中药穴位贴敷联合温热艾灸对终末期肝病患者的临床效果

doi:10.20047/j.issn1673-7210.2023.02.26

Abstract
Figure/Table
References (25)
Related Citation (15)

Download: PDF (556 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical effect of traditional Chinese medicine acupoint application combined with warm moxibustion on patients with end-stage liver disease. Methods A total of 150 patients with chronic end-stage liver disease admitted to Shijiazhuang Fifth Hospital (hereinafter referred to as “our hospital”) from November 2019 to January 2022 were selected, and they were divided into two groups by random number table method, with 75 cases in each group. The control group was given traditional Chinese medicine acupoint application therapy, and study group was given traditional Chinese medicine acupoint application combined with warm moxibustion, the treatment lasted for 20 days. The abdominal circumference, body weight, 24 h urine volume, liver function indexes (aspartate aminotransferase [AST], alanine aminotransferase [ALT], albumin [Alb], total bilirubin [TBil]), and model for end-stage liver disease (MELD) score were compared. Results After treatment, the abdominal circumference and body weight of two groups were lower than those before treatment, and 24 h urine volume was more than that before treatment (P＜0.05); the abdominal circumference and body weight of study group were lower than those of control group, and 24 h urine volume was more than that of control group (P＜0.05). The improvement effect of abdominal circumference of study group was better than that of control group (P＜0.05). After treatment, AST, ALT, and TBil of two groups were lower than those before treatment, and Alb was higher than that before treatment; and AST, ALT, and TBil of study group were lower than those of control group, and Alb was higher than that of control group (P＜0.05). At 10, 20, and 30 days after treatment, MELD scores in both groups were lower than those before treatment, and those in the MELD scores of study group were lower than that of control group(P＜0.05). Conclusion Traditional Chinese medicine acupoint application combined with warm moxibustion can improve the abdominal circumference and liver function of patients with end-stage liver disease, reduce the MELD score, and have a positive impact on the prognosis of patients.

Key words： Traditional Chinese medicine acupoint application Moxibustion End-stage liver disease Abdominal circumference Model for end-stage liver disease score

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HAN Qian ZHAO Lina WANG Zhihua XIA Mengtian ZHENG Yanhua ZHANG Kun▲

Cite this article:

HAN Qian ZHAO Lina WANG Zhihua XIA Mengtian ZHENG Yanhua ZHANG Kun▲. Clinical effect of traditional Chinese medicine acupoint application combined with warm moxibustion on patients with end-stage liver disease[J]. 中国医药导报, 2023, 20(2): 114-117.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.02.26 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I2/114

[1] Zhong YY，Yun HL，Tao C，et al. Complications of End-Stage Liver Disease：Advances from a Clinical Viewpoint [J]. Infect Dis Immun，2022，2（1）：1-2.
[2] 高慧，惠桃.补肝肾膏方穴位贴敷联合甘草酸二胺肠溶胶囊治疗乙肝肝纤维化临床研究[J].陕西中医，2018，39（12）：1719-1721.
[3] 蔡春江，梁燕，徐任.浊霾散敷脐联合艾灸法治疗鼓胀（乙型肝炎肝硬化腹水）疗效评价[J].中华中医药学刊，2016，34（4）：1017-1020.
[4] 边界，陈方红，黄亮.经皮神经电刺激与中医穴位按压联合艾灸在防治肿瘤患者顺铂化疗所致恶心呕吐的效果观察[J].四川中医，2021，39（5）：193-196.
[5] 中华医学会感染病学分会.终末期肝病合并感染诊治专家共识[J].中华肝脏病杂志，2018，26（8）：568-578.
[6] 国家中医药管理局.中医病症诊断疗效标准[M].南京：南京大学出版社，1994：163-164．
[7] Biggins SW，Angeli P，Garcia-Tsao G，et al. Diagnosis，Evaluation，and Management of Ascites，Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome：2021 Practice Guidance by the American Association for the Study of Liver Diseases [J]. Hepatology，2021，74：1014-1048.
[8] 中华医学会感染病学分会肝衰竭与人工肝学组，中华医学会肝病学分会重型肝病与人工肝学组.肝衰竭诊治指南（2018年版）[J].中华临床感染病杂志，2018，11（6）：401- 410.
[9] Pommergaard HC，Daugaard TR，Rostved AA，et al. Model for end-stage liver disease score predicts complications after liver transplantation [J]. Langenbecks Arch Surg，2021，406（9）：1-11.
[10] 钱静燕，刘琴，吴忠芳，等.何氏肚脐贴对肝硬化腹水患者腹水及血清相关炎性细胞因子水平的影响[J].现代中西医结合杂志，2020，29（33）：3700-3703.
[11] 周扬，邢枫，赵长青，等.徒都子补气汤加减联合西医常规疗法治疗肝硬化顽固性腹水的临床观察[J].上海中医药杂志，2021，55（5）：67-69，76.
[12] 杨广栋，李卫民，王健.肝硬化腹水的中医外治法研究现状[J].国际中医中药杂志，2016，38（8）：765-768.
[13] 权春分，费景兰.易医脐针未时治疗脾虚水停型肝硬化腹水临床观察[J].中国针灸，2019，39（7）：713-716.
[14] 赵冬耕，凌昌全.中西医结合疗法对肝硬化腹水患者免疫功能的影响[J].中西医结合肝病杂志，2019，29（2）：127-129.
[15] 窦智丽，李延龙，吴秀艳，等.肝炎肝硬化患者中医症状与终末期肝病模型评分相关性研究[J].山东中医杂志，2020，39（2）：125-133.
[16] 沈峰，王秀玲，齐艳.白牵牛散穴位贴敷联合西药治疗乙型肝炎肝硬化腹水的研究[J].中西医结合肝病杂志，2020，30（4）：300-302，317.
[17] 陈琳，安颂歌，魏方，等.艾灸联合耳穴压丸治疗乙型肝炎肝硬化肝肾阴虚型失眠的临床观察[J].中西医结合肝病杂志，2021，31（4）：349-351.
[18] 潘杰，汪彬彬.中药内服结合自拟消水散外敷及艾灸治疗肝硬化腹水临床观察[J].中国中西医结合消化杂志，2017，25（11）：880-883.
[19] 沈丹阳.穴位敷贴护理对乙型肝炎患者临床症状及肝功能的影响[J].山西医药杂志，2020，49（17）：2382-2385.
[20] 胡志伟.红花提取物对肝纤维化大鼠肝线粒体的作用[J].医学研究杂志，2018，47（5）：108-112.
[21] 张娜，李勇.柴胡皂苷d对抗线粒体损伤保护人肝细胞作用研究[J].辽宁中医杂志，2021，48（12）：140-143， 226.
[22] 延国威，马燕，王晓忠，等.近5年中医药治疗肝纤维化的方药规律分析[J].中国中医基础医学杂志，2020，26（12）：1854-1861.
[23] 杨洁，宋延平，刘建峰，等.山甲复肝胶囊对四氯化碳致大鼠慢性肝损伤的保护作用[J].陕西中医，2016，37（5）：635-636.
[24] 蒙玉娇，刘宇，刘正荣，等.艾灸对银屑病小鼠皮损表现和免疫炎性反应的影响[J].中国针灸，2022，42（1）：66- 72.
[25] 宋梅，汪明星，李乐，等.MELD评分结合降钙素原评估终末期肝病预后的临床分析[J].中国医药科学，2020， 10（9）：254-256.