摘要
目的 探讨运用科学锻炼、营养膳食对功能性胃肠病(functional gastrointestinal disorders,FGIDs)患者功能恢复的应用价值。方法 将2021年10月至2022年10月于重庆市急救医疗中心门诊、体检中心以及重庆市内多个社区等途径招募的200例FGIDs患者以随机数字表分为4组,每组各50例。对照组施以常规的药物治疗,科学锻炼组在对照组用药的基础上联合科学锻炼,营养膳食组在对照组用药的基础上联合营养膳食,科学锻炼联合膳食组则在对照组用药的基础上联合科学锻炼和营养膳食。比较4组访视期内第1天、3个月、6个月的胃动素(MTL)、胃泌素(GAS)、生活质量水平,对4组临床疗效和并发症发生率予以评估。结果 4组在访视期内第3、6个月的MTL、GAS水平比较差异有统计学意义(P<0.05),且访视期内第3、6个月时,科学锻炼联合膳食组的MTL、GAS水平均高于对照组、科学锻炼组和营养膳食组,差异有统计学意义(P<0.05);科学锻炼联合膳食组治疗总有效率为98.00%,明显高于对照组、科学锻炼组、营养膳食组的80.00%、84.00%、86.00%,差异有统计学意义(P<0.05);访视期内第3、6个月,科学锻炼联合膳食组SF-36评分均高于对照组、科学锻炼组和营养膳食组,差异有统计学意义(P<0.05);科学锻炼联合膳食组并发症发生率为4.00%,明显低于对照组、科学锻炼组、营养膳食组的24.00%、16.00%、18.00%,差异有统计学意义(P<0.05)。结论 对FGIDs患者给予科学锻炼联合营养膳食,临床效果显著,能有效促进患者胃肠功能的恢复,提高生活质量水平,同时有利于降低并发症风险。
Objective To investigate the clinical application value of scientific exercise and nutritional diet on functional recovery of patients with functional gastrointestinal disorders(FGIDs).Methods A total of 200 FGIDs patients recruited from the outpatient department of Chongqing Emergency Medical Center,physical examination center and multiple communities in Chongqing from October 2021 to October 2022 were divided into 4 groups by random number table,with 50 patients in each group.The control group received conventional drug therapy,the scientific exercise group was combined with scientific exercise on the basis of the control group's medication,the nutritional diet group was combined with nutritional diet on the basis of the control group's medication,and the scientific exercise combined diet group was combined with scientific exercise and nutritional diet on the basis of the control group's medication.The levels of motilin(MTL),gastrin(GAS)and quality of life of the 4 groups were compared on the 1st day,3 months and 6 months during the visit period,and the clinical efficacy and complication rate of the 4 groups were evaluated.Results There were statistically significant differences in MTL and GAS levels among the 4 groups at the 3rd and 6th month of the visit period(P<0.05),and at the 3rd and 6th month of the visit period,the levels of MTL and GAS in the scientific exercise combined diet group were higher than those in the control group,the scientific exercise group and the nutritional diet group,with statistical significance(P<0.05).The total effective rate of scientific exercise combined diet group was 98.00%,which was significantly higher than that of the control group,the scientific exercise group and the nutritional diet group(80.00%,84.00% and 86.00%),and the difference was statistically significant(P<0.05).At the 3rd and 6th month of the visit period,the SF-36 scores of the scientific exercise combined diet group were higher than those of the control group,the scientific exercise group and the nutritional diet group,and the difference was statistically significant(P<0.05).The incidence of complications in the scientific exercise combined diet group was 4.00%,which was significantly lower than that in the control group,the scientific exercise group and the nutritional diet group(24.00%,16.00% and 18.00%),and the difference was statistically significant(P<0.05).Conclusion Scientific exercise combined with nutritional diet for FGIDs patients has significant clinical effects,which can effectively promote the recovery of gastrointestinal function,improve the quality of life,and help reduce the risk of complications.
作者
冯江毅
高云瀚
华烨
胡淞
王丽萍
FENG Jiang-yi;GAO Yun-han;HUA Ye;HU Song;WANG Li-ping
出处
《中国疗养医学》
2024年第4期25-28,共4页
Chinese Journal of Convalescent Medicine
基金
重庆市体育局科研项目(C202204)。
关键词
功能性胃肠病
科学锻炼
营养膳食
临床价值
Gastrointestinal disorder
Scientific exercise
Nutritional diet
Clinical value
作者简介
通信作者:高云瀚,1580232026@163.com。
