以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (9): 11-15.doi: 10.16460/j.issn1008-9969.2022.09.011

• 研究生园地 • 上一篇    下一篇

恒温雷火灸配合姜汁对脾胃虚寒型胃脘痛患者疗效及体表温度的影响

廖子鹏1, 潘红霞2, 陈航言1, 吴倩1, 吕艳2, 张铃羚1, 陈洁2, 曹云云2   

  1. 1.广西中医药大学 护理学院,广西 南宁 530000;
    2.广西中医药大学第一附属医院 脾胃病科,广西 南宁 530023
  • 收稿日期:2021-11-18 出版日期:2022-05-10 发布日期:2022-06-09
  • 通讯作者: 吕艳（1963-）,女,广西玉林人,主任护师,硕士研究生导师,E-mail：ly6354@163.com
  • 作者简介:廖子鹏（1996-）,男,湖南郴州人,本科学历,硕士研究生在读。
  • 基金资助:
    2019年广西科技计划项目（桂科AD19245168）; 2021年广西研究生教育创新计划资助项目（YCXJ2021112）

Efficacy of Thermostatic Thunder-fire Moxibustion Combined with Ginger Juice on Epigastralgia and Body Surface Temperature in Patients with Spleen and Stomach Deficiency Cold

LIAO Zi-peng1, PAN Hong-xia2, CHEN Hang-yan1, WU Qian1, LV Yan2, ZHANG Ling-ling1, CHEN Jie2, CAO Yun-yun2   

  1. 1. School of Nursing, Guangxi University of Chinese Medicine, Nanning 530000, China;
    2. Dept. of Spleen Disease and Gastropathy, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, China
  • Received:2021-11-18 Online:2022-05-10 Published:2022-06-09

PDF (PC)

123

赞

摘要： 目的 观察恒温雷火灸配合姜汁对脾胃虚寒型胃脘痛患者疗效及体表温度的影响。方法 将80例脾胃虚寒型胃脘痛患者按随机数字法分为恒温雷火灸组和姜汁恒温雷火灸组。恒温雷火灸组采用恒温雷火灸法,姜汁恒温雷火灸组采用恒温雷火灸配合姜汁治疗,持续干预14 d后比较2组的临床疗效;在干预前、干预第7天和第14天观察比较腋温和脾俞、胃俞、中脘、关元、足三里、涌泉等穴位的体表温度。结果 干预14 d后姜汁恒温雷火灸组的临床疗效高于恒温雷火灸组（P<0.05）。2组胃俞、中脘、关元、足三里、涌泉等穴位体表温度存在组间效应（P<0.05）,2组腋温和脾俞、胃俞、中脘、关元、足三里、涌泉等穴位体表温度存在时间效应和交互效应（P<0.01）。在干预第7天,姜汁恒温雷火灸组的胃俞、中脘、关元、足三里、涌泉等穴位体表温度高于恒温雷火灸组（P<0.05）;在干预第14天,腋温和脾俞、胃俞、中脘、关元、足三里、涌泉等穴位体表温度高于恒温雷火灸组（P<0.05）。结论 恒温雷火灸配合姜汁可显著提高脾胃虚寒型胃脘痛患者临床疗效,同时提高体表温度,改善机体寒性症状。

