疏肝理气护理干预对气郁体质腹泻型肠易激综合征患者的疗效评价
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摘要
目的基于"肝主疏泄"理论观察疏肝理气护理干预对气郁体质腹泻型肠易激综合征(irritable bowel syndrome,IBS)患者疗效评价.方法选取80例气郁体质腹泻型IB S患者,随机分为对照组和干预组各40例,对照组遵医嘱给予常规药物治疗和常规护理,干预组在对照组基础上给予疏肝理气护理干预.干预4 wk后然后观察2组患者临床疗效、Bristol粪便性状评分和体质量表积分变化情况.结果干预组有效率明显高于对照组(97.5%vs80.0%),差异有显著性(P<0.05);干预组粪便性状积分优于对照组,差异有统计学意义(P<0.05);干预组干预2 wk、干预4 wk体质量表积分均低于干预前,差异有统计学意义(P<0.05);且干预组明显低于对照组(P<0.05).结论基于"肝主疏泄"理论,通过疏肝理气护理干预能改善气郁体质腹泻型IBS患者的临床疗效和肠道功能.
AIM To observe the clinical effects of nursing intervention for soothing liver and regulating Qi in diarrhea-type irritable bowel syndrome(IBS) patients with Qi stagnation constitution.METHODS Eighty diarrhea-type IBS patients with Qi stagnation constitution were randomly and equally divided into either a control group or an intervention group.Both groups were given conventional drug treatment in accordance with the doctor's advice and routine care,and the intervention group was additionally given nursing intervention for soothing liver and regulating Qi.After 4 wk,clinical efficacy,Bristol stool score,and physical scale scores were compared between the two groups.RESULTS The effective rate was significantly higher in the intervention group than in the control group(97.5%vs 80.0%,P < 0.05).Bristol stool score was significantly better in the intervention group than in the control group(P < 0.05).Physical scale scores at 2 and 4 wk were significantly improved in the intervention group compared with those before nursing intervention(P < 0.05).Physical scale scores were significantly lower in the intervention group than in the control group(P < 0.05).CONCLUSION Based on the theory of "liver governing conveyance and dispersion",nursing intervention for soothing liver and regulating Qi can improve the clinical curative effect for diarrhea-type IBS patients with Qi stagnation constitution.
AIM To observe the clinical effects of nursing intervention for soothing liver and regulating Qi in diarrhea-type irritable bowel syndrome(IBS) patients with Qi stagnation constitution.METHODS Eighty diarrhea-type IBS patients with Qi stagnation constitution were randomly and equally divided into either a control group or an intervention group.Both groups were given conventional drug treatment in accordance with the doctor's advice and routine care,and the intervention group was additionally given nursing intervention for soothing liver and regulating Qi.After 4 wk,clinical efficacy,Bristol stool score,and physical scale scores were compared between the two groups.RESULTS The effective rate was significantly higher in the intervention group than in the control group(97.5%vs 80.0%,P < 0.05).Bristol stool score was significantly better in the intervention group than in the control group(P < 0.05).Physical scale scores at 2 and 4 wk were significantly improved in the intervention group compared with those before nursing intervention(P < 0.05).Physical scale scores were significantly lower in the intervention group than in the control group(P < 0.05).CONCLUSION Based on the theory of "liver governing conveyance and dispersion",nursing intervention for soothing liver and regulating Qi can improve the clinical curative effect for diarrhea-type IBS patients with Qi stagnation constitution.
引文
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2赖兰静,罗莉娜,甘芳芳,黄小嫚.气郁体质腹泻型肠易激综合征患者实施辩证施护干预的效果观察.中国临床新医学2015;8:677-679
3英国胃肠病临床服务协会,张文静.成人肠易激综合征诊治新指南.现代消化及介入诊疗2007;12:141
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6李永儒,丁晓贝,左浩江,王嵬,黄玮,裴晓方.肠道菌群与粪便性状关系初探.现代预防医学2010;37:1623-1625
7王良生.体质学说的临床应用-肠易激综合征的治疗.医学理论与实践2010;23:821-822
8董靖,章涵.从体质论治腹泻型肠易激综合征.中医临床研究2010;4:50-52
9刘宁.中医特色护理干预对腹泻型肠易激综合征的影响.中国保健营养2014;24:2133-2134
10杨茜湄.艾灸神阙穴配合中药治疗腹泻型肠易激综合征的临床观察.针灸临床杂志2016;32:16-18
11孙令军,杨文,郭彦层,罗淑娟,黄适,钱薇.腧穴热敏化悬灸治疗腹泻型肠易激综合征临床研究.广州中医药大学学报2016;33:338-341
12丰芬,李勤,刘罗冀,李西云,金睿,阎博华.三伏穴位敷贴结合针灸治疗腹泻型肠易激综合征的疗效观察.辽宁中医杂志2015;42:1322-1324
13徐丹,杨家耀,石拓.针刺联合穴位贴敷治疗腹泻型肠易激综合征的临床研究.中国中西医结合消化杂志2015;23:332-334
14郝孝盈,贾成文.参苓白术散加味治疗腹泻型肠易激综合征临床观察.陕西中医2015;36:1506-1507
15黄铭涵,陈琴,黄健,李思汉,王文荣,王鑫,林平.调理肝脾法治疗腹泻型肠易激综合征的疗效观察.现代中西医结合杂志2016;25:2406-2407
2赖兰静,罗莉娜,甘芳芳,黄小嫚.气郁体质腹泻型肠易激综合征患者实施辩证施护干预的效果观察.中国临床新医学2015;8:677-679
3英国胃肠病临床服务协会,张文静.成人肠易激综合征诊治新指南.现代消化及介入诊疗2007;12:141
4中华中医药学会.中医体质分类与判定.北京:中国中医药出版社,2009:1-7
5郑莜萸.中药新药临床研究指导原则(试行).北京:中国医药科技出版社,2009:349-350
6李永儒,丁晓贝,左浩江,王嵬,黄玮,裴晓方.肠道菌群与粪便性状关系初探.现代预防医学2010;37:1623-1625
7王良生.体质学说的临床应用-肠易激综合征的治疗.医学理论与实践2010;23:821-822
8董靖,章涵.从体质论治腹泻型肠易激综合征.中医临床研究2010;4:50-52
9刘宁.中医特色护理干预对腹泻型肠易激综合征的影响.中国保健营养2014;24:2133-2134
10杨茜湄.艾灸神阙穴配合中药治疗腹泻型肠易激综合征的临床观察.针灸临床杂志2016;32:16-18
11孙令军,杨文,郭彦层,罗淑娟,黄适,钱薇.腧穴热敏化悬灸治疗腹泻型肠易激综合征临床研究.广州中医药大学学报2016;33:338-341
12丰芬,李勤,刘罗冀,李西云,金睿,阎博华.三伏穴位敷贴结合针灸治疗腹泻型肠易激综合征的疗效观察.辽宁中医杂志2015;42:1322-1324
13徐丹,杨家耀,石拓.针刺联合穴位贴敷治疗腹泻型肠易激综合征的临床研究.中国中西医结合消化杂志2015;23:332-334
14郝孝盈,贾成文.参苓白术散加味治疗腹泻型肠易激综合征临床观察.陕西中医2015;36:1506-1507
15黄铭涵,陈琴,黄健,李思汉,王文荣,王鑫,林平.调理肝脾法治疗腹泻型肠易激综合征的疗效观察.现代中西医结合杂志2016;25:2406-2407