一指禅推拿治疗老年人功能性便秘的胃肠动力学及临床疗效研究  

Gastrointestinal motility and clinical effects of one finger massage therapy for functional constipation in the elderly

作　　者：萧枫[1] 张颖[2] 朱鼎成[1] 连宝领[1] 房敏[3] 

机构地区：[1]复旦大学附属华东医院推拿科,上海市200052 [2]复旦大学附属华东医院消化科,上海市200052 [3]上海中医药大学附属岳阳中西医结合医院推拿科,上海市200437

出　　处：《老年医学与保健》2014年第2期106-109,共4页Geriatrics & Health Care

基　　金：上海市卫生局课题（20114048）

摘　　要：目的 采用一指禅推拿治疗老年人功能性便秘,评价其疗效及安全性.方法 40例老年功能性便秘患者,男性26例,女性14例,平均年龄（73.3±6.4）岁,采用一指禅推拿治疗,疗程均为12 w.分别记录治疗前后临床症状、血浆P物质（plasma substance P,SP）和血管活性肠肽（vasoactive intestinal peptide,VIP）水平变化,同时记录各项不良反应,监测肝肾功能等相关血清学指标.结果 治疗后患者每周排便次数增加[（2.4±0.8）vs（3.3±0.9）,P＜0.01],Bristol粪便性状评分差异无统计学意义[（2.5±0.6）vs （2.7±0.6）,P=0.067],中医证候疗效评分和PAC-QOL量表评分值均下降[（3.0±0.7）vs（2.3±0.7）和（3.6±0.7）vs（2.9±0.7）,P＜0.01].SP水平增加[（43.3±8.8）ng/Lvs （48.9±10.2） ng/L,P=0.010],VIP水平无改变[（27.5±4.4）ng/L vs （25.1±7.0） ng/L,P=0.071].治疗期间无不良反应发生.结论 一指禅推拿治疗能改善老年人功能性便秘的症状,显著提高患者生活质量,安全有效.Objective To evaluate the efficacy and safety of one finger massage therapy tbr functional constipation in the elderly. Methods A total of 40 patients （male 26, female 14, mean age 73.3 ±6.4 years） with functional constipation received the course of therapy for 12 weeks. The symptom changing, levels of plasma substance P （SP） and vasoactive intestinal peptide （VIP） were recorded before and after the treatment. Adverse reactions were also recorded during the therapy, as well as liver function, renal function, electrocardiogram etc. Results After the therapy, mean bowel movements per week increased significantly [（2.4±0.8） vs （3.3±0.9）, P〈0.01], while Bristol score maintained no increasing [（2.5 ±0.6 ） vs （2.7 ±0.6）, P=0.067]. Both Chinese medicine symptom complex score and PAC-QOL score decreased significantly [（3.0±0.7） vs （2.3±0.7） and （3.6±0.7） vs （2.9±0.7） respectively, P〈0.01]. The levelsofSPraised significantly after treatment [（43.3±8.8） ng/L vs （48.9±10.2） ng/L, P=0.010], but the levels of VIP did not change significantly [（27.5 ±4.4） ng/L vs （25.1 ±7.0） ng/L, P=0.071]. No adverse effects were found. Conclusion One finger massage treatment improves the clinical conditions and life quality of the aged patients. It is safe and well-tolerated for the elderly with functional constipation.

关 键 词：老年人 便秘 生活质量 一指禅推拿 

分 类 号：R244.1[医药卫生—针灸推拿学]