多功能艾灸刮痧按摩器在老年髋部骨折虚秘患者中的应用  

Application of multi-functional moxibustion,scraping,and massage device in elderly hip fracture patients with Qi-deficiency type constipation

作　　者：周静[1] 黄双英[2] 孟登科[3] 吴蔚[1] 李艳苑 毛金平 郑敏霞[3] Zhou Jing;Huang Shuangying;Meng Dengke;Wu Wei;Li Yanyuan;Mao Jinping;Zheng Minxia(Department of Orthopedic Injury,The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,China)

机构地区：[1]浙江中医药大学附属第一医院骨伤科,浙江杭州310006 [2]浙江中医药大学附属第一医院护理部,浙江杭州310006 [3]浙江中医药大学附属第一医院中药房,浙江杭州310006

出　　处：《护理学杂志》2020年第19期11-13,共3页Journal of Nursing Science

基　　金：十三五浙江省中医药(中西医结合)重点学科建设计划项目(2017-XK-B01)

摘　　要：目的探讨多功能艾灸刮痧按摩器在老年髋部骨折虚秘患者中的应用效果。方法将80例老年髋部骨折虚秘患者采用随机数字表法分为观察组和对照组各40例;在常规护理基础上,对照组采用九宫经络推拿法推拿腹部,观察组采用自行研制的多功能艾灸刮痧按摩器推拿腹部。比较两组治疗效果、首次排便时间、间隔排便时间、72 h排便次数及推拿时间。结果观察组疗效优于对照组,首次排便时间、间隔排便时间短于对照组,72 h排便次数多于对照组,但两组比较差异无统计学意义(均P>0.05);观察组推拿时间显著短于对照组(P<0.01)。结论对老年髋部骨折虚秘患者采用多功能艾灸刮痧按摩器推拿腹部,与手法推拿治疗虚秘的疗效相当,但其平均推拿耗时短,护士操作更节力,可提高护理工作效率。Objective To investigate the effect of self-designed multifunctional moxibustion-scraping-massage device applied to elderly hip fracture patients with Qi-deficiency type constipation.Methods Eighty participants were randomly assigned to one of two groups.The control group(n=40)was given meridian massage(Tui Na)at nine regions of the abdomen,while the intervention group(n=40)received abdominal massage using home-made multifunctional moxa-moxibustion,scraping and massage device.The therapeutic effect,first defecation time,defecation interval,defecations within 72 h and average massage time of the two groups were compared.Results The intervention group had higher therapeutic effect,earlier first defecation,shorter defecation interval,more defecations within 72 h compared with the control group,but showing no significant differences(P>0.05 for all).The massage time in the intervention group was significantly shorter than the control group(P<0.01).Conclusion Massage on the abdomen with a self-designed multifunctional moxibustion,scraping and massage device is as effective as manual massage for el-derly hip fracture patients with Qi-deficiency type constipation,but it can shorten massage time and reduce nurse′s workload,thus to enhance nursing efficiency.

关 键 词：老年人 髋部骨折 便秘 虚秘 多功能按摩器 推拿 中医护理器具 

分 类 号：R248.2[医药卫生—中医临床基础] R473.6[医药卫生—中医学]