电热砭石热熨技术在改善老年患者脾肾阳虚型功能性便秘中的应用
Application study of the therapeutic effects of electro-heating bian-stone warming and ironing technique in elderly patients with functional constipation due to spleen-kidney yang deficiency
习亚炜 1李莉 2王颖 1杨晓芳 1郭翠花 1钱晶晶 1王碧君 1张林玉 3许韵1
作者信息
- 1. 中国中医科学院广安门医院干部保健科,100053 北京市
- 2. 中国中医科学院广安门医院保健办,100053 北京市
- 3. 贵州中医药大学第一附属医院手术室
- 折叠
摘要
目的:评价电热砭石热熨技术改善老年患者脾肾阳虚型功能性便秘的效果,为缓解其便秘症状、提升生活质量提供参考.方法:便利选取 2023 年7月至 2024 年 2月在北京市某三级甲等中医医院收治的老年脾肾阳虚型功能性便秘患者为研究对象,随机分为对照组(n=29)和实验组(n=29),对照组给予健康指导及腹部按摩,实验组给予健康指导及电热砭石热熨治疗.采用便秘患者症状自评量表(PAC-SYM)、Bristol粪便性状评分(BSFS)、患者便秘状况评估量表(PAC-QOL)对患者进行评定,同时记录干预前后两组患者每周排便次数,观察排便频次改善情况.结果:干预前后两组PAC-SYM、BSFS、PAC-QOL得分差异均有统计学意义(P<0.05),且实验组患者排便次数干预前后差异有统计学意义(P<0.01);实验组患者干预后PAC-SYM、BSFS、PAC-QOL评分、排便次数均优于对照组(P<0.01).结论:电热砭石热熨技术能够明显改善老年患者脾肾阳虚型功能性便秘症状,使排便次数增加,提高老年患者生活质量.
Abstract
Objective:To investigate the clinical efficacy of the electro-heating bian-stone warming and ironing technique in elderly patients with functional constipation due to spleen-kidney yang deficiency.Methods:From July 2023 to February 2024,58 patients with functional constipation due to spleen-kidney yang deficiency who were admitted to a tertiary grade A Traditional Chinese Medicine hospital in Beijing were recruited as the study participants.They were randomized into either an experimental group(n=29)or a control group(n=29).Patients in the control group received abdominal massages on the basis of health guidance.On the other hand,patients in the experimental group received electro-heating bian-stone warming and ironing therapy on the basis of health guidance.The improvement in patients'constipation was evaluated using the Patient Assessment of Constipation Symptom(PAC-SYM),Bristol Stool Form Scale(BSFS),Patient Assessment of Constipation Quality of Life(PAC-QOL),and records of weekly defecation frequency before and after the intervention.Results:The PAC-SYM,BSFS,and PAC-QOL scores for both the experimental and control groups were compared before and after the intervention,showing statistically significant differences(P<0.05).After the intervention,there were notable differences in PAC-SYM,BSFS,PAC-QOL,the weekly defecation frequency significantly between the experimental and control groups(P<0.01).Conclusion:The electro-heating bian-stone warming and ironing technique can significantly improve functional constipation symptoms in elderly patients with functional constipation due to spleen-kidney yang deficiency,increase defecation frequency,and enhance the patient's quality of life.
关键词
电热/砭石热熨/腹部按摩/功能性便秘/老年患者/脾肾阳虚Key words
electro-heating/bian-stone warming and ironing technique/abdominal massage/functional constipation/elderly patient/spleen-kidney yang deficiency引用本文复制引用
出版年
2024
NETL
NSTL
万方数据