中国医学创新2024,Vol.21Issue(22) :85-89.DOI:10.3969/j.issn.1674-4985.2024.22.020

中药穴位贴敷联合经皮穴位电刺激对前列腺增生患者术后便秘的效果评价

Evaluation of the Effect of Acupoint Plastering of Traditional Chinese Medicine Combined with Transcutaneous Electric Acupoint Stimulation on Postoperative Constipation in Patients with Benign Prostatic Hyperplasia

陆巧妮 叶露 陈鸿
中国医学创新2024,Vol.21Issue(22) :85-89.DOI:10.3969/j.issn.1674-4985.2024.22.020

中药穴位贴敷联合经皮穴位电刺激对前列腺增生患者术后便秘的效果评价

Evaluation of the Effect of Acupoint Plastering of Traditional Chinese Medicine Combined with Transcutaneous Electric Acupoint Stimulation on Postoperative Constipation in Patients with Benign Prostatic Hyperplasia

陆巧妮 1叶露 1陈鸿1
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作者信息

  • 1. 南昌市人民医院静脉化疗药物配置室 江西 南昌 330000
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摘要

目的:评价中药穴位贴敷联合经皮穴位电刺激对前列腺增生患者术后便秘的效果.方法:选取 2021 年 8 月—2023 年 8 月于南昌市人民医院就诊的前列腺增生术后便秘患者 88 例,采用随机抽签法将其分为A组(n=28)、B组(n=30)及C组(n=30).A组行一般护理干预,B组在一般护理干预的基础上采用经皮穴位电刺激干预,C组在一般护理干预的基础上采用中药穴位贴敷联合经皮穴位电刺激干预.比较三组临床相关指标、便秘情况、视觉模拟评分法(VAS)评分、生活质量、不良事件发生情况.结果:A组首次排便时间、排便间隔时间、每次排便时间均长于B组,B组均长于C组,差异均有统计学意义(P<0.05).干预 3、7 d后,三组VAS评分、便秘评分、便秘患者生活质量问卷(PAC-QOL)评分均较干预前显著下降,差异均有统计学意义(P<0.05);三组VAS评分、便秘评分、PAC-QOL评分比较,差异均有统计学意义(P<0.05),A组VAS评分、便秘评分、PAC-QOL评分均显著高于B组和C组,B组均显著高于C组(P<0.05).三组粪便梗阻发生率及不良事件总发生率比较,差异均有统计学意义(P<0.05);A组不良事件总发生率高于B组,B组高于C组,差异均有统计学意义(P<0.05).结论:中药穴位贴敷联合经皮穴位电刺激能更有效改善前列腺增生术后患者便秘情况,并提高其生活质量,降低不良事件发生率.

Abstract

Objective:To evaluate the effect of acupoint plastering of traditional Chinese medicine combined with transcutaneous electric acupoint stimulation on postoperative constipation in patients with benign prostatic hyperplasia.Method:A total of 88 patients with benign prostatic hyperplasia treated in Nanchang People's Hospital from August 2021 to August 2023 were selected and divided into group A(n=28),group B(n=30)and group C(n=30)by random drawing method.Group A received general nursing intervention,group B was treated with transcutaneous electric acupoint stimulation on the basis of general nursing intervention,group C was treated with acupoint plastering of traditional Chinese medicine combined with transcutaneous electric acupoint stimulation on the basis of general nursing intervention.Clinical related indicators,constipation,visual analogue scale(VAS)score,quality of life and adverse events were compared among the three groups.Result:The first defecation time,defecation interval time and each defecation time in group A were longer than those in group B,and those in group B were longer than those in group C,the differences were statistically significant(P<0.05).After 3,7 days of intervention,VAS scores,constipation scores and patient assessment of constipation quality of life questionnaire(PAC-QOL)scores in the three groups were significantly decreased compared with those before intervention,the differences were statistically significant(P<0.05);there were significant differences in VAS scores,constipation scores and PAC-QOL scores among the three groups(P<0.05).VAS scores,constipation scores and PAC-QOL scores in group A were significantly higher than those in group B and group C,those in group B were significantly higher than those in group C(P<0.05).There were significant differences in the incidence of fecal obstruction and the total incidence of adverse events among the three groups(P<0.05).The total incidence of adverse events in group A was higher than that in group B,and that in group B was higher than that in group C,the differences were statistically significant(P<0.05).Conclusion:Acupoint plastering of traditional Chinese medicine combined with transcutaneous electric acupoint stimulation can effectively improve constipation of patients with benign prostatic hyperplasia after surgery,improve the quality of life and reduce the incidence rates of adverse events.

关键词

中药穴位贴敷/经皮穴位电刺激/前列腺增生/便秘/生活质量

Key words

Acupoint plastering of traditional Chinese medicine/Transcutaneous electric acupoint stimulation/Benign prostatic hyperplasia/Constipation/Quality of life

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基金项目

江西省中医药管理局科技计划项目(2023B0798)

出版年

2024
中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
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