壮医脐环穴膏摩预防痔疮术后便秘的效果  

Effect of Zhuang Medicine's umbilical ring acupuncture point poultice to prevent constipation after hemorrhoid surgery

作　　者：农玉梅[1] 黄沂[1] 宁余音[1] 周艳琼[1] 黄华勇[1] 周丽[1] 李可 NONG Yu-mei;HUANG Yi;NING Yu-yin;ZHOU Yan-qiong;HUANG Hua-yong;ZHOU Li;LI Ke(Department of Anorectology,the First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning City,Guangxi Zhuang Autonomous Region,530023,China)

机构地区：[1]广西中医药大学第一附属医院肛肠科,广西南宁530023

出　　处：《蛇志》2021年第4期428-430,452,共4页Journal of Snake

基　　金：广西壮族自治区中医药局自筹经费科研课题(项目名称:壮医脐环穴膏摩预防痔术后便秘的效果评价,项目编号:GZZC2020016);广西医疗卫生适宜技术开发与推广应用项目(项目名称:壮医脐环穴贴敷对老年功能性便秘的疗效评价,项目编号:S2017045)。

摘　　要：目的探讨壮医脐环穴膏摩对预防痔疮术后便秘的效果。方法选取2020年1~12月在我科住院且符合纳入标准的72例痔疮术后患者,随机分为实验组和对照组各36例。实验组采用大承气汤膏膏摩壮医脐环穴,对照组行腹部按摩,两组患者均于术后6 h开始按摩,之后于每日早餐后1 h进行按摩,每日1次,每次20 min,7天为1个疗程。观察比较两组患者术后首次排便时间、术前及术后7 d的Wexner便秘评分、术后7 d手术切口疼痛评分以及相关不良反应情况。结果实验组术后7 d Wexner便秘评分低于对照组,两组比较差异有统计学意义(t=3.405,P<0.05)。实验组术后首次排便时间、术后7 d手术切口疼痛评分均低于对照组,差异均有统计学意义(t=-6.561、-2.589,P<0.05)。两组患者用药期间均无不良反应发生。结论大承气汤膏膏摩壮医脐环穴对促进排便、缩短术后首次排便时间、预防痔疮术后便秘及减轻切口疼痛具有较好的临床效果,而且安全性高,值得临床应用。Objective To investigate the effect of Zhuang medicine navel ring point cream massage on the prevention of postoperative constipation in hemorrhoids.Methods 72 postoperative hemorrhoid patients who were hospitalized in our department from January 2020 to December 2020 and met the inclusion criteria were randomly divided into 36 cases each in the experimental group and the control group,and the experimental group used the Great Cheng Qi Tang cream to massage the navel ring point of Zhuang Medicine;the control group used abdominal massage,and both groups started 6 h after surgery on the day of surgery,and then the massage was performed 1 h after breakfast every day,once a day for 20 min,for 7 days as 1 course of treatment.The time of first postoperative bowel movement,Wexner constipation score before and 7 d after surgery,surgical incision pain score at 7 d after surgery and related adverse effects were evaluated and compared between the two groups.Results The Wexner constipation score 7 days after surgery of experimental group was lower than that in the the control group,the difference was statistically significant(t=3.405,P<0.05).The time to first defecation after surgery and surgical incision pain score 7 days after surgery of experimental group were lower than that in the control group,the differences were statistically significant(t=-6.561,-2.589,P<0.05).No adverse effects were found in both groups during the medication period.Conclusion The Great Cheng Qi Tang Poultice Poultice Mo Zhuang Medical Navel Ring Point has good clinical effects in promoting defecation,shortening the time to first defecation after surgery,preventing postoperative constipation of hemorrhoids and reducing incisional pain,and it is safe.

关 键 词：痔 术后护理 膏摩疗法 大承气汤膏 壮医脐环穴 

分 类 号：R473.6[医药卫生—护理学]