复方苁蓉大黄通便贴联合常规医护措施治疗血液透析合并便秘临床研究  

Clinical Study on Compound Congrong Dahuang Tongbian Patch Combined with Routine Medical Measures for Hemodialysis Complicated with Constipation

作　　者：娄丽丽 蔡红芳[1] 杨里里 LOU Lili;CAI Hongfang;YANG Lili

机构地区：[1]浙江省台州医院,浙江台州317012

出　　处：《新中医》2020年第22期141-144,共4页New Chinese Medicine

摘　　要：目的:观察复方苁蓉大黄通便贴联合常规医护措施治疗血液透析合并便秘的临床效果。方法:将120例血液透析合并便秘(阳虚秘)患者随机分为对照组和观察组各60例。2组患者均予枸橼酸莫沙必利片、枯草杆菌二联活菌肠溶胶囊和苁蓉通便口服液治疗,并予综合护理措施。观察组加用复方苁蓉大黄通便贴贴敷穴位。2组疗程均为4周。治疗前后评定便秘主要症状评分、便秘患者生活质量自评量表(PAC-QOL)评分和中医证候积分,比较治疗前1周、治疗完成后1周的每周自发完全排便次数,比较2组的中医证候疗效。结果:治疗后,观察组中医证候疗效优于对照组(P<0.05)。2组便秘主要症状评分(粪便性状、排便费力、排便时间、排便频率、腹胀及下坠、不尽、胀感)、PAC-QOL评分及中医证候积分均较治疗前下降(P<0.01),治疗完成后1周的自发完全排便次数均较治疗前增加(P<0.01);观察组上述评分均低于对照组(P<0.01),治疗完成后1周的自发完全排便次数多于对照组(P<0.01)。结论:在常规医护措施基础上加用复方苁蓉大黄通便贴穴位贴敷可进一步改善血液透析患者的便秘症状,增加排便次数,提高患者的生活质量和疗效。Objective: To observe the clinical effect of compound Congrong Dahuang Tongbian patch combined with routine medical measures for hemodialysis complicated with constipation. Methods: A total of 120 cases of patients with hemodialysis complicated with yang-deficiency constipation were randomly divided into the control group and the observation group,60 cases in each group. Both groups were treated for mosapride citrate tablets,live combined Bacillus subtilis and Enterococcus faecium enteric-coated capsules, and Congrong Tongbian oral liquid as well as comprehensive nursing measures. The observation group was additionally given point application with compound Congrong Dahuang Tongbian patch.Both groups were treated for four weeks. Before and after treatment,the scores of main symptoms of constipation,Patient Assessment of Constipation-Quality of Life(PAC-QOL) and Chinese medicine syndromes were evaluated. One week before treatment and one week after treatment, the frequency of complete spontaneous bowel movements per week was compared. The curative effect of Chinese medicine syndromes in the two groups was compared. Results:After treatment,the curative effect of Chinese medicine syndromes in the observation group was better than that in the control group(P<0.05).The scores of main symptoms of constipation including fecal character, difficult defecation, defecation time, defecation frequency,abdominal distension,straining sensation,incomplete defecation and distending sensation as well as the scores of PAC-QOL and Chinese medicine syndromes in the two groups were decreased when compared with those before treatment(P<0.01);one week after treatment,the frequencies of complete spontaneous owel movements were increased when compared with those before treatment(P<0.01);the scores of main symptoms of constipation in the observation group were lower than those in the control group(P<0.01),and the frequency was more than that in the control group(P<0.01). Conclusion:Based on routine medical measures,the additional therapy of

关 键 词：血液透析 便秘 阳虚型 复方苁蓉大黄通便贴 穴位贴敷 中医护理技术 

分 类 号：R256.35[医药卫生—中医内科学]