胃痛贴穴位贴敷对脾胃虚寒型胃脘痛患者的护理干预研究

Nursing Intervention Study on Acupoint Application of Stomachache Plaster on Patients with Epigastric Pain of Asthenia and Cold Type

摘要: 目的：本研究旨在中医基础理论的指导下，观察胃痛贴穴位贴敷对虚寒型胃脘疼痛的临床护理干预疗效和安全性评价。方法：对72例符合纳入标准的虚寒型胃脘痛患者，按随机数字表法随机分为治疗组和对照组，在相同基础护理治疗情况下，治疗组36例，予胃痛贴敷贴于神阙穴、中脘穴，对照组36例，予三分三浸膏片内服；治疗7天后，对两组患者前后的中医胃脘痛评分、中医症候分级量化评分、疼痛强度VAS评分变化等疗效及安全性指标进行对比分析，以观察药物的有效性及安全性。结果：两组患者护理治疗干预后对虚寒型胃脘痛胃痛均有不同程度缓解，治疗组与对照组比较差异有统计学意义(p < 0.05)。① 治疗组中医胃脘痛症状改善总有效率88.9%，对照组76.7%，两组患者疗效比较差异具有统计学意义(p < 0.05)；② 两组患者疼痛强度VAS评分较治疗组差异具有统计学意义(p < 0.05)，胃痛贴和三分三浸膏片均有缓解患者胃脘痛症状的作用；两组组间比较差异具有统计学意义(p < 0.05)，胃痛贴外用治疗虚寒型胃脘痛疼痛评分改善优于三分三浸膏片口服；③ 治疗后治疗组中医症候疗效评分总有效率为78.8%，对照组为61.1%，两组患者中医症候疗效评分对比差异无统计学意义(p > 0.05)，说明胃痛贴外用对虚寒型胃脘痛中医临床症候改善不优于三分三浸膏片口服。结论：胃痛贴穴位贴敷治疗脾胃虚寒型胃痛有较好的临床疗效，且安全性好，临床上可以推广使用。

Abstract: Objective: The purpose of this study was to observe the clinical nursing intervention effect and safety evaluation of acupoint application of stomachache plaster on epigastric pain with asthenia and cold type. Methods: 72 patients with epigastric pain due to asthenia and cold were randomly divided into the treatment group and the control group. Under the same basic nursing treatment, 36 patients in the treatment group were treated with stomach pain plaster at shenque point and zhongwan point, and 36 patients in the control group were treated with three parts and three extract tablets. After 7 days of treatment, the efficacy and safety indicators including epigastric pain score of traditional Chinese medicine, quantitative grading score of symptoms of traditional Chinese medicine, and VAS score of pain intensity before and after treatment in the two groups were compared and analyzed to observe the efficacy and safety of the drugs. Results: After the intervention, the stomachache in the two groups was relieved to different degrees, and the difference between the treatment group and the control group was statistically significant (p < 0.05). ① The total effective rate of improvement of epigastric pain symptoms in the treatment group was 88.9%, while that in the control group was 76.7%. The difference in efficacy between the two groups was statistically significant (p < 0.05). ② The difference in pain intensity VAS score between the two groups was statistically significant (p < 0.05), and both groups had the effect of relieving epigastric pain symptoms. The difference between the two groups was statistically significant (p < 0.05), and the improvement of epigastric pain score in the treatment group was better than that in the control group. ③ The total effective rate was 78.8% in the treatment group after treatment, and 61.1% in the control group. There was no statistically significant difference in the efficacy score of TCM symptoms between the two groups (p > 0.05), and the improvement of TCM clinical symptoms in the treatment group was not better than that in the control group. Conclusion: Acupoint application of stomachache plaster has good clinical efficacy and safety in the treatment of asthenia and cold type stomachache.