生大黄贴敷神阙穴治疗针刀术后慢性传输型便秘的临床效果  

Clinical effect of rhubarb powder sticking at Shenque point in the treatment of patients with slow transit constipation after acupotomology

作　　者：计莲娣[1] 嵇辉[1] 周建斌[2] 

机构地区：[1]南京中医药大学附属南京市中西医结合医院骨科,江苏南京210014 [2]南京中医药大学附属南京市中西医结合医院疼痛科,江苏南京210014

出　　处：《中国医药导报》2018年第5期148-150,176,共4页China Medical Herald

基　　金：江苏省南京市医学重点科技发展项目(ZKX15049)

摘　　要：目的探讨生大黄贴敷疗法治疗针刀术后慢性传输型便秘的临床疗效。方法回顾性分析2015年6月~2016年12月在南京市中西医结合医院收治的针刀术后合并慢性传输型便秘患者100例,按照治疗方法不同分为对照组(48例)和治疗组(52例)。对照组采用常规便秘护理,治疗组在常规护理基础上加用生大黄粉贴敷神阙穴,每24 h更换1次,3 d为1个疗程。比较两组总有效率、首次排便时间、症状积分及满意度。结果治疗组总有效率(90.38%)高于对照组(85.42%),但差异无统计学意义(P>0.05)。治疗组患者首次排便时间[(14.5±6.4)h]明显短于对照组[(18.7±1.2)h],差异有统计学意义(P<0.05)。两组治疗后症状积分均显著低于治疗前(P>0.05),治疗后两组比较差异无统计学意义(P>0.05)。治疗组满意度明显高于对照组,差异有统计学意义(P>0.05)。结论生大黄贴敷神阙穴治疗针刀术后慢性传输型便秘效果较好,值得临床推广应用。Objective To investigate the effect of rhubarb powder at Shenque point in the treatment of patients with slow transit constipation after acupotomology. Methods From June 2015 to December 2016, 100 clinical data of patients treated in Nanjing Integrated Traditional Chinese and Western Medicine Hospital were analyzed retrospectively and divided into the control group （48 cases） and the treatment group （52 cases） by different treatment. The control group was given routine treatment, while the treatment group was given rhubarb powder sticking at Shenque point after acupotomology, with 24 h per time, 3 days for a course. The total effective rate, first time defecation, symptom scores and nursing satisfaction were compared between the two groups. Results The total effective rate in the treatment group was （90.38%） higher than that of control group （85.42%）, but with no statistically significant difference （P 〉 0.05）. The first time defecation in the treatment group [（14.5±6.4） hi was shorter than that of control group [（18.7±1.2） hi, with statistically significant difference （P 〉 0.05）. The symptom scores after treatment in the two groups were all lower than those of before treatment, with statistically significant differences （P 〉 0.05）; but after treatment, there was no statistically significant difference between the two groups （P 〉 0.05）. The nursing satisfaction in the treatment group was higher than that of control group, with statistically significant difference （P 〉 0.05）. Conclusion The efficacy of rhubarb powder at Shenque point in the treatment of patients with slow transit constipation after acupotomology is good. It is worthy of clinical promotion and application.

关 键 词：生大黄 贴敷 神阙穴 慢性传输型便秘 针刀 疗效 

分 类 号：R473.5[医药卫生—护理学]