择时脏腑点穴对腹膜透析阴虚便秘患者便秘症状和心理韧性的影响

摘要/Abstract

摘要： 目的探讨择时脏腑点穴对腹膜透析阴虚便秘的影响。方法选取长春市某三甲中医医院肾病科腹膜透析中心就诊的60例腹膜透析导管功能性引流障碍的患者为研究对象,按照随机数表分为对照组（n=30）和观察组（n=30）。对照组给予常规护理,观察组在对照组基础上给予择时脏腑点穴。干预4周后,观察两组患者的便秘患者症状自评量表（PAC-SYM）、便秘严重程度评分量表（CCS）、便秘患者生存质量量表（PAC-QOL）和心理韧性量表（CD-RISC）评分。结果干预前,两组患者的PAC-SYM、CCS、PAC-QOL和CD-RISC得分比较,差异无统计学意义（P>0.05）;干预4周,后观察组患者的PAC-SYM、CCS、PAC-QOL得分降低,CD-RISC得分增高,差异有统计学意义（P<0.05）。结论择时脏腑点穴可缓解腹膜透析阴虚型便秘患者的便秘症状和便秘严重程度,提高患者的生活质量和心理韧性。

关键词: 脏腑点穴, 子午流注, 择时, 腹膜透析, 便秘, 阴虚

Abstract: Objective To explore the effect of timing visceral acupoints on Yin deficiency constipation in peritoneal dialysis. Methods elect 60 patients with functional drainage disorders of peritoneal dialysis catheters who visited the Nephrology Department and Peritoneal Dialysis Center of a tertiary traditional Chinese medicine hospital in Changchun City as the research subjects. They were randomly divided into a control group (n=30) and an observation group (n=30) according to a random number table. The control group was given routine care, while the observation group was given timing acupoints on the basis of the control group. After 4 weeks of intervention, the Patient Assessment of Constipation Symptoms (PAC-SYM), clinic constipation score (CCS), patient assessment of constipation quality of life(PAC-QOL), and Connor-Davidson resilience scale (CD-RISC) were observed in both groups of patients. Result Before intervention, there was no statistically significant difference in the PAC-SYM, CCS, PAC-QOL, and CD-RISC scores between the two groups of patients (P>0.05). After 4 weeks of intervention, the PAC-SYM, CCS, PAC-QOL scores of the observation group decreased, while the CD-RISC scores increased, and the difference was statistically significant (P<0.05). Conclusion Timing acupoints on organs can alleviate the symptoms and severity of constipation in patients with peritoneal dialysis yin deficiency type constipation, improve their quality of life and psychological resilience.

Key words: zangfu acupoints, midday flow, timing, peritoneal dialysis, constipation, yin deficiency

中图分类号:

R248.1

张焕, 朱卓瑾. 择时脏腑点穴对腹膜透析阴虚便秘患者便秘症状和心理韧性的影响[J]. 中华养生保健, 2024, 42(24): 170-173.

ZHANG Huan, ZHU Zhuo-jin. The Effect of Timing Visceral Acupoints on Yin Deficiency Constipation in Peritoneal Dialysis[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(24): 170-173.

