艾灸与耳穴压豆联合常规医护措施改善老年习惯性便秘临床研究  

Clinical Study on Moxibustion and Auricular Point Pressing with Beans Combined with Routine Medical and Nursing Measures for Chronic Constipation of Senile Patients

作　　者：尉建红 WEI Jianhong

机构地区：[1]绍兴市第七人民医院老年科,浙江绍兴312000

出　　处：《新中医》2021年第12期189-192,共4页New Chinese Medicine

摘　　要：目的:观察在乳果糖口服溶液治疗和常规护理的基础上给予艾灸联合耳穴压豆干预老年习惯性便秘患者的效果。方法:将108例功能性便秘老年患者随机分为对照组和观察组各54例。2组均口服乳果糖口服溶液,并给予调整生活方式指导和心理护理。观察组加予艾灸及耳穴压豆进行干预。2组均治疗4周。治疗前、治疗4周后评定便秘主要症状评分和便秘患者症状自评量表(PAC-SYM)评分,统计平均每周自发完全排便次数(SCBM)、SCBM正常率和SCBM恢复正常的时间,出院时由患者自行评价护理满意度。结果:治疗后,2组便秘主要症状评分、PAC-SYM评分均较治疗前降低(P<0.01),SCBM均较治疗前增加(P<0.01);观察组便秘主要症状评分、PAC-SYM评分均低于对照组(P<0.01),SCBM多于对照组(P<0.01)。观察组SCBM正常率为96.30%,高于对照组的79.63%,差异有统计学意义(P<0.01);观察组SCBM恢复正常的时间较对照组缩短(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在乳果糖口服溶液治疗和常规护理的基础上给予艾灸联合耳穴压豆干预老年习惯性便秘患者,可进一步减轻便秘主要症状,促进排便功能恢复正常,缩短病程,提高患者的生活质量与对护理措施的满意度。Objective:To observe the effect of moxibustion combined with auricular point pressing with beans on chronic constipation of senile patients on a basis of lactulose oral solution and routine nursing.Methods:A total of 108 cases of senile patients with chronic constipation were randomly divided into the control group and the observation group,54 cases in each group.Both groups were given lactulose oral solution,guidance on lifestyle adjustment,and psychological nursing.The observation group was additionally intervened with moxibustion combined with auricular point pressing with beans.Both groups were treated for four weeks.Before and after four-week treatment,main symptom score of constipation and score of Patient Assessment of Constipation symptom(PAC-SYM)were evaluated.The average number of weekly spontaneous complete bowel movements(SCBM),the normal rate of SCBM,and the time for SCBM to return to normal were counted.Nursing satisfaction was evaluated by patients at discharge.Results:After treatment,main symptom scores of constipation and scores of PAC-SYM in the two groups were decreased when compared with those before treatment(P<0.01),and SCBM was increased(P<0.01);the two scores above in the observation group were lower than those in the control group(P<0.01),and SCBM was more than that in the control group(P<0.01).The normal rate of SCBM was 96.30%in the observation group,higher than that of 79.63%in the control group,the difference being significant(P<0.01);the time for SCBM to return to normal in the observation group was shorter than that in the control group(P<0.01).Nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion:Based on lactulose oral solution and routine nursing,the therapy of moxibustion combined with auricular point pressing with beans in intervention of senile patients with chronic constipation can further relieve main symptoms of constipation,promote the recovery of defecation function,shorten the course of disease,and improve quality of l

关 键 词：习惯性便秘 老年 艾灸 耳穴压豆 中医护理 生活质量 

分 类 号：R574.62[医药卫生—消化系统]