耳穴贴压联合中药贴敷神阙穴治疗老年人功能性便秘临床研究
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摘要
目的:观察耳穴贴压联合中药贴敷神阙穴治疗老年人功能性便秘的疗效。方法:将128例肠道实热型功能性便秘老年患者随机分为对照组和观察组各64例。2组均给予饮食指导、生活习惯指导、心理护理和知识宣教等常规护理措施,对照组口服麻仁润肠丸,观察组采用耳穴贴压联合中药贴敷神阙穴进行治疗,2组疗程均为14天。治疗前后进行主要症状评分、Wexner评分和便秘患者症状自评量表(PAC-SYM)评分的评价,比较2组治疗后的综合疗效。结果:治疗后,观察组综合疗效优于对照组(P <0.05)。2组粪便性状、排便困难、排便时间、频率、腹胀评分,下坠、不尽、胀感评分和总分均较治疗前下降(P <0.01),观察组各项评分和总分均低于对照组(P <0.01)。2组Wexner评分和PAC-SYM评分均较治疗前下降(P <0.01),观察组2项评分均低于对照组(P <0.01)。结论:采用耳穴贴压联合中药贴敷神阙穴治疗老年人肠道实热型功能性便秘,可有效缓解患者的临床症状,减轻便秘程度,临床疗效显著。
Objective:To observe the curative effect of the auricular point sticking therapy combined with point application with Chinese herbal medicine at Shenque(CV8) for functional constipation in the senile. Methods:A total of 128 cases of senile patients with functional constipation of excess heat in the intestine type were randomly divided into the control group and the observation group,64 cases in each group. Both groups were given routine nursing measures including diet guidance, and nursing instructions of living habits, psychology and health education. The control group was treated with oral administration of Maren Runchang pills, while the observation group was treated with auricular point sticking therapy combined with point application with Chinese herbal medicine at Shenque(CV8). The course of treatment lasted for 14 days in both groups. The scores of main symptoms, Wexner and Patient Assessment of Constipation-Symptoms(PAC-SYM) were evaluated before and after treatment,and the comprehensive curative effect in the two groups were compared. Results:After treatment,the comprehensive curative effect in the observation group was better than that in the control group(P < 0.05). The scores of fecal character, difficulty in defecation, defecation time, frequency of defecation and abdominal distension,the scores of straining sensation,incomplete defecation and distending sensation and the total score in the two groups were decreased when compared with those before treatment(P < 0.01);each score and the total score in the observation group were lower than those in the control group(P < 0.01). The scores of Wexner and PAC-SYM in the two groups were decreased when compared with those before treatment(P < 0.01),and the ones in the observation group were lower than those in the control group(P <0.01). Conclusion: The therapy of auricular point sticking therapy combined with point application with Chinese herbal medicine at Shenque(CV8) can effectively relive the clinical symptoms of senile patients with functional constipation of excess heat in the intestine type,and reduce the degree of constipation with significant therapeutic effect.
Objective:To observe the curative effect of the auricular point sticking therapy combined with point application with Chinese herbal medicine at Shenque(CV8) for functional constipation in the senile. Methods:A total of 128 cases of senile patients with functional constipation of excess heat in the intestine type were randomly divided into the control group and the observation group,64 cases in each group. Both groups were given routine nursing measures including diet guidance, and nursing instructions of living habits, psychology and health education. The control group was treated with oral administration of Maren Runchang pills, while the observation group was treated with auricular point sticking therapy combined with point application with Chinese herbal medicine at Shenque(CV8). The course of treatment lasted for 14 days in both groups. The scores of main symptoms, Wexner and Patient Assessment of Constipation-Symptoms(PAC-SYM) were evaluated before and after treatment,and the comprehensive curative effect in the two groups were compared. Results:After treatment,the comprehensive curative effect in the observation group was better than that in the control group(P < 0.05). The scores of fecal character, difficulty in defecation, defecation time, frequency of defecation and abdominal distension,the scores of straining sensation,incomplete defecation and distending sensation and the total score in the two groups were decreased when compared with those before treatment(P < 0.01);each score and the total score in the observation group were lower than those in the control group(P < 0.01). The scores of Wexner and PAC-SYM in the two groups were decreased when compared with those before treatment(P < 0.01),and the ones in the observation group were lower than those in the control group(P <0.01). Conclusion: The therapy of auricular point sticking therapy combined with point application with Chinese herbal medicine at Shenque(CV8) can effectively relive the clinical symptoms of senile patients with functional constipation of excess heat in the intestine type,and reduce the degree of constipation with significant therapeutic effect.
引文
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[12]王晓霞,柯敏辉,林晶.生物反馈联合芒硝神阙穴贴敷治疗功能性便秘疗效观察[J].亚太传统医药,2016,12(23):109-111.
[2]杨勇,丁曙晴,杨光,等.功能性便秘中医证候的判别分析[J].广州中医药大学学报,2015,32(2):189-193.
[3]孙纪峰,陈懿.中医药治疗功能性便秘的临床研究进展[J].中华中医药学刊,2014,32(9):2268-2270.
[4]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.
[5]宋玉磊,林征,柏亚妹.功能性便秘疗效评估指标的现状与评价[J].中国实用内科杂志,2016,36(9):813-816.
[6]唐伟峰,唐晓军,杨巍.功能性便秘的中西医研究进展[J].世界中西医结合杂志,2015,10(6):880-884.
[7]中华医学会消化病学分会胃肠动力学组.中国慢性便秘诊治指南(2013,武汉)[J].胃肠病学, 2013, 33(10):605-612.
[8]时岱,姜莉云.老年功能性便秘的中医研究进展[J].中国民族民间医药,2016,25(18):37-39.
[9]吴圆荣,赵若华,俞婷婷,等.耳穴按压治疗慢性功能性便秘随机对照试验的Meta分析[J].解放军护理杂志,2016,33(9):1-6.
[10]王蕾,杨燕妮.耳穴贴压联合艾灸穴位治疗改善老年人功能性便秘的护理体会[J].中西医结合护理(中英文),2016,2(5):53-55.
[11]吴圆荣,赵若华,俞婷婷,等.耳穴按压治疗慢性功能性便秘随机对照试验的Meta分析[J].解放军护理杂志,2016,33(9):1-6.
[12]王晓霞,柯敏辉,林晶.生物反馈联合芒硝神阙穴贴敷治疗功能性便秘疗效观察[J].亚太传统医药,2016,12(23):109-111.