择时饮水联合穴位按摩干预脑卒中后便秘的疗效观察
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摘要
目的:探讨依据中医子午流注理论卯时指导患者饮淡盐水联合穴位按摩对脑卒中后便秘患者的临床效果。方法:将240例患者随机分为观察组120例,对照组120例。2组均给予常规护理,观察组在常规护理的基础上每日卯时定时嘱患者饮淡盐水200 m L,定时排便并联合穴位按摩。比较2组患者干预前后便秘评分、大便性状分型和便秘患者生活质量。结果:便秘评分干预前后2组组内比较,差异有统计学意义(P<0.05);干预后2组组间比较,差异也有统计学意义(P<0.05)。大便性状干预后2组均明显改善(P<0.05),观察组改善更明显(P<0.05)。生活质量评分干预前后2组组内比较,差异有统计学意义(P<0.05);干预后2组组间比较,差异也有统计学意义(P<0.05)。结论:以子午流注理论指导的卯时饮淡盐水联合穴位按摩能有效改善脑卒中后便秘患者的便秘程度及生活质量。
Objective: To discuss clinical effects of the patients drinking weak saline water in the period( of Maoshi from 5 am to 7 am) guided by TCM theory of midnight-noon ebb-flow doctrine combined with acupoint massage in treating the constipation of the patients after stroke. Methods: All 240 patients were randomized into 120 cases in the observation group and 120 cases in the control group. Both groups accepted routine care, the patients in the observation group drank weak saline water at the fixed time in the period from 5 am to 7 am and acupoint massage, defecated regularly on the foundation of conventional care. Constipation scales, the property and types of stool and quality of life of the patients were compared before and after the intervention. Results: The difference had statistical meaning in the comparisons of constipation scales within two groups before and after the intervention(P<0.05); the difference showed statistical meaning in the comparisons between both groups after the intervention(P<0.05). The property of the stool improved notably in both groups after the intervention(P<0.05), the improvements of the observation group was more obvious(P <0.05). The difference was statistically significant in the comparisons of the scales of quality of life before and after the intervention within two groups(P<0.05), and the difference had statistical meaning in the comparisons between both groups after the intervention(P <0.05).Conclusion: Drinking weak saline water in the period from 5 am to 7 am guided by TCM theory of midnight-noon ebb-flow doctrine combined with acupoint massage could effectively the constipation degrees and quality of life of constipation patients after stroke.
Objective: To discuss clinical effects of the patients drinking weak saline water in the period( of Maoshi from 5 am to 7 am) guided by TCM theory of midnight-noon ebb-flow doctrine combined with acupoint massage in treating the constipation of the patients after stroke. Methods: All 240 patients were randomized into 120 cases in the observation group and 120 cases in the control group. Both groups accepted routine care, the patients in the observation group drank weak saline water at the fixed time in the period from 5 am to 7 am and acupoint massage, defecated regularly on the foundation of conventional care. Constipation scales, the property and types of stool and quality of life of the patients were compared before and after the intervention. Results: The difference had statistical meaning in the comparisons of constipation scales within two groups before and after the intervention(P<0.05); the difference showed statistical meaning in the comparisons between both groups after the intervention(P<0.05). The property of the stool improved notably in both groups after the intervention(P<0.05), the improvements of the observation group was more obvious(P <0.05). The difference was statistically significant in the comparisons of the scales of quality of life before and after the intervention within two groups(P<0.05), and the difference had statistical meaning in the comparisons between both groups after the intervention(P <0.05).Conclusion: Drinking weak saline water in the period from 5 am to 7 am guided by TCM theory of midnight-noon ebb-flow doctrine combined with acupoint massage could effectively the constipation degrees and quality of life of constipation patients after stroke.
引文
[1]苏永静,张振路,张小燕,等.卒中后4周内便秘的发生、危险因素及其对预后的影响[J].中国神经精神杂志,2006,32(4):300-303.
[2]繆虹,赵杨.卒中后便秘研究进展[J].辽宁中医药大学学报,2011,13(8):257-259.
[3]中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[4]Agachan F,Chen T,Pfeifer J,et al.Aconstipation scoring system to simplify evaluation and management of constipated patients[J].Dis Colon Rectum,1996,39(6):681-685.
[5]Donnell LJ,Virjee J,Heaton KW.Detection of seudodiarrhoea by simple clinical assessment of intestinal transitrate[J].BMJ,1990,300(6722):439-440.
[6]Marquis P,ubois D.Developement and validation of the patient assessment of constipation quality of life questionnaire[J].Scand J Gastroenterol,2005,40(5):540-551.
[7]黄萍,廖红梅.耳穴贴压联合系统护理干预预防脑卒中患者便秘的临床效果[J].世界华人消化杂志,2014,22(19):2800-2803.
[8]杨海侠,宋亚华,孟小芬,等.卯时口服复方聚乙二醇电解质散行肠道准备的效果评价[J].护理管理杂志,2015,15(6):433-434.
[9]胡鹏.卯时健康指导在肛肠病人排便中的应用[J].光明中医,2013,28(2):359-360.
[10]陈莲,李真培.单味中药配合穴位按摩治疗原发性I期高血压病临床观察[J].辽宁中医杂志,2006,33(7):834-835.
[11]刘志顺,郑成哲,张维.深刺天枢治疗老年便秘近期观察[J].中国针灸,2004,24(3):155-156.
[2]繆虹,赵杨.卒中后便秘研究进展[J].辽宁中医药大学学报,2011,13(8):257-259.
[3]中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[4]Agachan F,Chen T,Pfeifer J,et al.Aconstipation scoring system to simplify evaluation and management of constipated patients[J].Dis Colon Rectum,1996,39(6):681-685.
[5]Donnell LJ,Virjee J,Heaton KW.Detection of seudodiarrhoea by simple clinical assessment of intestinal transitrate[J].BMJ,1990,300(6722):439-440.
[6]Marquis P,ubois D.Developement and validation of the patient assessment of constipation quality of life questionnaire[J].Scand J Gastroenterol,2005,40(5):540-551.
[7]黄萍,廖红梅.耳穴贴压联合系统护理干预预防脑卒中患者便秘的临床效果[J].世界华人消化杂志,2014,22(19):2800-2803.
[8]杨海侠,宋亚华,孟小芬,等.卯时口服复方聚乙二醇电解质散行肠道准备的效果评价[J].护理管理杂志,2015,15(6):433-434.
[9]胡鹏.卯时健康指导在肛肠病人排便中的应用[J].光明中医,2013,28(2):359-360.
[10]陈莲,李真培.单味中药配合穴位按摩治疗原发性I期高血压病临床观察[J].辽宁中医杂志,2006,33(7):834-835.
[11]刘志顺,郑成哲,张维.深刺天枢治疗老年便秘近期观察[J].中国针灸,2004,24(3):155-156.