Altern Ther Health Med. 2022 Oct;28(7):88-94.
Spleen-stomach vacuity cold is the primary TCM pattern for epigastric pain, accounting for 75% of the patients. According to the TCM theory of treating both the tip and the root, epigastric pain requires the caregiver to dissipate cold and relieve pain, the treatments for the tip, which warm and supplement the spleen and stomach, the treatments for the root.
This study aimed to explore effectiveness of traditional Chinese nursing care using fennel mixed with coarse salt for ironing,with umbilical moxibustion, for epigastric pain, with a pattern of spleen-stomach vacuity cold.
The research team designed a randomized control trial (RCT).
The study was conducted at Ruikang Affiliated Hospital of Guangxi University of Chinese Medicine in the capital city of the Guangxi Zhuang autonomous region in the People's Republic of China.
Participants were 96 patients who had been admitted to the hospital between October and November 2020 with epigastric pain resulting from the TCM spleen-stomach vacuity cold pattern, equivalent to chronic atrophic gastritis in Western medicine.
The research team randomly divided participants into an intervention group (n = 48) and a control group (n = 48) using a random digits table. The intervention group received fennel mixed with coarse salt for ironing, combined with umbilical moxibustion, whereas the control group received routine care.
The study's instruments included the Traditional Chinese Medicine (TCM) Syndrome Score Scale (TCMSSS), Medical Outcome Study (MOS) Short Form 36 (SF-36), and Satisfaction with TCM Nursing Program (STCMNP). Data were collected and analyzed through descriptive statistics a Chi-square test and independent t test. A significance level of P < .05 was accepted for all statistical analyses.
The intervention group had mean scores that indicated significantly higher decreases in epigastric pain, and increases in quality of life and level of satisfaction with the traditional Chinese nursing care than the control group did (P < .05).
The traditional Chinese nursing care was able to improve epigastric pain, enhance quality of life, and increase satisfaction with the traditional Chinese nursing care.
胃脘虚寒是胃脘痛的主要中医证型，占患者的 75%。根据中医“治未病”理论，胃脘痛的治疗既要治其标，又要治其本。治标即温胃散寒止痛，治本即温补脾胃。
本研究旨在探讨采用小茴香粗盐熨烫联合脐灸治疗脾胃虚寒型胃脘痛的中医护理效果。
本研究采用随机对照试验（RCT）设计。
本研究在中华人民共和国广西壮族自治区首府广西中医药大学瑞康医院进行。
2020 年 10 月至 11 月期间，96 例因中医脾胃虚寒证型导致胃脘痛的患者被纳入本研究，相当于西医的慢性萎缩性胃炎。
研究团队采用随机数字表将参与者随机分为干预组（n=48）和对照组（n=48）。干预组采用小茴香粗盐熨烫联合脐灸，对照组采用常规护理。
本研究采用中医证候评分量表（TCMSSS）、医学结局研究（MOS）短表 36 项（SF-36）和中医护理方案满意度量表（STCMNP）作为测量工具。采用描述性统计、卡方检验和独立 t 检验进行数据分析。所有统计分析均接受 P<.05 的显著性水平。
干预组的胃脘痛评分显著降低，生活质量和对中医护理的满意度显著提高，与对照组相比差异有统计学意义（P<.05）。
中医护理能有效改善胃脘痛，提高生活质量，增加对中医护理的满意度。
