腹部推拿联合艾灸治疗脾虚型功能性便秘的临床疗效  

Clinical Effect of Abdominal Massage Combined with Moxibustion on Functional Constipation of Spleen Deficiency Type

作　　者：马新爱[1] 窦晨辉[1] MA Xinai;DOU Chenhui(Zhengzhou People's Hospital,Henan Zhenzhou 450003)

机构地区：[1]郑州人民医院,河南郑州450003

出　　处：《深圳中西医结合杂志》2023年第13期44-47,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:分析腹部推拿联合艾灸治疗脾虚型功能性便秘的临床疗效。方法:选取郑州人民医院2021年11月至2023年1月期间收治的78例脾虚型功能性便秘患者,其中艾灸治疗的39例患者纳入对照组,在艾灸治疗基础上联合腹部推拿治疗的39例患者纳入观察组。治疗后,比较两组患者临床疗效与相关临床指标。结果:观察组患者总有效率高于对照组,差异具有统计学意义(P <0.05);治疗后,观察组患者排便次数、大便性状、盆底松弛程度、阻塞感、排便不尽感积分均低于对照组,差异具有统计学意义(P <0.05);治疗后,观察组患者直肠肛管压差、力排时肛管残余压均低于对照组,差异具有统计学意义(P <0.05);治疗后,观察组患者血清胃动素(MTL)、P物质(SP)水平均高于对照组,生长抑素(SS)水平低于对照组,差异具有统计学意义(P <0.05)。结论:腹部推拿联合艾灸治疗脾虚型功能性便秘可进一步改善患者相关临床指标。Objective To analyze the clinical effect of abdominal massage combined with moxibustion on functional constipation of spleen deficiency type.Methods A total of 78 patients with functional constipation of spleen deficiency type admitted to Zhengzhou People's Hospital from November 2021 to March 2023 were selected.39 patients treated with moxibustion were included in the control group,and 39 patients treated with moxibustion combined with abdominal massage were included in the observation group.After treatment,the clinical efficacy and related clinical indexes were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of defecation frequency,stool characteristics,pelvic floor relaxation degree,obstruction feeling and inadequate defecation feeling in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the rectal anal canal pressure difference and residual anal canal pressure during discharge in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of serum motilin(MTL)and substance P(SP)in the observation group were higher than those in the control group,while the level of serum somatostatin(SS)was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Abdominal massage combined with moxibustion in the treatment of functional constipation with spleen deficiency type can further improve the relevant clinical indicators.

关 键 词：功能性便秘 脾虚型 腹部推拿 艾灸 

分 类 号：R256.35[医药卫生—中医内科学]