中医辨证施护联合脐穴贴敷治疗小儿泄泻40例

目的:观察中医辨证施护联合脐穴贴敷治疗小儿泄泻的临床疗效。方法:选择我院2017年1月～2017年12月间收治的小儿泄泻患儿80例,按照随机数字表法分为观察组和对照组,每组患儿各40例。对照组给予常规治疗和护理,在此基础上观察组给予中医辨证施护联合脐穴贴敷治疗,比较两组疗效。结果:观察组总有效率高于对照组,止泻时间短于对照组(P<0.05),具有统计学意义;两组均未出现不良反应,差异无统计学意义(P>0.05)。结论:中医辨证施护联合脐穴贴敷治疗小儿泄泻的疗效显著,具有推广价值。

调经止痛汤加减配合脐穴贴敷治疗原发性痛经60例

原发性痛经是妇女经期或经期前后出现的周期性下腹疼痛,并伴随月经周期发作,持续3次以上,经妇科检查生殖器官无明显器质性病变者[1]。统计显示,我国妇女痛经发生率为33.1%,而原发性痛经占53.2%[2]。现代医学治疗原发性痛经以非甾体抗炎药、口服避孕药抑制排卵治疗。虽然大部分患者短时间可以减轻或消除疼痛,但副作用较明显,且远期疗效较差。

芳香疗法联合脐穴敷贴对晚期结直肠癌手术患者的效果

目的探讨对晚期结直肠癌手术患者采取芳香疗法联合脐穴敷贴护理的应用效果,并分析对患者胃肠道不良反应和睡眠质量产生的影响。方法选取2022年6月—2023年4月南京鼓楼医院收治的150例晚期结直肠癌患者作为研究对象,应用随机数表法将所有患者分为观察组和对照组,每组75例。所有患者均采取手术联合化疗综合治疗方案,对照组患者术后采取常规护理,观察组在对照组基础上增加芳香疗法联合脐穴敷贴护理。比较两组患者睡眠质量、胃肠道不良反应发生率以及癌因性疲乏程度。结果护理后,两组患者的日间功能、催眠药物、睡眠障碍、睡眠效率、睡眠时间、入睡时间、睡眠质量等匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index Scale,PSQI)各项评分及总评分均降低,且观察组各项评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者恶心呕吐、腹泻、便秘、腹胀、厌食相关胃肠道不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。护理后,两组患者的情感、行为严重度、感知、认知方面的癌因性疲乏评分明显降低,且观察组各项评分均低于对照组,差异有统计学意义(P<0.05)。结论芳香疗法联合脐穴敷贴护理对晚期结直肠癌手术患者护理效果显著,可提升患者睡眠质量,降低胃肠道不良反应发生率,减轻患者癌因性疲乏症状。

脐穴敷贴配合足三里穴位注射对胃肠道肿瘤患者化疗后胃肠道反应的护理观察

目的:观察脐穴敷贴配合足三里穴位注射对胃肠道肿瘤患者化疗后胃肠道反应的护理疗效。方法:通过医院电子病历系统收集2018年1月至2020年12月在湖南中医药大学第二附医院消化内科住院接受化疗的胃肠道肿瘤患者120例,随机分为观察组和对照组各60例。对照组患者进行常规护理,观察组患者在对照组基础上加用脐穴敷贴配合足三里穴位注射治疗,连续治疗2周。于化疗当日和出院前1天采用癌症患者生命质量评量表(EORTC QLQ-C30)、匹兹堡睡眠质量指数表(PSQI)评价两组患者生命质量和睡眠质量;出院当日评价患者对护理工作满意度;比较两组患者恶心、呕吐临床疗效。结果:观察组治疗恶心、呕吐总有效率为96.67%(59/60),对照组为81.67%(49/60),差异有统计学意义(P<0.05)。治疗前两组患者EORTC QLQ-C30评分和PSQI评分比较,差异无统计学意义(P>0.05),治疗后两组患者EORTC QLQ-C30评分均高于治疗前,PSQI评分均低于治疗前,差异均有统计学意义(P<0.05或P<0.01);观察组患者治疗后EORTC QLQ-C30评分高于对照组,PSQI评分低于对照组,差异均有统计学意义(P<0.01)。结论:脐穴敷贴配合足三里穴位注射治疗胃肠道肿瘤患者化疗后胃肠道反应的疗效较好,能有效提升临床护理质量和效果。

Clinical study on Tuina plus umbilical therapy for senile functional constipation

Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)plus umbilical therapy for senile functional constipation due to Qi deficiency of lung and spleen.Methods A total of 60 patients who met the inclusion criteria were randomly divided into a control group and an observation group by the random number table method,with 30 cases in each group.The patients in the control group were given lactulose oral solution,while the patients in the observation group were treated with Tuina and umbilical therapy.After two weeks of treatment,the scores of the Wexner continence grading scale(WCGS)and patient assessment of constipation-quality of life questionnaire(PAC-QOL)were observed.The effective rates in the two groups were compared.Results After two weeks of treatment,the total effective rate in the observation group was 90.0%,while that in the control group was 76.7%,presenting a significant difference between the two groups(P<0.05).There were no significant differences in the WCGS and PAC-QOL scores between the two groups before treatment(P>0.05).After two weeks of treatment,the WCGS and PAC-QOL scores of both groups decreased significantly compared with those before treatment(P<0.05),and the two scores in the observation group were lower than those in the control group(P<0.05).Conclusion The efficacy of Tuina plus umbilical therapy for senile functional constipation is confirmed.This method can improve patients’quality of life.Its efficacy is better than that of taking lactulose oral solution.

Clinical efficacy of umbilical therapy with herbal cakes of different dosages for damp-heat diarrhea in young children

Objective:To observe the clinical efficacy of umbilical therapy with herbal cakes made of Ge Gen Qin Lian Tang prescription of different dosages in treating damp-heat diarrhea in young children.Methods:Seventy-two kids with diarrhea of damp-heat pattern were recruited and divided into a high-dosage group and a low-dosage group using the random number table method,with 36 cases in each group.They all received conventional antidiarrheal treatment and umbilical application with herbal cakes.However,the herbal cakes for the high-dosage group were made of the mixture of Ge Gen Qin Lian Tang powder and water,and those for the low-dosage group consisted of 10%Ge Gen Qin Lian Tang powder and 90%auxiliary materials(corn starch)plus water.The treatment duration was 3 d.The clinical efficacy,antidiarrheal rate,effective rate for symptoms and signs of traditional Chinese medicine(TCM),TCM symptoms score,and safety indicators were compared between the two groups.Results:After the treatment,the TCM symptoms scores dropped significantly in both groups(P<0.01)and were lower in the high-dosage group than in the low-dosage group(P<0.05).The clinical efficacy was more significant in the high-dosage group than in the low-dosage group after the treatment,and the between-group difference was statistically significant(P<0.05);the antidiarrheal rate was markedly higher in the high-dosage group than in the low-dosage group(P<0.05).Regarding the TCM symptoms and signs,the high-dosage group showed better results in improving the greasy and yellowish tongue coating,bowel movement frequency,watery excrement,short and dark urine,red tongue body,red anus,vomiting,bowel sounds,and abdominal bloating compared with the low-dosage group,and the between-group differences were statistically significant(P<0.01).Conclusion:Umbilical therapy with herbal cakes made of Ge Gen Qin Lian Tang is safe,reliable,and effective in treating damp-heat diarrhea in young children;the high-dosage herbal cakes produce more significant efficacy than the low-dosage ones and are worth further investigation.