不同中医证型药膳干预在老年功能性消化不良患者中的应用价值

Application value of different TCM syndrome type medicated diet interventions in elderly patients with functional dyspepsia

目的根据功能性消化不良老年患者不同的中医证型,采用针对性的药膳干预方式进行饮食调节,并观察其在功能性消化不良中的应用效果。方法选取2016年2月—2018年2月浙江省中西医结合医院收治的功能性消化不良老年患者160例,采用数字随机法分为常规干预组和药膳干预组。对常规干预组患者进行常规护理干预,对药膳干预组患者根据其不同中医证型进行辨证的药膳干预,并统计2组患者干预后的总有效率。对2组患者护理后的症状评分进行比较,评价2组患者护理后的睡眠质量,比较2组患者护理前后的焦虑和抑郁程度,统计患者的护理满意程度。结果药膳干预组患者干预后的总有效率显著高于常规干预组(P<0.05);药膳干预组患者干预后的胃脘饱胀、嗳气和胃脘痛症状评分明显低于常规干预组干预后(均P<0.05);药膳干预组患者干预后的睡眠质量各方面评分均显著优于常规干预组(均P<0.05);药膳干预组患者干预后的焦虑、抑郁评分明显低于常规干预组患者(均P<0.05);药膳干预组患者干预后的总满意度明显高于常规干预组(P<0.05)。结论根据功能性消化不良老年患者不同的中医证型进行药膳干预,能够有效缓解患者的临床症状,提高睡眠质量,改善其心理状况,总体效果好,受到广大患者的认可。

Objective According to the different TCM syndromes of elderly patients with functional dyspepsia, targeted dietary intervention was adopted to regulate diet, and the effect of the intervention in the treatment of functional dyspepsia was observed. Methods A total of 160 elderly patients with functional dyspepsia in our hospital from February 2016 to February 2018 were selected and randomly divided into routine intervention group and medicated diet intervention group. The routine nursing intervention group was given routine nursing intervention, and the medicated diet intervention group was given dialectical medicated diet intervention according to their different TCM syndromes, and the total effective rate of the two groups of patients after intervention was counted. The symptom scores of the two groups after nursing were compared, and the sleep quality of the two groups after nursing was evaluated. The anxiety and depression levels of the two groups before and after nursing were compared. Finally, the satisfaction degree of the patients to this nursing was counted. Results The total effective rate of the intervention group was significantly higher than that of the routine intervention group(P<0.05);the symptom scores of epigastric fullness, belching and epigastric pain in the intervention group were significantly lower than those in the routine intervention group(P<0.05);the sleep quality scores of the intervention group were significantly better than those of the normal group(P<0.05). The scores of anxiety and depression in the intervention group were significantly lower than those in the conventional intervention group(P<0.05);the total satisfaction of the intervention group was significantly higher than that of the conventional intervention group(P<0.05). Conclusion According to the different TCM syndromes of elderly patients with functional dyspepsia, medicinal diet intervention can effectively alleviate clinical symptoms, improve sleep quality and improve their psychological status. The overall effect is good, and it is recognized by the majority of patients.