推拿手法治疗老年性便秘分析  

An analysis on the treatment of senile constipation mainly by massage

作　　者：秦研 高扬 QIN Yan;GAO Yang

机构地区：[1]湖北中医药大学,湖北武汉430065 [2]湖北中医药大学附属国医医院,湖北武汉430065

出　　处：《中医临床研究》2023年第18期127-130,共4页Clinical Journal Of Chinese Medicine

基　　金：武汉市卫生和计划生育委员会科研资助项目(WZ17A10)。

摘　　要：目的:综合不同类型推拿方法,分析其治疗老年性便秘的具体操作及其疗效,探讨推拿为主的治疗方法对老年性便秘患者排便的作用,指导临床治疗及日常保健,帮助预防及降低老年性便秘的发病率,提高老年患者的生活质量,减少严重意外的发生。方法:通过运用主题检索及关键词检索等方式在中国生物医学文献数据库(CBM)及PubMed 上进行查阅,选取2010 年至2020 年的相关文献,排除重复文献后共获得274 篇相关文献,其中可用文献共28 篇,对其进行归纳总结。结果:推拿疗法对于老年性便秘具有确切的疗效,能够有效改善老年性便秘患者排便的频率及其便秘相关症状,从而减少心脑血管意外的发生,其中摩腹手法及一指禅推法临床实际应用较多,疗效明显,小肠经、胃经、大肠经上的腧穴为临床常用治疗穴位。结论:推拿治疗对于老年性便秘具有确切的疗效,临床常用的一指禅推法及摩腹手法操作简单且疗效优良,不仅可以与其他治疗方法结合以促进老年性便秘患者肠道功能的改善,减少便秘症状,且便于患者日常生活中的自我保健,提高了医患协同治疗,还将老年性便秘的治疗生活化,值得予以推广,以提高患者对疾病的认知,指导日常的保健治疗,减少与其相关的严重意外的发生。Objective:To analyze the curative effect of different types of massage on senile constipation,and probe into the effect of massage-based therapy on defecation of senile constipation patients,so as to guide clinical treatment and daily health care,prevent and reduce the incidence of senile constipation,improve the quality of life of elderly patients,and reduce the occurrence of serious accidents.Methods:The relevant articles from 2010 to 2020 were selected from the Chinese Biomedical Literature Database(CBM)and PubMed by subject search and keyword search,a total of 274 articles were obtained after excluding the repetitive articles,of which 28 were available,and the results were summarized.Results:Massage therapy has a definite curative effect on senile constipation,which can effectively improve the frequency of defecation and constipation-related symptoms of senile constipation,thus reducing the occurrence of cardiovascular and cerebrovascular accidents.The abdominal massage and one-finger massage are widely used in clinical practice and have obvious curative effects.The acupoints on the small intestine meridian,stomach meridian and large intestine meridian are commonly used in clinical treatment.Conclusion:Massage therapy has a definite curative effect on senile constipation.The commonly used methods of one finger massage and abdominal massage are simple and effective,not only can be combined with other treatment methods to promote the improvement of intestinal function of senile constipation patients,reduce the constipation symptoms,but also facilitate the patients’self-health care in their daily life and improve the cooperation between doctors and patients.It is worth popularizing in the treatment of senile constipation to improve patients’cognition of disease,guide daily health care,and reduce the occurrence of serious accidents.

关 键 词：老年性 便秘 推拿 中医 

分 类 号：R256.35[医药卫生—中医内科学]