首页|子午流注理论指导大黄穴位贴敷在阿片类药物所致便秘患者中的应用效果分析

子午流注理论指导大黄穴位贴敷在阿片类药物所致便秘患者中的应用效果分析

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目的 探讨子午流注理论指导大黄穴位贴敷在阿片类药物所致便秘患者中的应用效果.方法 选取2019年1 月—2023 年 4 月我院收治的 90 例阿片类药物所致便秘患者为研究对象,采取随机数字表法将其分为对照组和观察组,每组 45 例.对照组采用常规干预,观察组在对照组基础上加用子午流注理论指导大黄穴位贴敷.对比两组临床疗效、便秘严重程度、大便性状、大便次数、症状缓解时间、便秘症状自评量表评分,同时统计随访 1 个月复发率.结果 观察组治疗总有效率 91.11%高于对照组的 71.11%,差异有统计学意义(P﹤0.05).治疗后,观察组便秘严重程度评分、大便性状评分均低于对照组,大便次数少于对照组,症状缓解时间短于对照组,组间差异有统计学意义(P﹤0.05);观察组粪便症状、直肠症状、腹部症状评分均低于对照组,组间差异有统计学意义(P﹤0.05).治疗后随访 1 个月,对照组复发率22.22%高于观察组的 4.44%,差异有统计学意义(P﹤0.05).结论 子午流注理论指导大黄穴位贴敷在阿片类药物所致便秘患者中的应用效果显著,能够有效缓解患者便秘的程度,缩短症状缓解时间,同时还可减低近期复发率.
Analysis of the Application Effect of Rhubarb Acupoint Application Guided by the Theory of Meridian Flow in Patients with Opioid Induced Constipation
Objective To explore the application effect of rhubarb acupoint application guided by the theory of meridian flow in patients with opioid induced constipation.Methods 90 patients with opioid induced constipation admitted to our hospital from January 2019 to April 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 45 cases in each group.The control group was given routine intervention,and the observation group was guided by meridian flow theory to apply rhubarb acupoint on the basis of the control group.Compare the clinical efficacy,severity of constipation,stool characteristics,frequency of bowel movements,time of symptom relief,and self-evaluation sc ale scores of constipation symptoms between two groups.At the same time,calculate the recurrence rate at one month of follow-up.Results The total effective rate of the observation group was 91.11%,higher than 71.11% of the control group,and the difference was statistically significant(P﹤0.05).After treatment,the severity score of constipation and stool trait score in the observation group were lower than those in the control group,and the number of stools in the observation group was less than that in the control group,the symptom relief time in the observation group was shorter than that in the control group,and the differences between the groups were statistically significant(P﹤0.05);the scores of fecal symptoms,rectal symptoms,and abdominal symptoms in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P﹤0.05).After one month of follow-up after treatment,the recurrence rate of the control group was 22.22%,which was higher than 4.44% of the observation group,and the difference was statistically significant(P﹤0.05).Conclusion The meridian flow theory guides the application of rhubarb acupoint application in patients with opioid-induced constipation,which can effectively relieve the degree of constipation,alleviate the time of symptom relief,and reduce the recurrence rate in the near future.

ConstipationMeridian flow theoryAcupoint application of rhubarbOpioids

李懿

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连云港市第二人民医院肿瘤科,江苏连云港 222000

便秘 子午流注理论 大黄穴位贴敷 阿片类药物

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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