中药塌渍治疗对慢性胃炎患者的辨证施护实践

The Practice of Syndrome Differentiation and Nursing for Patients with Chronic Gastritis Treated with Traditional Chinese Medicine Collapse

摘要: 目的：探讨中药塌渍治疗对慢性胃炎患者的辨证施护效果。方法：2024年4月到2025年5月，采用随机数表法选择70名慢性胃炎患者为研究对象，分为观察组与对照组，每组各35名患者。对照组予以常规治疗与护理，观察组在常规治疗与护理基础上，予以中药塌渍治疗，并根据患者不同中医证型执行个体化辨证施护调整。比较两组患者的胃脘疼痛、胃脘胀满及不良反应发生情况。结果：干预后，观察组胃脘疼痛VAS评分显著低于对照组(P < 0.001)，胃脘胀满0级占比远高于对照组，3级占比则为0 (P < 0.001)，且两组均未发生严重不良反应。结论：中药塌渍治疗结合辨证施护可有效改善慢性胃炎患者的胃脘疼痛及胀满症状，且安全性较高，具有一定临床推广应用价值。

Abstract: Objective: To explore the therapeutic effect of traditional Chinese medicine collapse on the syndrome differentiation and nursing of patients with chronic gastritis. Methods: From April 2024 to May 2025, 70 patients with chronic gastritis were selected as the research subjects by the random number table method and divided into the observation group and the control group, with 35 patients in each group. The control group was given conventional treatment and care. On the basis of conventional treatment and care, the observation group was given traditional Chinese medicine collapse treatment, and individualized syndrome differentiation and care adjustments were implemented according to different TCM syndrome types of the patients. The epigastric pain, epigastric distension and the occurrence of adverse reactions were compared between the two groups of patients. Result: After the intervention, the VAS score of epigastric pain in the observation group was significantly lower than that in the control group (P < 0.001), the proportion of grade 0 epigastric distension was much higher than that in the control group, and the proportion of grade 3 was 0 (P < 0.001). Moreover, no serious adverse reactions occurred in either group. Conclusion: The treatment of traditional Chinese medicine collapse combined with syndrome differentiation and nursing can effectively improve the symptoms of epigastric pain and distension in patients with chronic gastritis, and it has high safety and certain clinical promotion and application value.