协定处方浴灌肠治疗胸腰椎体椎体骨折术后便秘随机对照实验  

A randomized controlled trial of agreed prescription bath enema in the treatment of postoperative constipation after thoracic and lumbar vertebral fractures

作　　者：桂炜炜 田先柱 卢超 GUIWeiwei;TIAN Xianzhu;LU Chao(Department of Orthopedics,Jiujiang Hospital of Traditional Chinese Medicine,Jiujiang,Jiangxi,332000,China)

机构地区：[1]九江市中医医院骨伤科,江西九江332000

出　　处：《当代医学》2022年第29期81-83,共3页Contemporary Medicine

基　　金：江西省中医药管理局科技计划(2020B0273)。

摘　　要：目的观察协定处方浴灌肠治疗胸、腰椎体椎体骨折术后便秘的综合效果。方法选取2020年9月至2021年9月于本院骨科因胸、腰椎体椎体骨折住院行手术后出现便秘的100例患者作为研究对象,按随机数字表分为皂液灌肠组和中药灌肠组,每组50例。皂液灌肠组在常规治疗基础上予皂液灌肠,中药灌肠组在常规治疗基础上予中药协定处方灌肠。比较两组排便间隔时长、骨折椎体处视觉模拟评分法(VAS)评分、便秘腹胀积分及最终临床综合疗效。结果治疗前,两组排便时长、便秘腹胀积分比较差异无统计学意义;治疗后,两组排便时间短于治疗前,便秘腹胀积分低于治疗前,且中药灌肠组排便时间短于皂液灌肠组,便秘腹胀积分低于皂液灌肠组,差异有统计学意义(P<0.05)。治疗前,两组VAS评分比较差异无统计学意义;治疗后,两组VAS评分均低于治疗前,且中药灌肠组低于皂液灌肠组,差异有统计学意义(P<0.05)。中药灌肠组治疗总有效率为96.0%,高于皂液灌肠组的84.0%,差异有统计学意义(P<0.05)。结论应用协定处方浴灌肠治疗胸、腰椎体椎体骨折术后便秘疗效显著,操作简单,且易于患者接受,值得临床借鉴。Objective To observe the comprehensive effect of the agreed prescription bath enema in the treatment of postoperative constipation after thoracic and lumbar vertebral fractures.Methods 100 cases patients with constipation who were hospitalized for thoracic and lumbar vertebral fractures in our hospital from September 2020 to September 2021 were selected as the research subjects,and they were divided into the soap liquid enema group and Chinese Medicine enema group,with 50 cases in each group.The soap liquid enema group was given soap solution enema on the basis of routine treatment,and the Chinese Medicine enema group was given Traditional Chinese Medicine prescribed enema on the basis of routine treatment.The defecation time,visual analogue scale(VAS)score at the fractured vertebral body,constipation and abdominal distension score and the clinical efficacy were compared between the two groups.Results Before treatment,there was no significant difference in defecation time and constipation and abdominal distension score between two groups;after treatment,the defecation time in both groups was shorter than before treatment,and the constipation and abdominal distension scores were lower than before treatment,and the defecation time of the Traditional Chinese Medicine enema group was shorter than that of the soap liquid enema group,and the constipation and abdominal distension scores were lower than those of the soap liquid enema group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the VAS scores between two groups;after treatment,the VAS scores of the two groups were lower than those before treatment,and the Chinese Medicine enema group was lower than the soap liquid enema group,the difference was statistically significant(P<0.05).The total effective rate of the Traditional Chinese Medicine enema group was 96.0%,which was higher than 84.0%of the soap liquid enema group,and the difference was statistically significant(P<0.05).Conclusion Agreed prescrip

关 键 词：协定处方 灌肠 骨折术后 便秘 疗效 

分 类 号：R687.3[医药卫生—骨科学]