提壶揭盖法合增水行舟法治疗癌痛用阿片药致阴亏燥热型便秘的临床观察  

Clinical Studies Induced Constipation Mention Yin Hot Pot Uncovery Increase Water Boating Law Combined Treatment of Cancer Pain with Opioid Drugs

作　　者：林海飞 郑郸鄯 黄丽娜 

机构地区：[1]乐清市人民医院中西医结合病房,浙江乐清325600

出　　处：《中华中医药学刊》2015年第3期705-707,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：温州市卫生局项目(2014ZA006)

摘　　要：目的:探讨提壶揭盖法与增水行舟法治疗癌痛用阿片药致阴亏燥热性便秘的临床效果,改善患者临床症状,提高生活质量。方法:选取因使用阿片类药物缓解癌痛而引起阴亏燥热型便秘患者120例,随机分为两组,使其有可比性。对照组60例,给予乳果糖口服治疗;观察组60例,给予提壶揭盖法联合增水行舟法治疗。对两组患者治疗效果进行评价,记录两组患者平均排便间隔时间。以便秘评分量表对两组患者干预前后便秘情况进行评价。结果:经过干预,对照组患者无痊愈者,显效、好转、无效以及有效者分别占28.33%、40.00%、31.67%和68.33%,观察组痊愈、显效、好转、无效以及有效者分别占6.67%、46.67%、40.00%、6.67%和93.33%。观察组患者痊愈率、显效率和有效率均明显高于对照组,两组比较差异有统计学意义(P<0.05)。对照组与观察组平均排便时间分别为(48.92±4.68)h和(24.17±2.16)h,观察组明显短于对照组,两组比较差异有统计学意义(P<0.05)。两组患者干预前便秘评分差别无统计学意义。经过干预,于干预后1周和2周时,对照组便秘评分分别为(10.42±1.05)分和(9.94±0.92)分,观察组分别为(5.20±0.57)分和(3.38±0.31)分,观察组明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论:提壶揭盖法与增水行舟法合用治疗以阿片类药物缓解癌痛而致阴亏燥热型便秘安全而有效,可有效改善患者症状,减轻患者痛苦。Objective： To investigate mention pot Uncovery law and increasing water boating treatment of grief caused by opioid drugs yin hot constipation clinical results,improve clinical symptoms,improve quality of life. Methods： the use of opioids to alleviate pain caused by constipation yin hot 120 patients were randomly divided into two groups,making it comparable. Control group of 60 patients received oral treatment fructose; observation group 60 cases,giving mention pot Uncovery method combined treatment increased water boating law. To evaluate the therapeutic effect of two groups of patients,the two groups were recorded average defecation interval. Constipation Rating Scale for constipation patients before and after the intervention groups were evaluated. Results： After the intervention,the control group of patients who no cure,markedly improved,ineffective and effective accounted for 28. 33%,respectively,40. 00%,31. 67% and 68. 33% in the observation group cured,markedly improved,ineffective and effective accounted for 6. 67%,respectively,46. 67%,40. 00%,6. 67% and 93. 33%. The cure rate of patients in the observation group,which was significantly higher efficiency and effective rate,the difference was statistically significant（ P〈 0. 05）. The control group and observation group,the average defecation were（ 48. 92 ± 4. 68） h and（ 24. 17 ± 2. 16） h,the observation group was significantly shorter than the control group,the difference was statistically significant（ P〈 0. 05）. Two groups of patients were no significant differences in pre- intervention scores constipation. After the intervention,after at the intervention two weeks and four to go,the control group constipation score was（ 10. 42 ± 1. 05） points and（ 9. 94 ± 0. 92） points,respectively,in the observation group were（ 5. 20 ± 0. 57） points and（ 3. 38 ± 0. 31） points,observation group was significantly lower than the control group,the difference was statistically significant（ P〈 0. 05）. Conclusion： Uncover

关 键 词：提壶揭盖法 增水行舟法 癌症 阿片类药物 便秘 

分 类 号：R256.35[医药卫生—中医内科学]