低频脉冲穴位刺激对糖尿病便秘患者的临床干预研究

发布时间：2018-06-04 11:56

本文选题：低频脉冲 + 穴位刺激　；参考：《福建中医药大学》2016年硕士论文

【摘要】：目的通过低频脉冲穴位刺激对糖尿病便秘患者进行进行为期两周的干预,旨在探究低频脉冲穴位刺激对糖尿病便秘患者的首次排便时间、肠鸣音次数、血浆NO值、便秘症状积分的变化、便秘疗效、不良反应及随访后便秘的复发情况的影响,以期为临床更有效地应用低频脉冲穴位刺激治疗糖尿病便秘提供依据。方法以2015年3月～2015年10月期间入住某三级甲等医院内分泌科的糖尿病便秘患者为主要研究对象,采用随机数字表法将符合纳入和排除标准的74例患者随机分为试验组37例和对照组37例。对照组在基础治疗与护理的基础上给予便秘的常规治疗；试验组在对照组的基础上给予低频脉冲穴位刺激。每日一次,每次30min,干预两周,随访两周。记录两组患者干预前后首次排便时间、肠鸣音次数、血清NO值、便秘症状积分、不良反应及随访两周后便秘复发情况。结果1.基线比较试验前两组患者一般情况(年龄、性别、病程、用药情况、空腹血糖值、糖化血红蛋白值等),评价指标基线情况(首次排便时间、肠鸣音次数、NO值、中医症状积分)比较,差异无统计学意义(P0.05),具有可比性。2.首次排便时间两组患者的首次排便时间比较,差异有统计学意义(P0.05)。3.肠鸣音次数试验结束后,两组患者肠鸣音次数与自身试验前比较,差异有统计学意义(P0.05)；试验组与对照组比较,差异有统计学意义(P0.05)。4.血清NO值试验结束后,两组患者血清NO值与自身试验前比较,差异有统计学意义(P0.05)；两组间比较,差异有统计学意义(P0.05)。5.便秘症状积分试验1周后,试验组便秘各项症状积分与试验前比较差异均有统计学意义(P0.05)；对照组便秘各项症状积分与试验前比较,除排便性状差异有统计学意义(P0.05)外其他均无统计学意义(P0.05)；试验组与对照组比较,排便时间和排便性状差异有统计学意义(P0.05),其他差异均无统计学意义(P0.05)。试验2周后,试验组各单项症状积分与试验前比较,差异均有统计学意义(P0.05),对照组各单项症状积分与试验前比较,差异均有统计学意义(P0.05)；试验组与对照组比较,除便意和兼证差异无统计学意义(P0.05)外,其他单项症状积分比较,差异均有统计学意义(P0.05)。6.便秘疗效试验2周后,试验组痊愈5例,显效9例,有效15例,无效5例,总有效率为85.29%；对照组痊愈2例,显效5例,有效13例,无效15例,总有效率57.15%；两组患者有效率比较,差异有统计学意义(P0.05)。7.不良反应情况试验2周后,试验组不良反应发生率为2.94%,低于对照组的14.29%,两组不良反应发生情况比较,差异无统计学意义(P0.05),即低频脉冲穴位刺激不会增加患者的不良反应的发生。8.复发情况试验结束两周后,试验组有5例复发便秘,复发率为17.24%；对照组有12例复发,复发率为60%,高于试验组,且两组患者复发率比较,差异有统计学意义(P0.05),说明低频脉冲穴位刺激较对照组有更好的远期效果。结论低频脉冲穴位电刺激能有效改善糖尿病便秘患者的便秘情况,且不会增加患者的不良反应发生率,同时具有一定的远期效果,因此,低频脉冲穴位刺激是改善糖尿病便秘患者便秘效果的简便、有效的护理方法。
[Abstract]:Objective to investigate the effect of low frequency pulse acupoint stimulation on the patients with diabetes constipation for two weeks. The aim is to explore the effect of low frequency pulse acupoint stimulation on the time of first defecation, the number of bowel sounds, the change of the NO value of plasma, the integral of constipation symptoms, the effect of constipation, the adverse reaction and the recurrence of constipation after follow-up. In order to provide the basis for the treatment of diabetic constipation more effectively with low frequency pulse acupoint stimulation (LF pulse acupoint stimulation). Methods the patients with diabetes constipation in the Department of endocrinology of a three grade class a hospital from March 2015 to October 2015 were used as the main research object. The randomized digital table method was used to randomly divide the patients with the inclusion and exclusion criteria into the patients. 37 cases in the experimental group and 37 cases in the control group. The control group was given the routine treatment of constipation on the basis of basic treatment and nursing. The experimental group was given low frequency pulse acupoint stimulation on the basis of the control group. Once a day, 30min, intervention for two weeks, followed up for two weeks. The first defecation time, the number of bowel sounds, and the serum NO value of the two groups were recorded. Constipation symptom score, adverse reaction and recurrence of constipation after two weeks of follow-up. Results 1. baseline comparison between the two groups of patients (age, sex, course of disease, medication, fasting blood sugar, glycosylated hemoglobin), the baseline of the evaluation index (the first defecation time, the number of bowel sounds, NO value, TCM symptom score), the difference, the difference, the difference, the difference, the difference, the difference, the difference, the difference Statistical significance (P0.05), compared with the first defecation time of.2. for the first defecation time of the two groups, the difference was statistically significant (P0.05) after the end of the.3. bowel sound frequency test, the number of bowel sounds in the two groups was compared with that before the test, the difference was statistically significant (P0.05), and the difference was statistically significant compared with the control group. After the P0.05.4. serum NO test, the serum NO value of the two groups was compared with that before the test, the difference was statistically significant (P0.05); the difference between the two groups was statistically significant (P0.05) after 1 weeks of the.5. constipation symptom integral test, the difference of the constipation symptom score of the experimental group was statistically significant (P0.05) and the comparison before the test (P0.05). The symptom scores of constipation were compared with those before the test. There was no statistical significance (P0.05) except for the difference of defecation characters (P0.05). Compared with the control group, there were significant differences in defecation time and defecation characteristics (P0.05), and there was no significant difference in other differences (P0.05). After 2 weeks of trial, the individual symptoms of the experimental group were different. The difference was statistically significant (P0.05) compared with that before the test, and the difference in the score of single symptom in the control group was statistically significant (P0.05) compared with that before the test (P0.05). In comparison with the control group, there was no statistical significance (P0.05) of the difference in the scores of other single symptoms (P0.05) compared with the control group (P0.05). After 2 weeks of constipation test, the test group recovered 5 cases, effective 9 cases, effective 15 cases, invalid 5 cases, the total effective rate was 85.29%, the control group cured 2 cases, 5 cases, effective 13 cases, 15 cases, total effective rate 57.15%. The difference has statistical significance (P0.05).7. adverse reaction test after 2 weeks, adverse reaction occurred in the experimental group. The rate was 2.94%, lower than 14.29% of the control group. There was no significant difference in the occurrence of adverse reactions between the two groups (P0.05), that is, the low frequency pulse acupoint stimulation did not increase the adverse reaction of the patients with the occurrence of.8. recurrence test after two weeks, 5 cases in the experimental group had recurrent constipation, the recurrence rate was 17.24%, 12 cases in the control group had relapse and the recurrence rate was 6. 0%, higher than the test group, and the recurrence rate of the two groups, the difference is statistically significant (P0.05), indicating that low frequency pulse acupoint stimulation has a better long-term effect than the control group. Conclusion low frequency pulse acupoint electrical stimulation can effectively improve the constipation of patients with diabetic constipation, and will not increase the incidence of adverse reactions in patients, at the same time it has a certain extent. Therefore, low frequency pulse acupoint stimulation is a simple and effective nursing method to improve constipation effect in diabetic constipation patients.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R248.1

【相似文献】