中医健康宣传指导对慢性胃炎的干预效果及意义.pdfVIP

上海中医药杂志 2007年第4l卷第3期 SH．J．TCM Mar．，2007；Vo1．41 No．3 · 21· lII匮健康宣传指导对慢性胃炎的千预效果及意义 胡桃英- 杨安林2 马天雯- 王忆勤 1．上海市卫生学校(上海 200237) 2．上海电力设计院(上海 200064) 3．上海中医药大学(上海 201203) 【摘 要】 目的 探讨不同生活习惯对慢性胃炎发病的影响以及中医健康宣传指导的作用。方法 制定调查问卷，明 确诊断标准、纳入标准与排除标准：收集临床病例183例，采用病例对照方法筛选出慢性胃炎的影响因素，制定中医健康教 育手册：将患者随机分为单纯药物组(88例，单纯药物治疗)和结合组(95例，药物治疗结合中医健康教育)；两组疗程均为8 个月，观察患者临床疗效和治疗前后生活习惯的改变情况。结果 慢性胃炎的危险因素依次为饮食喜生冷和辣味、易怒、饮 酒、吸烟、喝红茶：慢性胃炎的保护因素为多喝绿茶。与单纯药物组比较，结合组患者的生活习惯和临床症状改善更为明显 (P0．05)，患者对慢性胃炎发病的认知程度也明显提高。结论 治疗慢性胃炎，除了必要的药物，加强健康教育和中医养生指 导有助于慢性胃炎患者的康复。 【关键词】 慢性胃炎；中医药疗法；健康指导；生活习惯 【中图分类号】 R256．3：R573．3 【文献标识码】 A 【文章编号】 1007—1334(2007)03—0021—02 Effects and Significances of Heaithcare Education for Chronic Gastritis HU Tao-ying YANG An-lin MA Tian-wen WANG Yi-qin 1． Shanghai Municipal Health School； 2． Shanghai Electric Power Company 3． Shanghai University of Traditional Chinese Medicine Abstract： Objective To explore the effects of different living habits on the chronic gastritis and the significance of carrying out the related healthcare education．Methods Questionnaires were drawn up and 183 cases of chronic gastritis were selected according to the diagnostic criteria．inclusive criteria as well as exclusive criteria．，nle influential factors of chronic gastritis were identified through comparing the disease group witll the normal group．On the basis of above research．a healthcare guidance manual was formulated．，nle 1 83 cases were randomly divided into drug group and combination group．Both of the groups were treated with the drug for 8 months，while besides the drugs，the combination group also received related healthcare education、，nle clinical effects and the ch