不同时长穴位贴敷应用于老年功能性便秘的效果研究  

Effect of acupoint application with different duration on functional constipation in the aged

作　　者：缪小红[1] 戴卉[1] 张暐[1] 梁怡 倪娟[1] MIAO Xiaohong;DAI Hui;ZHANG Wei;LIANG Yi;NI Juan(Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing,Jiangsu 210029,China)

机构地区：[1]江苏省中医院,江苏南京210029

出　　处：《现代医药卫生》2023年第11期1853-1856,共4页Journal of Modern Medicine & Health

摘　　要：目的观察不同时长穴位贴敷在老年功能性便秘中的治疗效果,探究最佳贴敷时长。方法选取2021年1月至2022年1月在该院老年医学科住院的功能性便秘患者120例作为研究对象,采用随机数字表法将其随机分为4组,4组均在肠道管理基础上采用穴位贴敷治疗,取穴相同,1组30例,贴敷时长2 h;2组30例,贴敷时长4 h;3组30例,贴敷时长6 h,4组30例,贴敷时长8 h。7 d为1个疗程,14 d后对比分析4组患者便秘症状积分及疗效,观察不良反应,评估安全性。结果穴位贴敷治疗老年功能性便秘,4、6、8 h组治疗前后便秘症状积分及疗效比较,差异均有统计学意义(P<0.05);治疗后4 h组便秘症状积分与2 h组比较,差异有统计学意义(P<0.05),而与6、8 h组比较,差异无统计学意义(P>0.05);4 h组治疗后不良反应与6、8 h组比较,差异均有统计学意义(P<0.05),与2 h组比较,差异无统计学意义(P>0.05)。结论穴位贴敷治疗老年功能性便秘,结合疗效及安全性考虑,贴敷时长4 h更为适宜。Objective To observe the therapeutic effect of acupoint application with different duration on functional constipation in the elderly,and to explore the best duration of application.Methods A total of 120 patients with functional constipation who were admitted to the geriatrics department of the hospital from January 2021 to January 2022 were selected as research objects.They were randomly divided into four groups using random number table method.All the four groups were treated with acupoint application on the basis of intestinal management with the same acupoint selection.There were 30 cases in one group applied for 2 h,30 cases in two group applied for 4 h,there were 30 cases in three group applied for 6 h,and 30 cases in four group applied for 8 h.seven day was a course of treatment.After 14 days,the constipation symptom score and efficacy of the four groups were compared and analyzed,and the adverse reactions were observed and the safety was evaluated.Results In the treatment of senile functional constipation,there were statistically significant differences in the scores of constipation symptoms and the efficacy of acupoint application in 4,6,8 h groups before and after treatment(P<0.05).There was statistically significant difference in the score of constipation symptom between the four hours group and the 2 h group after treatment(P<0.05),but no statistically significant difference in the score between the 6,8 h group after treatment(P>0.05).There was statistically significant difference in adverse reactions after treatment between the 4 h group and the 6 h and 4 h group(P<0.05),but there was no statistical significance between the 2 h group and the 4 h group(P>0.05).Conclusion For the treatment of senile functional constipation,4 h of acupoint application is more suitable considering the efficacy and safety.

关 键 词：穴位贴敷 时长 肠道功能训练 老年功能性便秘 

分 类 号：R5[医药卫生—内科学]