Clinical study on Tuina plus umbilical therapy for senile functional constipation  

推拿联合脐疗治疗老年功能性便秘的临床研究

作　　者：Gong Xu-fang 龚旭芳(Zhejiang Rongjun Hospital,Jiaxing 314000,China)

机构地区：[1]Zhejiang Rongjun Hospital,Jiaxing 314000,China

出　　处：《Journal of Acupuncture and Tuina Science》2021年第6期438-443,共6页针灸推拿医学（英文版）

摘　　要：Objective To observe the clinical efficacy of Tuina(Chinese therapeutic massage)plus umbilical therapy for senile functional constipation due to Qi deficiency of lung and spleen.Methods A total of 60 patients who met the inclusion criteria were randomly divided into a control group and an observation group by the random number table method,with 30 cases in each group.The patients in the control group were given lactulose oral solution,while the patients in the observation group were treated with Tuina and umbilical therapy.After two weeks of treatment,the scores of the Wexner continence grading scale(WCGS)and patient assessment of constipation-quality of life questionnaire(PAC-QOL)were observed.The effective rates in the two groups were compared.Results After two weeks of treatment,the total effective rate in the observation group was 90.0%,while that in the control group was 76.7%,presenting a significant difference between the two groups(P<0.05).There were no significant differences in the WCGS and PAC-QOL scores between the two groups before treatment(P>0.05).After two weeks of treatment,the WCGS and PAC-QOL scores of both groups decreased significantly compared with those before treatment(P<0.05),and the two scores in the observation group were lower than those in the control group(P<0.05).Conclusion The efficacy of Tuina plus umbilical therapy for senile functional constipation is confirmed.This method can improve patients’quality of life.Its efficacy is better than that of taking lactulose oral solution.目的观察推拿联合脐疗治疗肺脾气虚型老年功能性便秘的临床疗效。方法将60例符合纳入标准的患者按照随机数字表法分为对照组和观察组,每组30例。对照组患者口服乳果糖口服溶液,观察组患者接受推拿和脐部贴敷治疗。治疗2周后观察患者Wexner便秘评分量表(WCGS)和患者生存质量问卷(PAC-QOL)评分,并比较两组有效率。结果治疗2周后,观察组总有效率为90.0%,对照组为76.7%,两组差异有统计学意义(P<00.05)。治疗前两组WCGS和PAC-QOL评分差异均无统计学意义(P>0.05);治疗2周后两组患者的WCGS和PAC-QOL评分均下降,与本组治疗前均有统计学差异(P<0.05),且观察组两项评分均低于对照组(P<0.05)。结论推拿联合脐疗治疗老年功能性便秘疗效确切,且能提高患者生活质量,其疗效优于口服乳果糖口服液。

关 键 词：TUINA MASSAGE Point Shenque(CV 8) Administration on Umbilicus Acupoint Sticking Therapy CONSTIPATION Qi Deficiency of Spleen and Lung Aged 

分 类 号：R244.1[医药卫生—针灸推拿学]