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中药穴位贴敷联合肠道功能训练在老年慢性便秘中的应用

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目的 观察中药穴位贴敷联合肠道功能训练在老年慢性便秘中的应用价值.方法 将120 例老年慢性便秘患者按照便利抽样法分为3 组,贴敷组40 例采用中药穴位贴敷,功能训练组40 例采取肠道功能训练,联合组40 例采用中药穴位贴敷联合肠道功能训练方法.3 组干预时间均为2 周.比较3 组干预前后慢性便秘严重度评分量表(CSS)评分、便秘患者生活质量量表(PAC-QOL)评分变化,统计 3 组干预后临床疗效,以及腹部不适症状发生情况.结果 贴敷组总有效率77.50%(31/40),功能训练组总有效率 75.00%(30/40),联合组总有效率 95.00%(38/40),联合组疗效优于贴敷组、功能训练组(P<0.05).3 组干预后CSS评分均较本组干预前降低(P<0.05),且联合组干预后均低于贴敷组和功能训练组(P<0.05).3 组干预后PAC-QOL各项评分均较本组干预前降低(P<0.05),且联合组干预后均低于贴敷组和功能训练组(P<0.05).3 组干预期间腹部不适症状发生率比较差异无统计学意义(P>0.05).结论 中药穴位贴敷联合肠道功能训练用于老年慢性便秘患者效果显著,可改善其便秘程度,提高生活质量,且不会增加腹部不适症状的发生.
Application of traditional Chinese medicine acupoint sticking therapy combined with intestinal function training in elder-ly chronic constipation
Objective To explore the application value of traditional Chinese medicine(TCM)acupoint sticking therapy combined with intestinal function training in elderly chronic constipation.Methods A total of 120 elderly patients with chronic constipation were randomly assinged to application group(n=40,TCM acupoint sticking),training group(n=40,intestinal function training)or combined group(n=40,TCM acupoint sticking+intestinal function training)by convenience samphng method.The treatment was performed for 2 weeks,aiming to compare the scores of the Constipation Scoring System(CSS)and patient-assessment of constipation quality of life(PAC-QOL),the clinical effect,as well as the treatment-emergent adverse event(TEAE)including abdominal discomfort symptoms between groups before and after the intervention.Results The curative effect of combined group was better than that of application group and training group(95.00%[38/40]vs 77.50%[31/40]vs 75.00%[30/40],P<0.05).After intervention,the scores of CSS and PAC-QOL in the three groups were significantly de-creased(P<0.05),which were more lower in combined group than in application group and training group(P<0.05).There was no significant difference in TEAE(abdominal discomfort symptoms)between groups(P>0.05).Conclusion TCM acupoint sticking therapy combined with intestinal function training in elderly chronic constipation has a significant effect,which can improve the degree of constipation,improve the quality of life,and decrease the occurrence of abdominal discomfort symptoms.

Elderly chronic constipationTraditional Chinese medicine(TCM)acupoint sticking therapyIntestinal function trainingCurative effect

王兰兰、吴凤菊、潘红威、何达、华锋凯、李雪梅

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广西科技大学第一附属医院全科医学科,广西 柳州 545002

广西科技大学第一附属医院护理部,广西 柳州 545002

广西科技大学第一附属医院中医科,广西 柳州 545002

广西科技大学第一附属医院康复医学科,广西 柳州 545002

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老年慢性便秘 中药穴位贴敷 肠道功能训练 疗效

广西壮族自治区中医药管理局自筹经费科研课题

GXZYZ20210477

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(6)