指法扩肛联合大黄粉穴位贴敷治疗重型颅脑损伤患者便秘的效果观察  

Effect of anus expansion with fingers combined with acupoint application on constipation of patients with severe craniocerebral injury

作　　者：冯妙坚 杜洁嫦 陈燕群 

机构地区：[1]广东省中西医结合医院,广东佛山528200

出　　处：《现代临床护理》2016年第4期9-12,共4页Modern Clinical Nursing

基　　金：广东省中医药局立项课题;项目编号为20131128

摘　　要：目的探讨指法扩肛联合大黄粉穴位贴敷治疗重型颅脑损伤患者便秘的效果。方法选择2013年5月-2015年5月在本院住院的91例重型颅脑损伤便秘患者,按入院顺序分成对照组45例和观察组46例。两组患者均实施便秘常规护理,观察组患者在此基础上采用指法扩肛联合大黄粉穴位贴敷,连续3 d。比较两组患者治疗便秘的近期和远期疗效。结果观察组患者治疗便秘的近期疗效和远期疗效均优于对照组,两组比较,差异具有统计学意义（均P〈0.05）。结论指法扩肛联合大黄粉穴位贴敷能解除重型颅脑损伤患者便秘,方法简便,且疗效确切,值得临床推广应用。Objective To investigate the clinical therapeutic effectiveness of fingering expansion anus with the application of acupoint treatment to patients with severe craniocerebral injury. Methods Ninety-one patients with constipation in our hospital from May 2013- May 2015 were randomized into the control group（ n = 45） and the observation group（ n = 46）. All patients were implemented with routine care of constipation. Based on those regular treatments, the patients in the observation group received the treatment of anus expansion with fingers accompanying plus acupoint treatment with rhubarb powder for three days. The short-term therapeutic effectiveness was evaluated after 3 days of treatment while the long-term therapeutic effectiveness was analyzed 2 weeks later. Results After performing this treatment for 3 days and 2 weeks, the overall clinical symptoms of constipation in the treatment group was significantly lower than those of in the control group（P〈 0.05）. Both the long-term therapeutic effectiveness after treatment two weeks and the short-term therapeutic effectiveness of the observation group were significantly better than those of the control group（P 〈 0.05）. Conclusions Anus expansion anus with fingers together with acupoint application in treating constipation is convenient and accessible. Its high effectiveness and limited side-effects can be the best evldence for its unlimited potential of clinical popularization and application.

关 键 词：指法扩肛 穴位贴敷 重型颅脑损伤 便秘 

分 类 号：R248.2[医药卫生—中医临床基础]