二联技术在阿片药所致便秘中的临床应用  

Externally smearing rhubarb on CV 8 in combination with massage on ST 25 for constipation caused by opioid drugs

作　　者：蔡姣芝[1] 赵莞丽[1] 肖舒静[1] 成燕云[1] 

机构地区：[1]广东省中医院肿瘤大科,广州510120

出　　处：《国际医药卫生导报》2016年第10期1354-1356,共3页International Medicine and Health Guidance News

基　　金：广东省中医药局课题（2014KT1184）

摘　　要：目的通过2013年7月至2014年4月19例肿瘤疼痛口服奥施康定患者的观察，发现大黄外敷神阙联合天枢穴按摩二联技术能防治阿片药所致的便秘和提高患者的生活质量，现通过更多的病例进一步细致严谨的观察大黄外敷神阙联合天枢穴按摩二联技术在防治阿片药所玫便秘中的作用。方法将符合纳入、排除标准的80例肿瘤疼痛患者采用随机数字表法分为治疗组和对照组，各40例，治疗组在口服奥施康定后诊断为便秘时，开始采用生大黄粉姜汁调成糊状贴敷于神阙穴，每天1次，连续10次为1疗程，同时配合天枢穴按摩；对照组在口服奥施康定后诊断为便秘时，开始给予乳果糖口服，每天2次，每次1包；两组都结合便秘常规护理。观察两组治疗后排便次数、便秘评分、临床疗效。结果治疗组排便次数、便秘评分、临床疗效与对照组比较，差异有统计学意义（P〈0．05），结果与前期观察一致。结论大黄外敷神阙联合天枢穴按摩对阿片药所致便秘有较好的防治作用，值得临床推广。Objective 19 patients with cancer pain who took oxycontin from July, 2013 to April, 2014 were observed and found that externally smearing rhubarb on CV 8 and massaging ST 25 can prevent constipation caused by opioid drugs and improve the patient＇s life quality. Now more patients were chosen for further study and to observe the effect of externally smearing rhubarb on CV 8 in combination with massage on ST 25 for constipation caused by opioid drugs. Methods As inclusion criteria and exclusion criteria, 80 patients with cancer pain were divided into a treatment group and a control group using random number table, 40 cases for each group. The treatment group took oxycontin and put rhubarb and ginger powder on CV 8 one time a day .At the same time, the patients were massaged ST 25. The control group took lactulose 2 times a day and 1 bag each time after being diagnosed with constipation. Both groups were given constipation routine nursing. The research mainly observed the defecation number, constipation score, and clinical curative effect before and after the treatment of these two groups. Results There were statistical differences in the frequency of defecation, constipation score, clinical efficacy between these two groups （P 〈 0.05）. The results were consistent with the previous observation. Conclusions Externally smearing rhubarb on CV 8 in combination with massage on ST 25 for constipation caused by opioid drugs is effective and worth being clinically generalized.

关 键 词：大黄 神阙穴 天枢穴 阿片药 便秘 

分 类 号：R256.350.5[医药卫生—中医内科学]