穴位敷贴联合耳穴压豆对肺结核患者经抗结核药致胃肠道反应的影响
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Effect of Acupoint Application Combined with Auricular Point Seed-Pressing on Gastrointestinal Reactions Induced by Anti-Tuberculosis Medicines in Patients with Pulmonary Tuberculosis
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    摘要:

    目的:观察穴位敷贴联合耳穴压豆治疗肺结核(PTB) 患者经抗结核药致胃肠道反应的疗效。方 法:选取100例经抗结核药出现胃肠道反应PTB患者,按随机数字表法分为治疗组及对照组各50例,最终完成 研究治疗组49例、对照组48例。2组均给予常规抗结核治疗,在此基础上,对照组给予西药治疗,治疗组在 对照组基础上给予穴位敷贴联合耳穴压豆治疗。治疗1个疗程后评定2组临床疗效,比较2组治疗前后中医证 候评分、恶心呕吐、腹胀、食欲分级改善情况。结果:治疗组临床疗效总有效率为95.92%(47/49),对照组为 83.33%(40/48),2组比较,差异有统计学意义(P<0.05)。治疗后,2组脘腹痞满、恶心呕吐、食欲不振、疲 乏无力、大便稀溏中医证候各项评分均较治疗前下降(P<0.05),治疗组上述5项评分均低于对照组(P< 0.05)。治疗后,2组恶心呕吐程度较治疗前减轻(P<0.05),治疗组改善程度优于对照组(P<0.05)。治疗 后,2组腹胀程度均较治疗前减轻(P<0.05),治疗组改善程度优于对照组(P<0.05)。治疗后,2组食欲减退 程度均较治疗前改善(P<0.05),治疗组改善程度优于对照组(P<0.05)。结论:穴位敷贴联合耳穴压豆治疗 PTB胃肠道反应患者疗效较好,能缓解症状,减轻患者恶心呕吐、腹胀及食欲减退程度。

    Abstract:

    Abstract:Objective:To observe the curative effect of acupoint application combined with auricular point seedpressing on gastrointestinal reactions induced by anti-tuberculosis medicines in patients with pulmonary tuberculosis (PTB). Methods: A total of 100 PTB patients experiencing gastrointestinal reactions due to antituberculosis medicines were selected and divided into the treatment group and the control group according to the random number table method, with 50 cases in each group. Ultimately, 49 cases in the treatment group and 48 cases in the control group completed the study. Both groups received conventional anti-tuberculosis treatment. The control group was additionally given western medicine,and the treatment group was additionally received acupoint application combined with auricular point seed-pressing in addition to the treatment given to the control group. After one treatment course, clinical effects in the two groups were evaluated;changes in traditional Chinese medicine syndrome scores,nausea and vomiting, abdominal distension, and appetite grading before and after treatment were compared between the two groups. Results:The total effective rate was 95.92%( 47/49) in the treatment group and 83.33%( 40/48) in the control group, with a significant difference (P<0.05). After treatment, traditional Chinese medicine syndrome scores for epigastric and abdominal stuffiness-fullness, nausea and vomiting, poor appetite, fatigue, and loose stools were decreased in the two groups (P<0.05), with the treatment group showing lower scores than the control group (P< 0.05). After treatment,the severity of nausea and vomiting was decreased in the two groups (P<0.05),with greater improvement in the treatment group (P<0.05). After treatment,the abdominal distension severity was decreased in the two groups( P<0.05),with greater improvement in the treatment group( P<0.05). After treatment,the degree of loss of appetite in the two groups was improved when compared with that before treatment (P<0.05),and the improvement in the treatment group was superior to that in the control group (P<0.05). Conclusion:Acupoint application combined with auricular point seed-pressing has a good curative effect in treating gastrointestinal reactions in PTB patients, alleviating symptoms and reducing the severity of nausea,vomiting,abdominal distension,and appetite loss.

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胡春燕,蒋建,邱超超.穴位敷贴联合耳穴压豆对肺结核患者经抗结核药致胃肠道反应的影响[J].新中医,2025,57(13):114-118

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  • 在线发布日期: 2025-07-14
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