目的 观察穴位按摩联合莱菔子封包胃脘部热熨对气滞型功能性消化不良患者的效果.方法 采用便利抽样方法,抽取2016年7月—2017年5月在广州中医药大学第二附属医院脾胃病科住院的气滞型功能性消化不良患者作为研究对象.采用随机数字表法将符合纳入标准的60例患者分为观察组和对照组,各30例.对照组采用常规护理及穴位按摩,观察组在常规护理的基础上采用穴位按摩联合莱菔子封包胃脘部热熨.比较2组患者治疗第2天、第4天、第7天中医证候积分情况,比较治疗7d后疗效及胃胀、腹痛、嗳气、大便溏稀积分情况.结果 2组功能性消化不良患者中医证候积分的比较,差异有统计学意义(F=409.170,P<0.001).治疗7d后,观察组总有效例数为30例,对照组总有效例数为27例,观察组有效率优于对照组(P<0.001).治疗后观察组患者胃胀、腹痛积分改善优于对照组,差异有统计学意义(P<0.001,P=0.002);嗳气、大便溏稀积分比较,差异无统计学意义(P=0.060,0.217).结论 穴位按摩联合莱菔子封包胃脘部热熨可以明显改善气滞型功能性消化不良患者中医证候积分,缓解临床症状,且安全、无不良反应.%Objective To explore the effect of acupoint massage combined with radish seed packet on functional dyspepsia patients with Qi stagnation. Methods With convenient sampling, 60 functional dyspepsia patients with Qi stagnation from July 2016 to May 2017 were randomly divided into observation group and control group with 30 cases in each group. Patients in control group received routine nursing and acupoint massage and those in observation group routine nursing, acupoint massage combined with radish seed packet.Patients'score of TCM symptoms 2,4,and 7 days after treatment were compared and the curative effect after 7-day treatment, score of gastrectasia, abdominal pain, belching and thin sloppy stool were compared as well. Results Patients' score of TCM symptoms indicated statistical significance (F=409.170,P<0.001). After 7-day of treatment, the total number of effective cases in the observation group was 30 cases, 27 cases in the control group. The curative effect after 7-day treatment in observation group was better than that in control group (P<0.001). The score of gastrectasia and abdominal pain improved significantly and had statistical significance (P<0.001,P=0.002) but no significance was found in the comparison of belching and thin sloppy stool (P=0.060,0.217). Conclusion Acupoint massage combined with radish seed packet is safe and without adverse events and it is effective for the improvement of scores of TCM for functional dyspepsia patients with Qi stagnation.
展开▼
