Effect of TCM syndrome differentiation and dietaryintervention for peptic ulcer patients with Helicobacter pylori infection
-
摘要:目的 探讨中医辨证施护结合饮食干预在幽门螺杆菌(Hp)感染消化性溃疡患者中的应用效果。方法 选择Hp感染消化性溃疡患者248例为研究对象，依据随机数表法随机分为对照组与研究组，各124例。对照组实施常规护理措施，研究组实施中医辨证施护结合饮食干预措施。1个月后，比较2组的治疗效果、依从率及护理满意度。结果 护理后，研究组的总有效率为92.74%, 显著高于对照组的76.61%(P < 0.05); 研究组的总依从率为96.77%, 显著高于对照组的87.10%(P < 0.05); 研究组护理满意度为91.94%, 显著高于对照组的74.19%(P < 0.05)。结论 中医辨证施护结合饮食干预应用于Hp感染消化性溃疡患者中，疗效显著，患者依从率及护理满意度高。Abstract:Objective To explore the effect of TCM syndrome differentiation combined with dietary intervention for peptic ulcer patients with Helicobacter pylori (Hp) infection.Methods A total of 248 patients with Hp-infected peptic ulcer were enrolled in the study, and were randomly divided into control group and study group according to the random number table method, with 124 cases per group. The control group implemented routine nursing measures, and the study group was given TCM syndrome differentiation combined with dietary intervention. After 1 month, the treatment effects, compliance rates, and care satisfaction of the two groups were compared.Results After nursing, the total effective rate of the study group was 92.74%, which was significantly higher than 76.61% of the control group (P < 0.05). The total compliance rate of the study group was 96.77%, which was significantly higher than 87.10% of the control group(P < 0.05). The nursing satisfaction of the study group was 91.94%, which was significantly higher than 74.19% of the control group(P < 0.05).Conclusion TCM syndrome differentiation combined with dietary intervention is effective for patients with Hp-infected peptic ulcer, and has higher compliance rate and nursing satisfaction.
-
Keywords:
- peptic ulcer /
- Helicobacter pylori /
- TCM syndrome differentiation /
- dietary intervention /
- efficacy /
- compliance
-
-
表 1 2组患者护理后效果比较[n(%)]
组别 n 显效 有效 无效 总有效 对照组 124 49(39.51) 46(37.10) 29(23.39) 95(76.61) 研究组 124 68(54.84) 47(37.90) 9(7.26) 115(92.74)* 与对照组比较, *P < 0.05。 
下载: 导出CSV
表 2 2组患者护理依从状况比较[n(%)]
组别 n 依从性高 依从性一般 依从性差 总依从 对照组 124 57(45.97) 51(41.13) 16(12.90) 108(87.10) 研究组 124 72(58.06) 48(38.71) 4(3.23) 120(96.77)* 与对照组比较, *P < 0.05。
下载: 导出CSV
表 3 2组患者护理满意度比较[n(%)]
组别 n 非常满意 满意 不满意 护理满意 对照组 124 49(39.52) 43(34.68) 32(25.81) 92(74.19) 研究组 124 69(55.65) 45(36.29) 10(8.06) 114(91.94)* 与对照组比较, *P < 0.05。
下载: 导出CSV
-
[1] Syrjänen K, Eskelinen M, Peetsalu A, et al. GastroPanel®biomarker assay: the most comprehensive test for Helicobacter pylori infection and its clinical sequelae. a critical review[J]. Anticancer Res, 2019, 39(3): 1091-1104. doi: 10.21873/anticanres.13218
[2] John S, Baltodano J D, Mehta N, et al. Unexplained iron deficiency anemia: does Helicobacter pylori have a role to play[J]. Gastroenterol Rep (Oxf), 2018, 6(3): 215-220. doi: 10.1093/gastro/goy001
[3] 强黎明. Hp感染消化性溃疡行新三联疗法治疗的效果及复发因素的多中心对照研究[J]. 海峡药学, 2017, 29(3): 150-152. doi: 10.3969/j.issn.1006-3765.2017.03.069 [4] Popescu D, Andronescu D, Babes P A. The association between Helicobacter pylori infection and liver and biliary tract disorders[J]. Curr Health Sci J, 2018, 44(2): 186-191. http://www.zhangqiaokeyan.com/academic-journal-foreign-pmc_current-health-sciences-journal_thesis/040001578160.html