关键词: 胃脘痛, 脾胃虚寒, 隔姜灸, 恒温雷火灸, 姜汁

Abstract: Objective To observe the efficacy of thermostatic thunder-fire moxibustion combined with ginger juice on epigastralgia and body surface temperature in patients with spleen and stomach deficiency cold type. Methods 80 cases of spleen and stomach deficiency cold type patients with epigastralgia were randomly divided into group A treated with thermostatic thunder-fire moxibustion and group B with ginger juice combined with thermostatic thunder-fire moxibustion. The clinical efficacy of the two groups after 14 days of consecutive intervention was compared. Axillary temperature and body surface temperature at the acupoints as Pishu, Weishu, Zhongwan, Guanyuan, Zusanli and Yongquan before the intervention, at 7th day and 14th day of the intervention was recorded, and compared. Results After 14 days of intervention, the clinical efficacy of group B was better than that of group A (P<0.05). There was inter-group effect on body surface temperature at the acupoints as Weishu, Zhongwan, Guanyuan, Zusanli and Yongquan (P<0.05). There were time effect and interaction effect of axillary temperature and body surface temperature at the acupoints as Pishu, Weishu, Zhongwan, Guanyuan, Zusanli and Yongquan in the two groups(P<0.01). On the 7th day of the intervention, the body surface temperature at the acupoints as Weishu, Zhongwan, Guanyuan and Yongquan in group B was higher than that in group A (P<0.05). On the 14th day of the intervention, axillary temperature and body surface temperature at the acupoints as Pishu, Weishu, Zhongwan, Guanyuan, Zusanli and Yongquan of in group B were higher than those in group A (P<0.05). Conclusion Thermostatic thunder-fire moxibustion combined with ginger juice can significantly enhance the clinical efficacy in epigastric pain in patients with cold syndrome of spleen and stomach deficiency. At the same time, it can elevate patients' body surface temperature and Improve body cold symptoms.

Key words: epigastralgia, spleen and stomach cold, ginger-separated moxibustion, thermostatic thunder-fire moxibustion, ginger juice

中图分类号: 

