超声导入联合穴位与聚乙二醇4000散治疗老年髋部骨折患者便秘等效性的随机平行对照研究  

A randomized parallel controlled study of equivalence of ultrasound induction combined with acupuncture points and polyethylene glycol 4000 powder for treating constipation in elderly patients with hip fracture

作　　者：陈聪聪[1] 梁平平 郑文娴[1] 金莉雅 CHEN Congcong;LIANG Pingping;ZHENG Wenxian;JIN Liya(Department of Orthopedics,Second Affiliated Hospital of Wenzhou Medical University/Yuying Children’s Hospital,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第二医院/育英儿童医院骨科,浙江温州325000

出　　处：《重庆医学》2024年第16期2453-2457,共5页Chongqing Medical Journal

基　　金：浙江省温州市科技局基础性医疗卫生科技项目(Y20210413)。

摘　　要：目的研究超声导入联合穴位与聚乙二醇4000散治疗老年髋部骨折患者便秘的临床疗效。方法采用随机平行对照方法,将100例符合纳入标准的住院患者分为对照组与治疗组。对照组50例给予聚乙二醇4000散治疗,10 g/d,午饭后1 h顿服。治疗组50例采用超声导入联合神阙穴与关元穴治疗,每天午饭后1 h实施,1次/d,每次30 min,强度以患者耐受为宜。两组连续治疗1周。观察两组患者治疗前后临床症状,比较治疗前后便秘积分、生活质量评分、治疗效果及安全性。结果对照组脱落病例3例,最终纳入47例患者,其中显效14例,有效20例,无效13例,总有效率为72.34%(34/47);治疗组脱落病例2例,最终纳入48例患者,其中显效15例,有效18例,无效15例,总有效率为68.75%(33/48);两组的总有效率比较差异无统计学意义(P>0.05)。治疗组起效时间短于对照组,差异有统计学意义(P<0.05)。治疗组治疗后的便秘积分中腹部症状维度与总分均低于对照组,差异有统计学意义(P<0.05)。治疗组治疗后的生活质量评分生理、满意度维度及总分均低于对照组,差异有统计学意义(P<0.05)。试验过程中,对照组中有2例患者发生不良反应,在疗程后期表现为轻度腹泻;治疗组未发现不良反应。结论超声导入联合穴位治疗老年髋部骨折患者便秘与聚乙二醇4000散具有等效性,且在起效时间及改善腹部症状方面更具有优势。Objective To investigate the clinical effect of ultrasound induction combined with acupuncture points and polyethylene glycol 4000 powder for treating constipation in elderly patients with hip fracture.Methods A randomized parallel controlled method was adopted.A total of 100 inpatients meeting the inclusion criteria were divided into the control group and treatment group.Fifty cases in the control group were given polyethylene glycol 4000 powder,10 g/d,taking at a draught in 1 h after lunch.Fifty cases in the treatment group adopted the ultrasound induction combined with Shenque acupoint and Guanyuan acupoint,which was implemented at 1 h after lunch every day,once a day,30 min each time,and the intensity was appropriate for the patients to tolerate.The two groups were continuously treated for 1 week.The clinical symptoms before and after treatment in the two groups were observed.The constipation score,quality of life score,treatment efficacy and safety were compared between before and after treatment.Results There were 3 dropout cases in the control group and 47 cases were finally included.Among them,14 cases were excellently effective,20 cases were effective,13 cases were ineffective,and the total effective rate was 72.34%;there were 2 dropout cases in the treatment group and 48 cases were finally included.Among them,15 cases were excellently effective,18 cases were effective,15 cases were ineffective,and the total effective rate was 68.75%;the total effective rate had no statistical difference between the two groups(P>0.05).The effect onset time of the treatment group was earlier than that of the control group with statistical difference(P<0.05).The abdominal symptom dimension and total score in the constipation scores after treatment in the treatment group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the physiological,satisfaction dimension scores and total score in life quality score in the treatment group were lower than those in the c

关 键 词：超声导入 髋部骨折 便秘 聚乙二醇4000散 老年 

分 类 号：R574[医药卫生—消化系统]