Analysis on Curative Effect of Auricular Point Pressing with Beans Combined with Moxibustion for Digestive Tract Symptoms in Patients with Liver Cirrhosis
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摘要:
目的:观察耳穴压豆联合艾灸治疗对肝硬化消化道症状的临床疗效。方法:将 100 例符合要求的患者按随机数字表法分为对照组和观察组,每组 50 例。对照组在综合护理的基础上,给予吗丁啉、螺内酯片、双歧杆菌乳杆菌三联活菌片等治疗,观察组在对照组的基础上联合耳穴压豆及艾灸进行干预,2 组疗程均为 2 周。观察比较 2 组治疗前后消化道症状评分、体质量、腹围、24 h 尿量、腹水变化,出院时评价 2 组临床疗效及护理满意度。结果:治疗后,观察组临床疗效优于对照组,经秩和检验,差异有统计学意义(P<0.05)。治疗后,2 组患者消化道症状纳差、腹胀、嗳气、早饱、恶心、呕吐等评分均较治疗前明显下降(P<0.05),且观察组各项评分均低于对照组(P<0.05)。治疗后观察组患者体质量、腹围改善优于对照组,24 h 尿量增加优于对照组,差异均有统计学意义 (P<0.05)。观察组护理满意度优于对照组,经秩和检验,差异有统计学意义 (P<0.05)。结论:耳穴压豆联合艾灸干预可明显减轻肝硬化失代偿期患者的消化道症状,改善腹水,提高临床疗效和护理满意度。
Abstract:
Abstract:Objective:To observe and analyze the curative effect of auricular point pressing with beans combined with moxibustion on digestive tract symptoms in patients with the liver cirrhosis. Methods:A total of 100 cases of patients who met requirements were divided into the control group and the observation group according to the random number tablet method, 50 cases in each group. Based on comprehensive nursing, the control group was treated with citric acid, domperidone, spironolactone tablets, and live combined bifidobacterium and lactobacillus tablets, and the observation group was additionally given intervention of auricular point pressing with beans and moxibustion based on the treatment of the control group. Both groups were treated for two weeks. The changes in the scores of digestive tract symptoms, body weight,abdominal circumference,24-hour urine content,and ascitic fluid before and after treatment were observed and compared between the two groups. The clinical effect and nursing satisfaction in the two groups were evaluated when discharge. Results:After treatment,the clinical effect in the observation group was better than that in the control group,the difference being significant(P<0.05). After treatment, the scores of digestive tract symptoms including poor appetite, abdominal distension,eructation,early satiety,nausea and vomiting in the two groups were significantly decreased when compared with those before treatment(P<0.05), and the scores in the observation group were lower than those in the control group(P<0.05). After treatment,in the observation group,the decrease in body weight and abdominal circumference was larger than that in the control group,and the increase in 24-hour urine content was more than that in the control group, differences being significant(P<0.05). The nursing satisfaction in the observation group was better than that in the control group, the difference being significant(P<0.05). Conclusion: The intervention of auricular point pressing with beans combined with moxibustion can significantly relieve digestive tract symptoms and ascitic fluid in patients with the liver cirrhosis at decompensation stage,with improving clinical effect and nursing satisfaction.