为观察组和对照组,各30例。对照组常规应用蒙脱石散及益生菌治疗腹泻症状,观察组在对照组基础上给予手指点穴联合雷火灸辅助干预,对比2组患者腹泻症状改善情况。结果:观察组AAD疗效优于对照组,腹泻症状明显减轻,差异有统计学意义(P<0.05)。结论:手指点穴联合雷火灸法治疗可有效改善老年患者脾肾阳虚的中医证候,缓解腹泻症状,改善抗生素使用期间的不良反应,提高老年患者整体身体机能。

Objective:To observe the application effect of finger acupuncture combined with thunder fire moxibustion in the treatment of elderly patients with Antibiotic-associated diarrhoea with deficiency type of spleen and kidney Yang. Methods: Totally 60 elderly patients who met the inclusion criteria were randomly divided into control group and observation group, with 30 cases in each group. The control group was routinely treated with montmorillonite powder and probiotics, while the observation group was itionally intervened with finger point pressing combined with thunder fire moxibustion. The improvement of diarrhea symptoms was compared between the two groups. Results: The therapeutic effect of antibiotic-associated diarrhoea in the observation group was better than that in the control group(P<0.05), and the symptoms of diarrhea were significantly alleviated(P<0.05). Conclusion: The treatment of finger point combined with thunder fire moxibustion can effectively improve kidney yang deficiency and the TCM syndrome of spleen in elderly patients, relieve diarrhea symptoms, decrease the adverse reactions during the use of antibiotics, and improve the quality of life of elderly patients.