四磨汤结合天枢穴按摩预防腰椎骨折术后腹胀的效果  

Effect of Simo Decoction and Tianshu acupoint massage on preventing abdominal distension after lumbar spine fracture operation

作　　者：刘素云[1] 李云莉[1] 唐芬芬 LIU Su-yun;LI Yun-li;TANG Fen-fen(Department of Orthopedics,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China)

机构地区：[1]南昌大学第二附属医院骨科,江西南昌330006

出　　处：《中国当代医药》2021年第29期81-84,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20201056)。

摘　　要：目的探究四磨汤结合天枢穴按摩治疗腰椎骨折术后腹胀的效果。方法选取2018年7月至2019年12月在南昌大学第二附属医院骨科行手术治疗腰椎骨折的患者162例,所有患者术后均伴有腹胀,采用随机数字表法分为四磨汤组、按摩天枢穴组、联合组,每组各54例。四磨汤给予四磨汤口服液治疗;按摩天枢穴组给予天枢穴位按摩治疗;联合组给予四磨汤口服液联合按摩天枢穴治疗。比较三组第一次排气时间、第一次排便时间、治疗4周后的治疗总有效率与治疗满意评分、治疗期间不良反应发生情况。结果治疗4周后,联合组第一次排气时间、第一次排便时间短于四磨汤组与按摩天枢穴组,差异有统计学意义(P<0.017);联合组治疗总有效率、治疗总满意度均高于四磨汤组、按摩天枢穴组,差异有统计学意义(P<0.017);三组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论四磨汤结合天枢穴按摩预防腰椎骨折术后腹胀效果较好,有效提高患者治疗总有效率及患者治疗满意度,且安全性较好,值得临床推广使用。Objective To explore the effect of Simo Decoction combined with massage at Tianshu acupoint in treating abdominal distension after lumbar fracture.Methods A total of 162 patients with lumbar fractures who underwent surgery in the Department of Orthopedics,the Second Affiliated Hospital of Nanchang University from July 2018 to December 2019 were selected.All patients were accompanied by abdominal distension after surgery.They were randomly divided into Simo Decoction group,massage Tianshu acupoint group and combined group,with 54 cases in each group.Simo Decoction group was given Simo Decoction oral liquid treatment.Massage Tianshu acupoint group was treated with Tianshu acupoint massage.The combined group was treated with Simo Decoction oral liquid combined with massage at Tianshu acupoint.The first exhaust time,the first defecation time,the total effective rate and treatment satisfaction score after 4 weeks of treatment,and the incidence of adverse reactions during treatment in the three groups were compared.Results After 4 weeks of treatment,the first exhaust time and the first defecation time in the combined group were shorter than those in the Simo Decoction group and Tianshu massage group,the differences were statistically significant(P<0.017);the combined group always had 4 weeks of treatment the efficiency and satisfaction of treatment were higher than those of Simo Decoction group and Tianshu acupoint massage group,the differences were statistically significant(P<0.017);the total incidence of adverse reactions among the three groups was not statistically significant(P>0.05).Conclusion The combination of Simo Decoction and Tianshu acupoint massage is effective in preventing postoperative abdominal distension of lumbar vertebral fractures,effectively improving the efficiency of diagnosis and treatment and patient satisfaction,and it is worthy of clinical application.

关 键 词：四磨汤 天枢穴按摩 腰椎骨折术 腹胀 

分 类 号：R683.2[医药卫生—骨科学]