“三穴三法”推拿治疗功能性便秘的临床观察
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摘要
目的:观察"三穴三法"推拿治疗功能性便秘(气滞型)的临床疗效。方法:随机将60例功能性便秘(气滞型)患者分为对照组30例和治疗组30例,对照组予口服枸橼酸莫沙必利片治疗,治疗组采用"三穴三法"推拿手法,两组均治疗20 d。分别于治疗前、治疗后检测便秘症状积分和患者便秘状况评估量表(PAC-QOL)评分,并于治疗后观察总体疗效。结果:治疗组总有效率为86.67%,高于对照组的73.33%,治疗组疗效明显优于对照组(P<0.05);治疗后两组排便困难、粪便性状、排便时间、排便频率、腹胀积分以及PAC-QOL量表中身体不适、心理社会不适、担心和焦虑、满意度4个维度积分均较治疗前降低(P<0.05),且治疗组上述指标均优于对照组(P<0.05)。结论:"三穴三法"推拿可以改善气滞型功能性便秘患者的症状,提高患者的生活质量。
Objective: To observe the clinical efficacy of "Three Points and Three Methods" massage in the treatment of functional constipation(Qi stagnation type). Methods: The patients with functional constipation were randomly divided into control group of 30 cases and treatment group of 30 cases. The control group patients were treated with mosapride citrate tablets, and the treatment group patients were treated with "Three Points and Three Methods" massage. Two groups were treated for 20 days. The scores of constipation symptoms and PACQOL were measured before and after treatment, and the overall effect was observed after treatment. Results: After treatment, the scores of difficulty in defecation, fecal characteristics, defecation time, defecation frequency,abdominal distension, physical discomfort, psychosocial discomfort, anxiety and satisfaction in the PAC-QOL scale in the two groups decreased(P<0.05), and the above indexes in the treatment group were better than those in the control group(P<0.05). Conclusion: "Three points and three methods" massage can improve the symptoms of patients with functional constipation of qi stagnation type and improve the quality of life of patients.
Objective: To observe the clinical efficacy of "Three Points and Three Methods" massage in the treatment of functional constipation(Qi stagnation type). Methods: The patients with functional constipation were randomly divided into control group of 30 cases and treatment group of 30 cases. The control group patients were treated with mosapride citrate tablets, and the treatment group patients were treated with "Three Points and Three Methods" massage. Two groups were treated for 20 days. The scores of constipation symptoms and PACQOL were measured before and after treatment, and the overall effect was observed after treatment. Results: After treatment, the scores of difficulty in defecation, fecal characteristics, defecation time, defecation frequency,abdominal distension, physical discomfort, psychosocial discomfort, anxiety and satisfaction in the PAC-QOL scale in the two groups decreased(P<0.05), and the above indexes in the treatment group were better than those in the control group(P<0.05). Conclusion: "Three points and three methods" massage can improve the symptoms of patients with functional constipation of qi stagnation type and improve the quality of life of patients.
引文
[1]郭晓峰,柯美云,潘国宗,等.北京地区成人慢性便秘整群、分层、随机流行病学调查及其相关因素分析[J].中华消化杂志,2002,22(10):637-638.
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[10]赵贞贞,林征,林琳,等.中文版患者便秘状况评估量表在应用评价中的信效度研究[J].中华护理杂志,2010,45(12):1124-1126.
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[13]何丰华,刘玉姿,吴晔,等.加减黄芪汤治疗气虚型老年功能性便秘的临床研究[J].中药材,2015,38(2):410-412.
[14]朱盈盈,陈延.功能性便秘的中国古代文献述评[J].中华中医药杂志,2012,27(9):2387-2389.
[15]赵蕾,廖秀军,杨关根,等.慢性功能性便秘基本证型分布特点及相关因素分析[J].中国中西医结合杂志,2014,34(10):1173-1177.
[16]汪红兵,陈剑明,张声生.老年功能性便秘中医病机规律临床流行病学调查[J].中国中医药信息杂志,2011,18(12):21-23.
[2]熊理守,陈曼湖,陈惠新,等.广东省社区人群慢性便秘的流行病学研究[J].中华消化杂志,2004,24(8):488-491.
[3]刘智勇,杨关根,沈忠,等.杭州市城区便秘流行病学调查[J].中华消化杂志,2004,24(7):435-436.
[4]中华医学会消化病学分会胃肠动力学组,中华医学会外科学分会结直肠肛门外科学组.中国慢性便秘诊治指南(2013年,武汉)[J].中华消化杂志,2013,33(5):291-297.
[5]周青,陈玉根.慢性功能性便秘临床治疗研究现状[J].中国中西医结合消化杂志,2013,21(11):611-613.
[6]张军,吴宗蔚,马笃军,等.推拿治疗便秘临床研究文献的Meta分析[J].湖南中医杂志,2013,29(3):127-129.
[7]张丹,夏志伟.功能性便秘的罗马Ⅲ标准[J].中国医刊,2008,43(12):63-64.
[8]中华中医药学会脾胃病分会.慢性便秘中医诊疗共识意见[J].北京中医药,2011,30(1):3-7.
[9]中华医学会外科学分会肛肠外科学组.便秘症状及疗效评估[J].中华胃肠外科杂志,2005,8(4):355.
[10]赵贞贞,林征,林琳,等.中文版患者便秘状况评估量表在应用评价中的信效度研究[J].中华护理杂志,2010,45(12):1124-1126.
[11]中华人民共和国卫生部.中药新药临床研究指导原则(第一辑)[Z].北京,1993:131-133.
[12] Chan A O,Cheng C,Hui W M,et al. Differing coping mechanisms,stress level and anorectal physiology in patients with functional constipation[J].World Journal of Gastroenterology,2005,11(34):5362-5366.
[13]何丰华,刘玉姿,吴晔,等.加减黄芪汤治疗气虚型老年功能性便秘的临床研究[J].中药材,2015,38(2):410-412.
[14]朱盈盈,陈延.功能性便秘的中国古代文献述评[J].中华中医药杂志,2012,27(9):2387-2389.
[15]赵蕾,廖秀军,杨关根,等.慢性功能性便秘基本证型分布特点及相关因素分析[J].中国中西医结合杂志,2014,34(10):1173-1177.
[16]汪红兵,陈剑明,张声生.老年功能性便秘中医病机规律临床流行病学调查[J].中国中医药信息杂志,2011,18(12):21-23.