陈俊辉1,朱宝春1,刘承玄2,常国栋1,冉洪玉1,胡江华1▲.揿针预埋治疗慢性肾脏病患者恶心呕吐的临床研究[J].中国医药科学,2024,14(7):86-89 基金项目:重庆市卫生健康委中医药科研项目(2023WSJK131) |
揿针预埋治疗慢性肾脏病患者恶心呕吐的临床研究 |
A clinical study on the treatment of nausea and vomiting in patients with chronic kidney disease by pre-embedding pressing needles |
|
DOI: |
中文关键词: 揿针预埋;慢性肾脏病;恶心呕吐;按压 |
英文关键词:Pre-embedding of pressing needles; Chronic kidney disease; Nausea and vomiting; Pressing |
作者 | 单位 | 陈俊辉1,朱宝春1,刘承玄2,常国栋1,冉洪玉1,胡江华1▲ | 1.重庆三峡医药高等专科学校附属中医院肾病科,重庆 404100;2.重庆市中医院肾病科,重庆 400021 |
|
摘要点击次数: 205 |
全文下载次数: 201 |
中文摘要: |
[摘要]目的 观察揿针预埋对慢性肾脏病(CKD)所致恶心呕吐的临床疗效。方法 选择2023年1月1日至4月30日就诊于重庆三峡医药高等专科学校附属中医院肾病科伴恶心呕吐的CKD患者,按照随机数表法将其分为对照组、掀针组、联合组,每组各20例。对照组采用常规止吐药物(质子泵抑制剂+促进胃肠动力药物);揿针组选用揿针预埋内关、足三里、腹通谷穴;联合组即在对照组基础上进行掀针预埋,共干预7 d。比较干预4、7 d后各组恶心呕吐的分度及中医证候积分。结果 与干预前相比,干预4、7 d后三组的症状均有所改善,恶心和呕吐分度明显降低,差异有统计学意义(P < 0.05);干预7 d后,掀针组和联合组恶心和呕吐分度低于对照组,差异有统计学意义(P < 0.05),掀针组恶心呕吐分度与联合组接近,差异无统计学意义(P > 0.05)。三组干预后中医证候评分比较:干预4、7 d后,三组恶心呕吐时间、频率及纳呆症状评分低于干预前,差异有统计学意义(P < 0.05);干预7 d后联合组各项评分低于对照组,差异有统计学意义(P < 0.05)。结论 揿针预埋足三里、内关、腹通谷,改善CKD患者恶心呕吐症状的效果显著,值得临床推广和应用。 |
英文摘要: |
[Abstract] Objective To explore clinical effect on the treatment of nausea and vomiting in patients with chronic kidney disease (CKD) by pre-embedding pressing needles. Methods Patients with CKD and nausea and vomiting who were admitted to the Department of Nephrology of Affiliated Hospital of Traditional Chinese Medicine of Chongqing Three Gorges Medical College from January 1 to April 30, 2023 were selected and randomly divided into a control group, a pressing needle group, and a combination group using a random number table method, with 20 patients in each group. The control group received conventional antiemetic drugs (proton pump inhibitors + gastrointestinal motility promoting drugs). The pressing needle group received pressing needles pre-embedded in Neiguan, Zusanli, and Futonggu acupoints. The combination group received pre-embedding of pressing needles based on the methods used in control group for a total of 7 days of treatment. The grading of nausea and vomiting and the score of traditional Chinese medicine symptoms were compared after treatment on the 4th and 7th day. Results Compared with those before intervention, the symptoms of all three groups improved on the 4th and 7th day of intervention, and the nausea and vomiting scores were significantly reduced, with statistically significant differences (P < 0.05). After 7th day of intervention, nausea and vomiting scores were lower in the lift-off and combination groups than in the control group, with statistically significant differences (P < 0.05). The nausea and vomiting scores of the pressing needle group were similar to those of the combination group, with no statistically significant differences (P > 0.05). Comparison of traditional Chinese medicine symptom scores among three groups of CKD patients after intervention: the time, frequency, and symptoms of nausea and vomiting in the three groups after 4 and 7 days of intervention were lower than before intervention, with statistically significant differences (P < 0.05). The scores of the combination group after 7 days of intervention were significantly lower than those of the control group, with ststistically significant differences (P < 0.05). Conclusion The pre-embedding of pressing needles in Zusanli, Neiguan, and Futonggu has a significant effect on improving nausea and vomiting symptoms in CKD patients and is worthy of clinical promotion and application. |
查看全文 查看/发表评论 下载PDF阅读器 |
关闭 |
|
|
|