参考文献

[1] ZHANG J, HUANG C, LI Y, et al.Health-related quality of life in dialysis patients with constipation: a cross-sectional study[J]. Patient Prefer Adherence,2013,7:589-594.
[2] 范淑芳,候大妮,邢海涛,等. 腹膜透析相关性腹膜炎影响因素分析及护理策略[J]. 天津护理,2022,30(1):1-6.
[3] 李倩,刘萌,朱阳阳,等. 益气养阴法联合益生菌治疗老年慢性便秘的临床疗效[J]. 中国老年学杂志,2023,43(13):3129-3131.
[4] 尚星辰,王美峰,林征,等.功能性便秘患者的心理韧性与社会支持应对方式的相关性研究[J].护士进修杂志,2020,35(1):11-14.
[5] 罗莉苹. 腹膜透析患者慢性便秘与中医证型的相关性研究及其对生存质量的影响[D]. 福州:福建中医药大学,2022.
[6] 袁孟春,余莉芳. 知母玉竹饮治疗阴虚型便秘的临床疗效[J]. 广西医学,2023,45(7):784-787.
[7] 姚玉洁. 脏腑点穴治疗脾虚肝旺型小儿抽动障碍临床疗效观察[D]. 武汉:湖北中医药大学,2023.
[8] 黎磊石,刘志红.中国肾脏病学[M].北京:人民军医出版社,2008:640-641.
[9] SONG E M, LEE H J, JUNG K W, et al.Long-Term Risks of Parkinson's Disease, Surgery, and Colorectal Cancer in Patients with Slow-Transit Constipation[J]. Clin Gastroenterol Hepatol,2021,19(12):2577-2586.
[10] 国家中医药管理局医政司. 中医病证诊断疗效标准[M].北京:中国中医药出版社,2020:18.
[11] 王雅儒. 脏腑图点穴法[M].石家庄:河北人民出版社,1962:29-34.
[12] 武晓冬,黄龙祥,赵京生.《经穴位名称与定位:GB/T12346-2021》标准解读[J].中国针灸,2022(5):579-582,584.
[13] 宋玉磊,林征,林琳,等. 中文版便秘患者症状自评量表的信度与效度研究[J]. 护理学杂志,2012,27(7):73-76.
[14] AGACHAN F, CHEN T, PFEIFER J, et al.A constipation scoring system to simplify evaluation and management of constipated patients[J] . Diseases of the Colon & Rectum,1996,39(6) :681-685.
[15] 金洵,丁义江,丁曙晴,等. 便秘患者生存质量自评量表PAC-QOL中文版的信度、效度及反应度[J]. 世界华人消化杂志,2011,19(2):209-213.
[16] 林小亚,欧红霞,李桦,等. 心理韧性量表在强制戒毒人群的信效度检验[J]. 南京医科大学学报(社会科学版),2017,17(3):204-207.
[17] 丁致强,李梦婷,张留平,等.老年透析病人便秘现状及影响因素分析[J].实用老年医学,2022,36(04):333-336.
[18] 梁丽萍,傅荣,李呈慧,等. 腹膜透析患者便秘管理的最佳证据总结[J]. 中华护理杂志,2022,57(23):2930-2937.
[19] 李儒婷. 耳穴贴压干预便秘的系统评价和选穴规律研究[D].合肥:安徽中医药大学,2023.
[20] 周艳阳,陈立平,郭海霞,等.子午流注择时电温针联合双补增津汤治疗结肠慢传输型便秘气阴两虚证的疗效观察[J].中医药信息,2024,41(1):59-64,78.
[21] 李宁,刘欢,王琳,等.脏腑图点穴法治疗虚秘型便秘的临床疗效[J].中国老年学杂志,2023,43(10):2380-2384.
[22] 付殿跃,李志新,焦永波. 针刺公孙、四缝穴配合脏腑点穴治疗小儿肠系膜淋巴结炎的临床研究[J]. 中国临床医生杂志,2023,51(2):244-247.
[23] 陈双艺,仇剑崟. 心理韧性的研究进展[J].上海交通大学学报(医学版),2021,41(10):1397-1400.
[24] 王方,张喜真,王晓丹.自适应式生物反馈训练联合腹部穴位按摩对糖尿病合并出口梗阻型便秘患者肛直肠功能与精神心理因素的影响[J]. 四川生理科学杂志,2023,45(4):589-591,637.
[25] 王浩,王少贤.慢性心理应激肝郁脾虚证与微生物-脑-肠轴相关性及逍遥散干预机制研究进展[J].中国实验方剂学杂志,2020,26(24):193-200.
[26] 欧林宏. 脏腑图点穴法治疗功能性消化不良(肝胃不和型)的临床研究[D]. 济南:山东中医药大学,2021.