腹部推拿合清宁丸治疗老年冠心病便秘患者的疗效作用  

Effect of abdominal massage combined with Qingning pills in treatment of elderly coronary artery disease patients with constipation

作　　者：汪群芳 Qun-Fang Wang(Department of Geriatrics, Jinhua Second Hospital, Jinhua 321016, Zhejiang Province, China)

机构地区：[1]金华市第二医院老年科,浙江省金华市321016

出　　处：《世界华人消化杂志》2018年第13期816-820,共5页World Chinese Journal of Digestology

摘　　要：目的观察腹部推拿合清宁丸治疗老年冠心病便秘患者的疗效.方法选取2016-08/2017-11在金华市第二医院老年科住院的92例老年冠心病便秘患者为研究对象,按照随机原则分为对照组和观察组各46例.对照组给予口服清宁丸治疗,1丸/次,3次/d.观察组在对照组基础上给予腹部按摩,连续治疗10 d.观察2组临床疗效、便秘症状积分和心绞痛症状评估情况.结果治疗后观察组临床有效率达95.65%,明显高于对照组有效率73.91%(P<0.05).治疗后2组排便困难、粪便性状、排便时间、下坠、不尽、胀感、排便频率及胀感均低于治疗前(P<0.05);且治疗后观察组明显低于对照组(P<0.05).2组患者治疗前活动受限程度、心绞痛发作程度、发作情况、治疗满意程度及疾病认知程度比较,差异无统计学意义(P>0.05);治疗后各指标评分均明显降低于对照组(P<0.05).结论腹部推拿合清宁丸能有效改善老年冠心病便秘患者便秘症状,提高SAQ相关评分,值得临床借鉴.AIM To observe the curative effect of abdominal massage combined with Qingning pills in the treatment of elderly coronary heart disease patients with constipation. METHODS A total of 92 elderly coronary heart disease patients with constipation who were hospitalized at our department from August 2016 to November 2017 were selected as the study subjects, and they were randomly and equally divided into a control group and an observation group. Both groups were treated with oral Qingning pills （one pill once, three times daily）. The observation group additionally received abdominal massage for 10 consecutive days. The clinical efficacy, symptoms of constipation, and symptoms of angina were observed in the two groups. RESULTS The clinical effective rate was significantly higher in the observation group than in the control group （95.65% vs 73.91%, P 〈 0.05）. After treatment, the scores of symptoms of constipation such as difficulty in defecation, fecal traits, defecation time, distention, and frequency of defecation were significantly lower than those before treatment in both groups （P 〈 0.05）, and the score of symptoms of constipation in the observation group was significantly lower than that of the control group （P 〈 0.05）. Before treatment, there were no significant differences between the two groups of patients with regard to the degree of activity limitation, angina, seizure, treatment satisfaction, or disease awareness （P 〈 0.05）. After treatment, the scores of all these indexes in the observation group were significantly decreased compared with the control group （P 〈 0.05）. CONCLUSION Abdominal massage combined with Qingning pills can improve the symptoms of constipation and Seattle Angina Questionnaire score in elderly coronary heart disease patients with constipation.

关 键 词：清宁丸 腹部推拿 老年冠心病 便秘 SAQ相关评分 

分 类 号：R256.35[医药卫生—中医内科学] R259[医药卫生—中医学]