  • R248
[1] 许珊珊,戴新娟,黎军,等.香芍方穴位贴敷对慢性胃炎气滞证患者中医症候积分的影响[J].护理学报,2018,25(23):63-67.DOI:10.16460/j.issn1008-9969.2018.23.063.
[2] 林志远,章清华.《临证指南医案》胃脘痛辨治探析[J].中医药通报,2020,19(5):44-46.DOI:10.14046/j.cnki.zyytb2002.2020.05.015.
[3] 张声生,周强.胃脘痛中医诊疗专家共识意见(2017)[J].中医杂志,2017, 58(13):1166-1170.DOI:10.13288/j.11-2166/r.2017.13.023.
[4] 赵吉平,李瑛.针灸学[M].4版.北京:人民卫生出版社,2021:33-36.
[5] 吴文笛,姜莉云,吴麟梓.基于扶阳思想对胃脘痛中医各证型分布的探讨[J].云南中医中药杂志,2016,37(12):36-37.DOI:10.16254/j.cnki.53-1120/r.2016.12.016.
[6] 金婕,钟美容,杨甜甜,等.基于黄帝内针理论的雷火灸改善气虚血瘀证中风后偏瘫患者肢体肿胀效果观察[J].护理学报,2020,27(16):56-60.DOI:10.16460/j.issn1008-9969.2020.16.056.
[7] 胡嘉滨,金瑞环,叶方益.穴位贴敷联合雷火灸治疗功能性消化不良的疗效观察及其对血清PGⅠ、PGⅡ、G-17的影响[J].中国中医药科技,2019, 26(5):706-708.DOI:CNKI:SUN:TJYY.0.2019-05-021.
[8] 陈玲,唐雷,徐派的,等.木香顺气散联合恒温雷火灸对萎缩性胃炎血清胃泌素-17及胃蛋白酶原的影响[J].湖南中医药大学学报,2019,39(9):1133-1137.DOI:10.3969/j.issn.1674-070X.2019.09.018.
[9] 吕艳,黄贵华,韦衡秋,等. 恒温雷火灸标准操作流程在胃脘痛护理中的规范化研究[J]. 护理研究, 2015,29(11):1297-1299.DOI:10.3969/j.issn.10096493.2015.11.006.
[10] Bi DY, Ning JJ, Xu Y, et al.Effects of Different Doses of Ginger-partitioned Moxibustion on Trefoil Factor 1, Mucin 5AC and Epidermal Growth Factor Receptor in Rats with Spleen Deficiency Syndrome[J]. Journal of Acupuncture and Tuina Science, 2018, 16(1):1-7.DOI:10.1007/s11726-018-1015-5.
[11] 宁阿妹,黄裕,黄钊云,等.火龙灸配合姜汁湿敷缓解风寒湿型腰椎间盘突出症疼痛的效果观察[J].临床医药文献电子杂志,2020,7(26):44-45.DOI:10.16281/j.cnki.jocml.2020.26.025.
[12] 刘琤琤,吴莉,李敏,等.辰时中药足浴联合艾灸足三里对腹腔镜胆囊切除患者术后胃肠功能的影响[J]. 护理学报,2017, 24(15):60-63. DOI:10.16460/j.issn1008-9969.2017.15.060.
[13] 罗翠文. 阳虚状态人群的寒性特征研究[D].广州:广州中医药大学, 2015.
[14] 袁晓辉. 下焦虚寒虚热致足部怕冷怕热的客观测评[D].北京:中国中医科学院,2020.DOI:10.27658/d.cnki.gzzyy.2020.000091.
[15] 赵铁葆,文银萍,宗静岩,等.胃脘痛脾胃虚寒证红外热成像特征研究[J].中国中医基础医学杂志,2020,26(11):1654-1658.
[16] 赵吉超,肖微,章文春.基于形气神三位一体生命观太阴虚寒证红外热成像特征的研究[J].中华中医药杂志,2018,33(10):4394-4398.
[17] 陈璐佳,江丹娜,邓艳华,等.基于红外热像技术观察穴位贴敷对阳虚质人群督脉皮温影响[J].上海针灸杂志,2022,41(1):90-94. DOI:10.13460/j.issn.1005-0957.2021.13.0040.
[18] Luo JX, Yue FT, Hui F, et al.Experimental Observation of Effects of Acupoints,Cone Numbers and Durations of Moxibustion with Different Moxibustion Methods on Skin Surface and Inside Temperature[J]. Journal of Acupuncture and Tuina Science,2021,19(5):345-353.DOI:10.1007/S11726-021-1265-5.
[19] Zehuan L,Yan Z.Effect of Heat-producing Needling Technique on the Local Skin Temperature: A Clinical Study[J]. World Journal of Acupuncture-Moxibustion, 2020, 30(3):202-206. DOI:10.1016/j.wjam.2020.07.001.
[20] Keun HK, Jungyoon K, Jihye K, et al.A Study on the Effectiveness of the Temperature on the Abdomen Region based on Korean Medicine for Diagnosing Functional Dyspepsia[J]. Adv Integr Med,2019,6:S27.DOI:10.1016/j.aimed.2019.03.075.
[21] Sullivan Stacey JL, Seay N, Zhu L, et al.Performance Characterization of Non-contact Infrared theRmometers (NCITs) for Forehead Temperature Measurement[J]. Med Eng Phys,2021,93:93-99.DOI:10.1016/J.MEDENGPHY.2021.05.007.
[22] 罗发兰,许能贵. 近10年穴位体表温度的研究进展[J]. 针灸临床杂志, 2019, 35(1):85-88. DOI:10.3969/j.issn.1005-0779.2019.01.023.
[23] 王华,陈林伟,袁成业,等. 雷火灸的研究现状及展望[J]. 中华中医药杂志, 2019,34(9):4204-4206.
[24] 陈柘芸,潘东洪,石丹梅,等. 温经姜疗在脾胃虚寒证胃脘痛护理中的应用[J]. 护理研究, 2018,32(17):2730-2732.DOI:10.12102/j.issn.1009-6493.2018.17.022.
[1] 谭天, 庞永慧, 左红群, 邓玉燕. 隔姜灸对结直肠癌行腹腔镜根治术后凝血功能的影响[J]. 护理学报, 2021, 28(7): 6-10.
[2] 黄华勇,李莉,李德钢,周丽,蒋民鸣,韦爱雄. 恒温足底隔姜灸对胃肠外科腹腔镜术后胃肠功能的影响[J]. 护理学报, 2017, 24(6): 52-54.
[3] 周晓松,黄敏,王雪琴. 暴聋患者隔姜灸的疗效评价[J]. 护理学报, 2014, (19): 70-71.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!