Clinical effect of umbilical therapy combined with moxibustion in the treatment of elderly patients with gastric retention and its impact on functional status
YANG Jie1 XIAO Li2 SHEN Yang3 ZHOU Tian2 SUN Tao2
1.Department of Geriatrics, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China;
2.Department of Oncology, Dongfang Hospital, Beijing University of Chinese Medicine, Beijing 100078, China;
3.Department of Oncology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100007, China
Abstract：Objective To study the effect of umbilical therapy combined with moxibustion on the elderly patients with gastric retention and the impact of status. Methods Forty elderly patients with gastric retention from February 2019 to January 2020 in Department of Geriatrics, Dongfang Hospital, Beijing University of Chinese Medicine were divided into control group and treatment group according to random number table method, with 20 cases in each group. Both groups received gastrointestinal motility drugs, treatment group received umbilical therapy combined with moxibustion for 14 days. Clinical efficacy, Chinese medicine syndrome score and World Health Organization disability rating scale Ⅱ score were compared between two groups. Results The effective rate of treatment group was higher than that of control group (P < 0.05). After treatment, the scores of abdominal fullness, anorexia and fullness, loose stool, vomiting, belching, dizziness and fatigue in treatment group were lower than those before treatment, the scores of epigastric fullness, poor appetite and fullness, and vomiting in control group were lower than those before treatment, the scores of abdominal fullness, poor appetite, vomiting, belching, dizziness and fatigue in treatment group were lower than those in control group, the score of loose stool in treatment group was higher than that in control group, the differences were statistically significant (P < 0.05). After treatment, the scores of understanding and communication, self-care, getting along with others and social participation in two groups were lower than those before treatment, and treatment group was lower than that control group, the differences were statistically significant (P < 0.05). The life activity score of treatment group after treatment was lower than that before treatment, and the difference was statistically significant (P < 0.05). Conclusion Umbilical therapy combined with moxibustion has definite clinical effect on elderly patients with gastric retention, which can significantly improve Chinese medicine syndrome and improve the functional state to some extent, and the safety is good.
杨婕1 肖俐2 沈洋3 周天2 孙韬2. 脐疗联合艾灸治疗老年胃潴留患者的临床效果及对功能状态的影响[J]. 中国医药导报, 2021, 18(10): 129-132.
YANG Jie1 XIAO Li2 SHEN Yang3 ZHOU Tian2 SUN Tao2. Clinical effect of umbilical therapy combined with moxibustion in the treatment of elderly patients with gastric retention and its impact on functional status. 中国医药导报, 2021, 18(10): 129-132.
[1] Navas CM，Patel NK，Lacy BE. Gastroparesis：medical and therapeutic advances [J]. Dig Dis Sci，2017，62（9）：2231-2240.
[2] Cohen DL，Roffe C，Beavan J，et al. Post-stroke dysphagia：a review and design considerations for future trials [J]. Int J Stroke，2016，11（4）：399-411.
[3] 熊秋棠，董卫国.胃轻瘫临床研究进展[J].中国医师进修杂志，2020，43（3）：280-285.
[4] 周琴，左明焕，李泉旺，等.胃瘫外敷方穴位贴敷治疗消化系统肿瘤患者术后胃瘫的多中心临床研究[J].中华肿瘤杂志，2017，39（12）：919-925.
[5] 贝政平.内科疾病诊断标准[M].北京：科学出版社，2007：197.
[6] 郑筱萸.中药新药临床研究指导原则（试行）[M].北京：中国医药科技出版社，2002：218-219.
[7] 刘小岗.胃潴留的临床表现及诊断处理思路[J].中国全科医学，2012，15（6）：43-45.
[8] Xenouli G，Xenoulis K，Sarafis P，et al. Validation of the World Health Organization disability assessment schedule（WHO-DAS Ⅱ）in Greek and its added value to the short form 36 （SF-36） in a sample of people with or without disabilities [J]. Disabil Health，2016，9（3）：518-523.
[9] 鲁肖麟，朱金卫.社会资本视角下的积极老龄化与健康促进[J].中国老年学杂志，2018，38（4）：1000-1003.
[10] 胡世莲.中国居民慢性病的流行病学趋势分析[J].中国临床保健杂志，2020，23（3）：289-294.
[11] Jung HK，Choung RS，Locke GR，et al. The incidence，prevalence，and outcomes of patients with gastroparesis in Olmsted County，Minnesota，from 1996 to 2006 [J]. Gastroenterology，2009，136（4）：1225-1233.
[12] 岳斌，唐晓丹，鲁仲巧.功能性消化不良胃肠运动研究进展[J].医学理论与实践，2019，32（5）：654-656.
[13] 耿德章.中国老年医学[M].北京：人民出版社，2002：49.
[14] 马晓丽.长期鼻饲老年患者误吸原因及预防护理[J].首都食品与医药，2020，27（2）：8.
[15] 李金辉.老年衰弱的中医证候探讨[J].北京中医药，2018， 37（3）：199-201.
[16] 张仲景.金匮要略[M].北京：学苑出版社，2007.
[17] 叶天士.临证指南医案[M].上海：第二军医大学出版社，2006.
[18] 史华.脐疗的临床应用与研究进展[J].云南中医中药杂志，2009，30（5）：74-76.
[19] 蓝怡，王健.艾灸对免疫功能影响的用穴规律探讨[J].中医学报，2019，34（8）：214-215.
[20] 孙爽，唐宏图.神阙治病理论依据探析[J].针灸临床杂志，2020，36（1）：79-82.
[21] 焦志华.麦粒灸足三里对高龄卧床患者细胞免疫功能的调节作用[J].中国中医药科技，2020，27（1）：59-60.
[22] 刘小梅，李海强.熏脐灸治疗脾胃气虚型功能性消化不良的疗效观察[J].临床医药文献电子杂志，2017，4（18）：3401-3402.
[23] 胡秀英.老年人健康功能综合评价量表的研制[C]//中华护理学会.第15届全国老年护理学术交流会议论文集，2012：86-89.
[24] 徐悦莹.基于世界卫生组织残疾评定量表2.0慢性病患者整体功能的评估研究[J].中国康复理论与实践，2019， 25（9）：993-999.
[25] 杨蕾.城市老年慢性病患者生命质量及影响因素[J].中国老年学杂志，2017，37（8）：2026-2029.
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