循经推拿治疗老年慢性便秘的临床观察  

Clinical observation on the treatment of chronic constipation in elderly patients with massage along the Meridians

作　　者：邹碧霓 袁爱茵 金慧敏[1] 程琳 周哲慧 Zou Bini;Yuan Aiyin;Jin Huimin;Cheng Lin;Zhou Zhehui(Cadre Department,Huangpu Branch of Shanghai Ninth People's Hospital Affiliated to Medical College of ShanghaiJiaotong University,Shanghai,200011,P.R.China;Department of Internal Medicine of Traditional Chinese Medicine,Huangpu Branch of Shanghai Ninth People's Hospital Affiliated to Medical College of ShanghaiJiaotong University,Shanghai,200011,P.R.China)

机构地区：[1]上海交通大学医学附属第九人民医院黄浦分院干部科,上海200011 [2]上海交通大学医学院附属第九人民医院黄浦分院中医内科,上海200011

出　　处：《老年医学与保健》2022年第6期1342-1345,共4页Geriatrics & Health Care

基　　金：上海市黄浦区区科委科研项目(HKM201810)。

摘　　要：目的 探讨循经络推拿对老年慢性便秘的应用效果。方法 选择2018年9月—2020年1月在上海交通大学医学院附属第九人民医院黄浦分院收住150例老年慢性便秘患者,采用数字表法随机分为试验组和对照组,每组75例。对照组进行常规护理干预,试验组在对照组的基础上增加循经络穴位推拿干预。2组采用Wexner评分量表进行评分。采用Wexner各项条目评分评估大便频次、排便困难感、大便完整性、排便疼痛、在厕时间等情况。结果 经过1周和3周的护理干预,2组Wexner评分低于同组治疗前(P<0.05),大便频次评分、排便疼痛感评分、排便困难度评分和在厕时间评分均低于同组治疗前(P<0.05),试验组在1周和3周后大便频次评分、排便疼痛感评分、排便困难度评分、在厕时间评分均显著低于对照组(P<0.05)。提示循经络穴位推拿护理干预改善便秘的效果优于常规护理。结论 循经络推拿护理干预可有效改善老年慢性便秘患者的症状和生活质量。Objective To explore the therapeutic effects of massage along meridians on chronic constipation in the elderly. Methods 150 elderly patients with chronic constipation admitted to Huangpu Branch of Shanghai Ninth People’s Hospital Affiliated to Medical College of Shanghai Jiaotong University from September 2018 to January 2020 were enrolled and divided randomized into experimental group and control group by digital table method, with 75 cases in each group.The control group received routine nursing intervention, while the experimental group added massage along meridians on the basis of the control group. Both groups were scored with Wexner Rating Scale. The scores of each item of Wexner Rating Scale were used to evaluate the frequency of defecation, difficulty in defecation, completeness of the stools, pain during defecation and time spent in the toilet, respectively. Results After one week and three weeks of nursing intervention, the Wexner score of the two groups was lower than that of the same group before the treatment(P<0.05). The scores of the frequency of defecation, pain during defecation, difficulty in defecation and time spent in the toilet of the two groups were lower than those of the same group before intervention(P<0.05), and the above scores of the experimental group were significantly lower than those of the control group at the first and third weeks of intervention(P<0.05). It is suggested that the effect of nursing intervention of massage along meridians on constipation was better than that of routine nursing intervention. Conclusion The nursing intervention of massage along meridians can effectively improve the symptoms and quality of life of elderly patients with chronic constipation.

关 键 词：老年 慢性便秘 Wexner评分系统 穴位推拿 护理干预 

分 类 号：R256.35[医药卫生—中医内科学]