首页|运动疗法配合中医辨证饮食调护对胃炎患者脾胃功能恢复的影响

运动疗法配合中医辨证饮食调护对胃炎患者脾胃功能恢复的影响

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目的 观察运动疗法配合中医辨证饮食调护对胃炎患者脾胃功能恢复的影响。方法 80例胃炎患者,依据随机数字表法分为对照组及观察组,各 40 例。对照组行常规干预,观察组行运动疗法配合中医辨证饮食调护。比较两组干预前后的胃肠动力学指标[胃窦收缩幅度(ACA)、胃窦收缩频率(ACF)、胃窦运动指数(MI)]水平、血清胃肠激素[血清胃泌素(GAS)、生长抑素(SS)、胃动素(MTL)]水平、中医证候积分、Barthel指数、生活质量及满意度。结果 两组干预后ACA、ACF、MI与干预前比较均提高,且观察组干预后ACA(53。13±5。28)mm Hg/2 h(1 mm Hg=0。133 kPa)、ACF(72。45±6。76)次/h、MI(14。58±2。12)均高于对照组的(47。51±4。25)mm Hg/2 h、(65。32±6。65)次/h、(12。41±2。05),差异具有统计学意义(P<0。05)。两组干预后GAS、SS水平与干预前比较均降低,MTL水平与干预前比较升高,且干预后观察组GAS(62。42±5。32)ng/L、SS(20。42±2。53)pg/ml均低于对照组的(68。31±6。14)ng/L、(25。63±2。78)pg/ml,MTL(76。83±7。33)pg/ml高于对照组的(70。37±6。80)pg/ml,差异具有统计学意义(P<0。05)。两组干预后中医证候积分与干预前比较降低,Barthel指数与干预前比较升高,且干预后观察组中医证候积分(2。01±0。76)分低于对照组的(3。63±0。67)分,Barthel指数(80。38±5。43)分高于对照组的(68。37±5。72)分,差异具有统计学意义(P<0。05)。两组干预后生理、心理、社会、环境、独立、精神世界/宗教/个人信仰评分与干预前比较均提高,且组间对比观察组干预后均高于对照组,差异具有统计学意义(P<0。05)。观察组满意度 95。00%高于对照组的 80。00%,差异具有统计学意义(P<0。05)。结论 运动疗法配合中医辨证饮食调护对胃炎患者脾胃功能恢复及日常生活能力、生活质量的提升有促进作用,值得临床推广。
The effect of exercise therapy combined with traditional Chinese medicine syndrome differentiation and dietary care on the recovery of spleen and stomach function in patients with gastritis
Objective To observe the effect of exercise therapy combined with traditional Chinese medicine syndrome differentiation and dietary care on the recovery of spleen and stomach function in patients with gastritis.Methods 80 patients with gastritis were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group received conventional intervention,and the observation group received exercise therapy combined with traditional Chinese medicine syndrome differentiation and dietary care.Both groups were compared in terms of gastrointestinal motility indicators[antral contraction amplitude(ACA),antral contraction frequency(ACF),antral motility index(MI)]levels,serum gastrointestinal hormones[serum gastrin(GAS),somatostatin(SS),motilin(MTL)]levels,traditional Chinese medicine syndrome score,Barthel index and quality of life before and after intervention,and satisfaction.Results After intervention,ACA,ACF and MI in both groups increased compared with those before intervention;the observation group had ACA of(53.13±5.28)mm Hg/2 h(1 mm Hg=0.133 kPa),ACF of(72.45±6.76)times/h and MI of(14.58±2.12),which were higher than(47.51±4.25)mm Hg/2 h,(65.32±6.65)times/h and(12.41±2.05)in the control group;the difference was statistically significant(P<0.05).After intervention,GAS and SS levels in both groups were lower than those before intervention,while MTL level was higher than that before intervention;the observation group had GAS of(62.42±5.32)ng/L and SS of(20.42±2.53)pg/ml,which were lower than(68.31±6.14)ng/L and(25.63±2.78)pg/ml in the control group;MTL of(76.83±7.33)pg/ml in the observation group was higher than(70.37±6.80)pg/ml in the control group;the difference was statistically significant(P<0.05).After intervention,the traditional Chinese medicine syndrome score in both groups were lower than that before intervention,and the Barthel index was higher than that before intervention;the traditional Chinese medicine syndrome score of(2.01±0.76)points in the observation group was lower than(3.63±0.67)points in the control group,and Barthel index of(80.38±5.43)points was higher than(68.37±5.72)points in the control group;the difference was statistically significant(P<0.05).After intervention,the scores of physiology,psychology,society,environment,independence,spiritual world/religion/personal belief in both groups were improved compared with those before intervention,and the observation group was higher than the control group.The difference was statistically significant(P<0.05).The satisfaction of the observation group was 95.00%,which was higher than 80.00% of tthe control group,and the difference was statistically significant(P<0.05).Conclusion Exercise therapy combined with traditional Chinese medicine syndrome differentiation and dietary care has a promoting effect on the recovery of spleen and stomach function and the improvement of daily living ability and quality of life in patients with gastritis,and is worthy of clinical promotion.

GastritisExercise therapyTraditional Chinese medicine syndrome differentiation and dietarySpleen and stomach functionGastrointestinal hormone levelsBarthel indexSatisfaction

庄婉玲、庄晓强、许绵绵

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362200 晋江市医院/上海六院福建医院

胃炎 运动疗法 中医辨证饮食调护 脾胃功能 胃肠激素水平 Barthel指数 满意度

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(16)