[5] 付成华, 邱桂华, 张玉桂. 中医辨证施护对消化性溃疡的疗效观察[J]. 四川中医, 2015, 33(4): 171-173. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZY201504084.htm [6] 净净. 中医临床病证诊断疗效标准[M]. 长沙: 湖南科技出版社, 1993: 25-25. [7] 钟琴娟, 沈煜颖, 徐毅. 四联疗法联合益胃汤合芍药甘草汤加减治疗胃阴不足证Hp感染消化性溃疡临床研究[J]. 新中医, 2019, 51(5): 164-166. https://www.cnki.com.cn/Article/CJFDTOTAL-REND201905052.htm [8] 邹群招, 张岖, 吴雪飞. 护理干预对HP感染消化性溃疡患者治疗依从性的影响[J]. 内蒙古中医药, 2017, 36(5): 146-147. https://www.cnki.com.cn/Article/CJFDTOTAL-NZYY201705133.htm [9] Thiele T, Manns M P, Lankisch T O, et al. Very low rates of Helicobacter pylori infection in organ transplant recipients presenting with peptic ulcer disease[J]. Acta Gastroenterol Belg, 2017, 80(1): 25-30. http://www.ncbi.nlm.nih.gov/pubmed/29364094
[10] 郑传娟. 联合三联药物治疗对幽门螺杆菌阳性消化性溃疡的护理中的应用观察[J]. 世界最新医学信息文摘: 电子版, 2016, 16(45): 278-279. doi: 10.3969/j.issn.1671-3141.2016.45.215 [11] 杨彩芳. 复方嗜酸乳杆菌联合常规四联疗法治疗Hp感染消化性溃疡疗效及对胃肠激素水平的影响分析[J]. 微量元素与健康研究, 2019, 36(3): 25-27. https://www.cnki.com.cn/Article/CJFDTOTAL-WYJK201903011.htm [12] Ji W, Chen W Q, Tian X. Efficacy of compound Lactobacillus acidophilus tablets combined with quadruple therapy for Helicobacter pylori eradication and its correlation with pH value in the stomach: a study protocol of a randomised, assessor-blinded, single-centre study[J]. BMJ Open, 2018, 8(10): e023131. doi: 10.1136/bmjopen-2018-023131
[13] 蒋亭亭. 戴明循环管理法对老年HP感染消化溃疡患者的影响[J]. 山东医学高等专科学校学报, 2018, 40(4): 309-310. doi: 10.3969/j.issn.1674-0947.2018.04.033 [14] 杨博慧. 辨证施护消化性溃疡观察[J]. 山西中医, 2018, 34(7): 60-62. https://www.cnki.com.cn/Article/CJFDTOTAL-SHIX201807025.htm [15] 刘红梅. 中医辨证护理对慢性消化性溃疡患者心理状态和生活质量的影响[J]. 中医药导报, 2015, 21(11): 103-105. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZB201511046.htm [16] 王秀波, 杨靖. 自我行为与饮食护理干预对幽门螺杆菌感染患者自我效能感与预后的影响分析[J]. 检验医学与临床, 2015, 12(10): 1350-1351. doi: 10.3969/j.issn.1672-9455.2015.10.005 [17] 侯建威. 辨证施护结合中医情志及饮食干预在外伤性脑病患者中应用价值研究[J]. 四川中医, 2018, 36(5): 196-198. https://www.cnki.com.cn/Article/CJFDTOTAL-SCZY201805072.htm [18] 谢骊. 饮食护理干预对消化性溃疡患者生活质量的影响[J]. 中国农村卫生事业管理, 2015, 35(10): 1336-1337. https://www.cnki.com.cn/Article/CJFDTOTAL-ZNWS201510046.htm -
期刊类型引用(9)
1. 张彩艳. 消风通窍汤联合氯雷他定治疗小儿过敏性鼻炎的效果. 中外医学研究. 2023(31): 139-143 . 
百度学术
2. 林斌，莫康杰，朱汉豪. 针刺联合玉屏苍耳汤治疗过敏性鼻炎临床效果. 深圳中西医结合杂志. 2022(03): 88-91 . 百度学术
3. 孙越甲，朱晓月，宋维杰，王立娜. 散风通窍滴丸联合糠酸莫米松鼻喷雾剂治疗过敏性鼻炎的疗效. 辽宁中医杂志. 2022(05): 81-83 . 百度学术
4. 郑晓骏，陈旭青，蒋中秋. 中西医结合中西医结合治疗过敏性鼻炎的临床研究进展. 医学综述. 2022(10): 1983-1987 . 百度学术
5. 高翔，林航，唐华平. 变应性鼻炎的诊治进展. 中国临床医生杂志. 2022(12): 1398-1402 . 百度学术
6. 铁玲，罗永海，汪常伟，江华，龚建齐，亚生江·托乎提. 针刺蝶腭神经节治疗变应性鼻炎的临床研究进展. 新疆中医药. 2022(05): 99-102 . 百度学术
7. 沈莉，傅云春，朱文君. 脱敏汤联合糠酸莫米松鼻喷剂治疗肺经伏热型过敏性鼻炎的临床疗效探讨及安全性分析. 中外医疗. 2022(33): 185-189 . 百度学术
8. 汪娟，陈涛. 辛夷汤结合督脉灸治疗过敏性鼻炎临床疗效及对炎症因子及免疫因子、复发情况影响研究. 四川中医. 2021(11): 196-199 . 百度学术
9. 李惠丽，陈祥芳，乔波. 经蝶腭神经节治疗过敏性鼻炎的临床研究进展. 光明中医. 2020(22): 3593-3596 . 百度学术
其他类型引用(3)
计量
- 文章访问数: 291
- HTML全文浏览量: 195
- PDF下载量: 6
- 被引次数: 12
苏公网安备 32100302010246号
