穴位贴敷联合耳穴压丸治疗老年脾胃虚寒型胃脘痛患者的临床观察

Clinical observation of acupoint application combined with auricular point pressing pill in treatment of elderly patients with epigastric pain of spleen stomach deficiency-cold pattern

中文关键词: 老年  脾胃虚寒型  胃脘痛  耳穴压丸  穴位贴敷  症状评分

英文关键词: elderly  spleen and stomach deficiency-cold pattern  epigastric pain  auricular point pressing pill  acupoint application  symptom score

中文摘要:

      目的 观察耳穴压丸联合穴位贴敷对老年脾胃虚寒型胃脘痛患者症状评分及临床疗效的影响,为治疗该病症提供方法.方法 以2021年2月—2023年12月亳州市第二中医院收治的110例老年脾胃虚寒型胃脘痛患者为研究对象,依据不同治疗方法分为观察组(n=55)和对照组(n=55).对照组采用香砂平胃颗粒口服治疗,观察组在此基础上加用耳穴压丸联合穴位贴敷治疗.比较2组患者中医证候积分、疼痛评分、临床疗效、生活质量评分、胃肠激素水平.结果 治疗前,2组患者中医证候积分、简化McGill疼痛问卷(SF-MPQ)评分、生活质量综合评定问卷-74(GQOL-74)评分、胃肠激素水平比较差异无统计学意义(P＞0.05);治疗后,2组患者中医证候积分、疼痛强度(PPI)、视觉模拟评分法(VAS)、疼痛分级指数(PRI)均下降,且观察组低于对照组,差异具有统计学意义(P＜0.05).治疗后,2组患者的胃泌素(GAS)水平均下降,且观察组低于对照组,同时胃动素(MTL)水平均升高,且观察组高于对照组,差异具有统计学意义(P＜0.05).治疗结束后,相较于对照组,观察组患者的GQOL-74评分提升幅度更大(P＜0.05),且临床有效率(96.36％)也高于对照组(85.45％),差异均具有统计学意义(P＜0.05).结论 采用耳穴压丸联合穴位贴敷治疗老年脾胃虚寒型胃脘痛患者,可显著缓解患者临床症状,降低中医证候积分,减轻疼痛,提升治疗效果,并改善患者生活质量,促进患者胃肠功能恢复,具有一定的临床应用价值.

英文摘要:

      Objective To observe the effects of auricular point pressing pills combined with acupoint application on symptom scores and clinical efficacy in elderly patients with epigastric pain of spleen stomach deficiency-cold pattern,and provide a method for the treatment of this disease.Methods A total of 110 elderly patients with epigastric pain of spleen-stomach defi-ciency-cold pattern treated in Second Hospital of Traditional Chinese Medicine(TCM)of Bozhou City from February 2021 to De-cember 2023 were selected as the study subjects.They were divided into observation group(n=55)and control group(n=55)according to different treatment methods.The control group was treated with oral administration of Xiangsha Pingwei granules,while the observation group was treated with auricular point pressing pill combined with acupoint application on the basis of the control group.TCM syndrome scores,pain scores,clinical efficacy,quality of life scores,and gastrointestinal hormone levels were compared between the two groups.Results Before treatment,there were no statistically significant differences in the scores of TCM syndrome,Short-Form McGill Pain Questionnaire(SF-MPQ)and Generic Quality of Life Inventory-74(GQOL-74),and the levels of gastrointestinal hormone between the two groups(P＞0.05).After treatment,TCM syndrome scores,Pain Pressure Intensity(PPI),Visual Analogue Scale(VAS)scores,and Pain Rating Index(PRI)decreased in both groups,and the observation group was lower than the control group,with statistically significant differences(P＜0.05).After treatment,the gas-trin(GAS)level decreased in both groups,and the observation group was lower than the control group;the motilin(MTL)level increased in both groups,and the observation group was higher than the control group,with statistically significant differences(P＜0.05).At the end of treatment,compared with the control group,the observation group showed a significantly greater improvement in GQOL-74 scores(P＜0.05).The clinical effective rate in the observation group(96.36％)was significantly higher than that in the control group(85.45％)(P＜0.05).Conclusion Auricular point pressing pill combined with acu-point application in the treatment of elderly patients with epigastric pain of spleen-stomach deficiency-cold pattern can signifi-cantly relieve clinical symptoms,reduce TCM syndrome scores,alleviate pain,improve therapeutic effect,improve quality of life,and promote the recovery of gastrointestinal function.It has certain clinical application value.