耳穴压豆联合中药穴位贴敷治疗血液透析伴胃肠道不适临床研究

Clinical Study on Auricular Point Seed-Pressing Combined with Acupoint Application with Chinese Medicine for Hemodialysis with Gastrointestinal Discomfort

目的:观察耳穴压豆联合中药穴位贴敷治疗血液透析(HD)伴胃肠道不适的临床疗效。方法:选取134例接受HD治疗的慢性肾功能衰竭患者,采用随机数字表法分为观察组和对照组各67例。对照组采用中药穴位贴敷治疗,观察组在对照组基础上给予耳穴压豆治疗,2组均治疗3个月。评估2组临床疗效,比较2组治疗前后症状积分,胃动素、P物质和营养指标(白蛋白、血红蛋白)水平。结果:治疗后,观察组愈显率95.52%,高于对照组85.07%(P<0.05)。2组食入即吐、胃脘痞胀积分均较治疗前降低(P<0.05),观察组食入即吐、胃脘痞胀积分均低于对照组(P<0.05)。2组血清胃动素、P物质、白蛋白及血红蛋白水平均较治疗前升高(P<0.05),观察组血清胃动素、P物质、白蛋白及血红蛋白水平均高于对照组(P<0.05)。结论:耳穴压豆联合中药穴位贴敷治疗可减轻HD患者胃肠道不适,改善其营养状态。

Objective:To observe the clinical effect of auricular point seed-pressing combined with acupoint application with Chinese medicine for hemodialysis(HD)with gastrointestinal discomfort.Methods:A total of 134 cases of patients with chronic renal failure receiving HD treatment were selected and divided into the observation group and the control group according to the random number table method,with 67 cases in each group.The control group was treated with acupoint application with Chinese medicine,and the observation group was additionally treated with auricular point seed-pressing based on the treatment of the control group.Both groups were treated for 3 months.Clinical effect was evaluated in the two groups.Symptom scores and the levels of motilin,substance P,and nutritional indicators(albumin,hemoglobin)were compared between the two groups before and after treatment.Results:After treatment,the healing and effective rate was 95.52%in the observation group,higher than that of 85.07%in the control group(P<0.05).The scores of vomiting immediately after eating and stuffiness and distension of stomach cavity in the two groups were decreased when compared with those before treatment(P 0.05),the above 2 scores in the observation group were lower than those in the control group(P<0.05).The levels of motilin,substance P,and albumin in serum and hemoglobin in the two groups were increased when compared with those before treatment(P<0.05),and the above 4 levels in the observation group were higher than those in the control group(P<0.05).Conclusion:Auricular point seed-pressing combined with acupoint application with Chinese medicine can relieve gastrointestinal discomfort in HD patients and improve their nutritional status.