泻腑贴方穴位贴敷预防长期卧床骨盆骨折患者功能性便秘的临床研究  

Acupoint application of Xiefu prescription in the prevention of functional constipation in long-term bedridden patients with pelvic fracture

作　　者：顾天姣[1] 刘迎春[2] 董子青[3] 丁娣[1] 邓丽霞[1] 杨燕辉[1] 毛玲玲[1] GU Tianjiao;LIU Yingchun;DONG Ziqing;DING Di;DENG Lixia;YANG Yanhui;MAO Linging(Second Department of Orthopedics,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,Guangdong,528400;Department of Nursing,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,Guangdong,528400;Third Department of Internal Medicine,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,Guangdong,528400)

机构地区：[1]广东省中山市中医院骨二科,广东中山528400 [2]广东省中山市中医院护理部,广东中山528400 [3]广东省中山市中医院内三科,广东中山528400

出　　处：《中西医结合护理》2023年第10期89-93,共5页Chinese Journal of Integrative Nursing

基　　金：2022年中山市卫生和计划生育局医学科研项目(2002A020542)。

摘　　要：目的探讨泻腑贴方穴位贴敷对长期卧床单纯骨盆骨折患者功能性便秘的预防效果。方法选取既往排便功能无异常且便秘主要症状评分≤3分的单纯骨盆骨折患者60例,随机分为两组:对照组(n=30)接受便秘常规预防护理,治疗组(n=30)在对照组基础上增加泻腑贴方穴位贴敷。于入院当天、卧床第7、14天,记录便秘主要症状评分,并记录卧床14d内辅助排便措施介入情况。结果卧床第7、14天治疗组便秘主要症状总分低于对照组,差异有统计学意义(P<0.01);卧床第14天治疗组粪便性状、排便费力、排便时间、下坠/不尽/胀感、排便频率、腹胀条目得分低于对照组,差异有统计学意义(P<0.01)。治疗组辅助排便介入措施少于对照组差异有统计学意义(P<0.01)。结论泻腑贴方对于长期卧床骨盆骨折患者功能性便秘有良好的预防作用,是一种有效的中医治疗技术。Objective To explore the effect of acupoint application of Xiefu prescription on prevention of functional constipation in long-term bedridden patients with pelvic fracture.Methods A total of 60 patients with pelvic fracture without abnormal defecation function and constipation main symptom score≤3 were selected and randomly divided into two groups:30 patients in the control group received routine prevention and nursing measures,and 30 patients in the treatment group received acupoint application of Xiefu prescription based on the routine nursing interventions.The main symptoms of constipation were scored on the day of admission,the 7th and 14th day of bed rest,and the intervention of various assisted defecation measures within 14 days of bed rest was recorded.Results The total score of Main Constipation Symptoms Scale in the treatment group was lower than that in the control group on the 7th and 14th day of bed rest,respectively(P<0.01);On the 14th day of bed rest,the scores of stool,difficulty in defecation,defecation duration,defecation frequency and abdominal distension in the treatment group were lower than those in the control group(P<0.01).During the 14 days of bed rest,the number of assisted defecation interventions in the treatment group was less than that of the control group(P<0.01).Conclusion Acupoint application of Xiefu prescription and sticking therapy has a good preventive effect on functional constipation in long-term bedridden patients with pelvic fracture.It is an effective traditional Chinese medicine treatment technology,which is worthy of popularization and application.

关 键 词：穴位贴敷 卧床 骨盆骨折 功能性便秘 中医护理 泻腑贴 小承气汤 

分 类 号：R473.5[医药卫生—护理学]