中药汤剂口服联合腹部按摩治疗老年性便秘临床研究  

Clinical Study on Oral Administration of Herbal Decoction Combined with Abdominal Massage for Senile Constipation

作　　者：郑君燕 施海燕 徐复娟[3] ZHENG Junyan;SHI Haiyan;XU Fujuan

机构地区：[1]常山县人民医院外科,浙江常山324200 [2]浙江大学附属第一医院外科,浙江杭州310003 [3]常山县人民医院中医科,浙江常山324200

出　　处：《新中医》2021年第4期194-196,共3页New Chinese Medicine

摘　　要：目的:观察中药汤剂口服联合腹部按摩治疗老年性便秘的临床疗效。方法:将80例老年性便秘患者按随机数字表法分为对照组和观察组各40例。对照组给予酚酞片口服,并实施相应护理干预,观察组在对照组基础上给予中药汤剂口服联合腹部按摩治疗。比较2组临床疗效,统计治疗前后中医证候积分,记录治疗期间不良反应。结果:观察组总有效率为95.0%,高于对照组80.0%,差异有统计学意义(P<0.05)。治疗前,2组各项中医证候积分比较,差异无统计学意义(P>0.05)。治疗后,2组排便困难、排便时间、精神疲乏、四肢无力、气短、排便频率、自汗评分较治疗前降低,且观察组各项中医证候积分均低于对照组,差异均有统计学意义(P<0.05)。结论:中药汤剂口服联合腹部按摩治疗老年性便秘可较好地改善患者临床症状,效果显著且安全。Objective:To observe the clinical effect of oral administration of herbal decoction combined with abdominal massage for senile constipation.Methods:A total of 80 cases of patients with senile constipation were divided into the control group and the observation group according to the random number table method,40 cases in each group.The control group was given oral administration of phenolphthalein tablets and responding nursing intervention,and the observation group was additionally treated with herbal decoction combined with abdominal massage based on the treatment of the control group.The clinical effect in the two groups was compared.Chinese medicine syndrome scores before and after treatment were counted.The adverse reactions during treatment were recorded.Results:The total effective rate was 95.0%in the observation group,higher than that of 80.0%in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of the Chinese medicine syndrome scores between the two groups(P>0.05).After treatment,the scores of difficult defecation,defecation time,mental fatigue,weakness of the limbs,shortness of breath,defecation frequency and spontaneous perspiration in the two groups were decreased when compared with those before treatment,and the above Chinese medicine syndrome scores in the observation group were all lower than those in the control group,differences being significant(P<0.05).Conclusion:The oral administration of herbal decoction combined with abdominal massage for senile constipation can better improve the clinical symptoms of patients with significant and safe effect.

关 键 词：老年性便秘 中药汤剂 腹部按摩 酚酞片 中医证候积分 

分 类 号：R256.35[医药卫生—中医内科学]