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
Application of traditional Chinese medicine acupoint sticking therapy combined with intestinal function training in elder-ly chronic constipation
王兰兰 1吴凤菊 2潘红威 1何达 3华锋凯 2李雪梅4
作者信息
- 1. 广西科技大学第一附属医院全科医学科,广西 柳州 545002
- 2. 广西科技大学第一附属医院护理部,广西 柳州 545002
- 3. 广西科技大学第一附属医院中医科,广西 柳州 545002
- 4. 广西科技大学第一附属医院康复医学科,广西 柳州 545002
- 折叠
摘要
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.
Abstract
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.
关键词
老年慢性便秘/中药穴位贴敷/肠道功能训练/疗效Key words
Elderly chronic constipation/Traditional Chinese medicine(TCM)acupoint sticking therapy/Intestinal function training/Curative effect引用本文复制引用
基金项目
广西壮族自治区中医药管理局自筹经费科研课题(GXZYZ20210477)
出版年
2024
国家科技期刊平台
NSTL
万方数据