中药穴位贴敷联合肠道功能训练在老年慢性便秘中的应用  

Application of traditional Chinese medicine acupoint sticking therapy combined with intestinal function training in elderly chronic constipation

作　　者：王兰兰[1] 吴凤菊[2] 潘红威 何达 华锋凯[2] 李雪梅 WANG Lanlan;WU Fengju;PAN Hongwei;HE Da;HUA Fengkai;LI Xuemei(Department of General Medicine,the First Affiliated Hospital of Guangxi University of Science and Technology,Liuzhou,Guangxi 545002;Department of Nursing,the First Affiliated Hospital of Guangxi University of Science and Technology,Liuzhou,Guangxi 545002;Department of Traditional Chinese Medicine,the First Affiliated Hospital of Guangxi University of Science and Technology,Liuzhou,Guangxi 545002;Department of Rehabilitation Medicine,the First Affiliated Hospital of Guangxi University of Science and Technology,Liuzhou,Guangxi 545002)

机构地区：[1]广西科技大学第一附属医院全科医学科,广西柳州545002 [2]广西科技大学第一附属医院护理部,广西柳州545002 [3]广西科技大学第一附属医院中医科,广西柳州545002 [4]广西科技大学第一附属医院康复医学科,广西柳州545002

出　　处：《河北中医》2024年第6期1004-1007,1012,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：广西壮族自治区中医药管理局自筹经费科研课题(编号:GXZYZ20210477)。

摘　　要：目的观察中药穴位贴敷联合肠道功能训练在老年慢性便秘中的应用价值。方法将120例老年慢性便秘患者按照便利抽样法分为3组,贴敷组40例采用中药穴位贴敷,功能训练组40例采取肠道功能训练,联合组40例采用中药穴位贴敷联合肠道功能训练方法。3组干预时间均为2周。比较3组干预前后慢性便秘严重度评分量表(CSS)评分、便秘患者生活质量量表(PAC-QOL)评分变化,统计3组干预后临床疗效,以及腹部不适症状发生情况。结果贴敷组总有效率77.50%(31/40),功能训练组总有效率75.00%(30/40),联合组总有效率95.00%(38/40),联合组疗效优于贴敷组、功能训练组(P<0.05)。3组干预后CSS评分均较本组干预前降低(P<0.05),且联合组干预后均低于贴敷组和功能训练组(P<0.05)。3组干预后PAC-QOL各项评分均较本组干预前降低(P<0.05),且联合组干预后均低于贴敷组和功能训练组(P<0.05)。3组干预期间腹部不适症状发生率比较差异无统计学意义(P>0.05)。结论中药穴位贴敷联合肠道功能训练用于老年慢性便秘患者效果显著,可改善其便秘程度,提高生活质量,且不会增加腹部不适症状的发生。Objective To explore the application value of traditional Chinese medicine(TCM)acupoint sticking therapy combined with intestinal function training in elderly chronic constipation.Methods A total of 120 elderly patients with chronic constipation were randomly assinged to application group(n=40,TCM acupoint sticking),training group(n=40,intestinal function training)or combined group(n=40,TCM acupoint sticking+intestinal function training)by convenience samphng method.The treatment was performed for 2 weeks,aiming to compare the scores of the Constipation Scoring System(CSS)and patient-assessment of constipation quality of life(PAC-QOL),the clinical effect,as well as the treatment-emergent adverse event(TEAE)including abdominal discomfort symptoms between groups before and after the intervention.Results The curative effect of combined group was better than that of application group and training group(95.00%[38/40]vs 77.50%[31/40]vs 75.00%[30/40],P<0.05).After intervention,the scores of CSS and PAC-QOL in the three groups were significantly decreased(P<0.05),which were more lower in combined group than in application group and training group(P<0.05).There was no significant difference in TEAE(abdominal discomfort symptoms)between groups(P>0.05).Conclusion TCM acupoint sticking therapy combined with intestinal function training in elderly chronic constipation has a significant effect,which can improve the degree of constipation,improve the quality of life,and decrease the occurrence of abdominal discomfort symptoms.

关 键 词：老年慢性便秘 中药穴位贴敷 肠道功能训练 疗效 

分 类 号：R256.35[医药卫生—中医内科学]