腹部推拿治疗老年糖尿病便秘临床研究  

Clinical Study of Abdominal Tuina for Senile Patients with Diabetic Constipation

作　　者：范明娜 常立阳 杨晓春 FAN Mingna;CHANG Liyang;YANG Xiaochun

机构地区：[1]浙江中医药大学附属广兴医院,浙江杭州310007

出　　处：《新中医》2020年第16期141-144,共4页New Chinese Medicine

摘　　要：目的:观察腹部推拿治疗老年糖尿病便秘患者的临床疗效。方法:将76例老年糖尿病便秘患者按随机数字表法分为对照组和观察组各38例,对照组给予常规治疗和护理,观察组在对照组基础上给予腹部推拿治疗。比较2组的疗效、便秘症状评分、首次排便时间、Bristol大便性状、生活质量评分量表(PAC-QOL)评分。结果:观察组总有效率为92.11%,高于对照组76.32%,差异有统计学意义(P<0.05)。治疗前,2组排便困难、粪便性状、排便时间、下坠、排便频率、胀感等症状评分比较,差异无统计学意义(P>0.05)。治疗后,2组便秘各项症状评分均较治疗前降低,且观察组便秘各项症状评分均低于对照组,差异均有统计学意义(P<0.05)。经秩和检验,治疗后,观察组Bristol大便性状分型明显优于对照组,差异有统计学意义(Z=-2.314,P=0.021<0.05)。观察组首次排便时间明显少于对照组,差异有统计学意义(P<0.05)。治疗前,2组躯体不适、心理社会不适、担心和焦虑、满意度各项评分比较,差异无统计学意义(P>0.05)。治疗后,2组生活质量各项评分均较治疗前降低,且观察组生活质量各项评分均低于对照组,差异均有统计学意义(P<0.05)。结论:腹部推拿治疗有利于改善老年糖尿病便秘患者的便秘症状,提高患者生活质量。Objective:To observe the clinical effect of abdominal Tuina for senile patients with diabetic constipation.Methods:A total of 76 cases of senile patients with diabetic constipation were divided into the control group and the observation group according to the random number table method,38 cases in each group.The control group was given routine treatment and nursing,and the observation group was additionally given abdominal Tuina therapy based on the treatment of the control group.The curative effect,the symptom scores of constipation,the first defecation time,Bristol fecal characters and the Patient Assessment of Constipation-Quality of Life Scale(PAC-QOL)were compared between the two groups.Results:The total effective rate was 92.11% in the observation group,higher than that of 76.32% in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of symptom scores of difficult defecation,fecal character,defecation time,straining sensation,defecation frequency and distending sensation between the two groups(P>0.05).After treatment,each symptom score of constipation in the two groups was decreased when compared with that before treatment,and each score in the observation group was lower than that in the control group,differences being significant(P<0.05).Rank sum test showed that after treatment,Bristol fecal character classification in the observation group was significantly better than that in the control group,the difference being significant(Z=-2.314,P=0.021<0.05).The first defecation time in the observation group was significantly less than that in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of scores of physical discomfort,psychosocial discomfort,worry and anxiety and satisfaction between the two groups(P>0.05).After treatment,each score of quality of life in the two groups was decreased when compared with that before treatment,and

关 键 词：糖尿病 便秘 老年人 腹部推拿 便秘症状评分 Bristol大便性状分级 生活质量评分量表 

分 类 号：R587.2[医药卫生—内分泌]