脐灸联合砭石穴位按摩治疗老年气虚型便秘患者的临床疗效观察  

Clinical efficacy of umbilical moxibustion combined with stone needle acupoint massage for elderly patients with Qi deficiency constipation

作　　者：石明杰 王梁敏[1] 季坤[1] 向婷婷 王微 白逸晨 叶云 徐婧 许冰 Shi Mingjie;Wang Liangmin;Ji Kun;Xiang Tingting;Wang Wei;Bai Yichen;Ye Yun;Xu Jing;Xu Bing(Respiratory Fever Department,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Respiratory Department,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China;Respiratory Department,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Institute of Information on Traditional Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Department of Geriatrics,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Department of Pharmacy,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Hepatobiliary Spleen and Stomach Department,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院呼吸热病科,北京100078 [2]中国中医科学院西苑医院呼吸科,北京100091 [3]中国中医科学院广安门医院呼吸科,北京100053 [4]中国中医科学院中医药信息研究所,北京100700 [5]北京中医药大学东方医院老年科,北京100078 [6]北京中医药大学东方医院药学部,北京100078 [7]北京中医药大学东方医院肝胆脾胃科,北京100078

出　　处：《中华现代护理杂志》2023年第36期4999-5005,共7页Chinese Journal of Modern Nursing

基　　金：2021年度中国民族医药学会科研项目(2021Z1150-510901)。

摘　　要：目的探讨脐灸联合砭石穴位按摩对老年气虚型便秘患者的临床疗效、复发情况及生活质量的影响。方法采用便利抽样法,选取2021年6月—2023年1月在北京中医药大学东方医院、中国中医科学院西苑医院、中国中医科学院广安门医院呼吸科住院的160例老年气虚型便秘患者为研究对象。采用区组随机化方法将160例老年气虚型便秘患者分为4组,对照组(n=40)给予常规健康教育及护理,按摩组(n=40)给予砭石穴位按摩治疗,脐灸组(n=40)给予艾绒隔姜灸脐周治疗,按摩脐灸组(n=40)给予砭石穴位按摩联合艾绒隔姜灸脐周治疗,均连续治疗2周。比较4组患者临床疗效、便秘症状评分、中医证候积分、便秘患者生存质量自评量表(PAC-QOL)的变化及治疗结束后3个月的复发情况。结果治疗后,按摩脐灸组临床总有效率最高,便秘症状积分、中医证候积分、PAC-QOL评分均最低,差异均有统计学意义(P<0.05);4组复发率比较差异有统计学意义(P<0.05)。结论砭石穴位按摩、脐灸均可以改善老年气虚型便秘患者的临床症状,二者联合使用效果更佳,降低复发率,提高生活质量。Objective To explore the clinical efficacy,recurrence rate,and quality of life of elderly patients with Qi deficiency constipation treated with umbilical moxibustion combined with stone needle acupoint massage.Methods Convenience sampling method was used to select 160 elderly patients with qi deficiency constipation who were hospitalised in the Department of Respiratory Medicine of Dongfang Hospital,Beijing University of Chinese Medicine,Xiyuan Hospital of China Academy of Chinese Medical Sciences,and Guang'anmen Hospital,China Academy of Chinese Medical Sciences from June 2021 to January 2023 as the study subjects.A total of 160 elderly patients with Qi deficiency constipation were randomly divided into four groups by using the method of randomisation of district groups,the control group(n=40)received routine health education and nursing,the massage group(n=40)was treated with needle stone acupoint massage,the umbilical moxibustion group(n=40)received umbilical moxibustion with moxa and ginger,and the massage and umbilical moxibustion group(n=40)was treated with needle stone acupoint massage combined with umbilical moxibustion.All patients were treated continuously for two weeks.This study compared the clinical efficacy,constipation symptom score,traditional Chinese medicine syndrome score,score of Patient Assessment of Constipation-Quality of Life(PAC-QOL)and the recurrence rate after three months of treatment among four groups of patients.Results After treatment,compared with the other three groups,the massage and umbilical moxibustion group had the highest total clinical effective rate,with the lowest scores for constipation symptoms,traditional Chinese medicine syndromes,and PAC-QOL,with statistical differences(P<0.05).There was a statistically significant difference in the recurrence rate among the four groups(P<0.05).Conclusions Needle stone acupoint massage and umbilical moxibustion can both improve the clinical symptoms of elderly patients with Qi deficiency constipation,and combination of the two has a

关 键 词：老年人 生活质量 脐灸 砭石穴位按摩 气虚型便秘 

分 类 号：R248.1[医药卫生—中医临床基础]