电热砭石热熨技术在改善老年患者脾肾阳虚型功能性便秘中的应用  

Application study of the therapeutic effects of electro-heating bian-stone warming and ironing technique in elderly patients with functional constipation due to spleen-kidney yang deficiency

作　　者：习亚炜 李莉[2] 王颖[1] 杨晓芳 郭翠花 钱晶晶[1] 王碧君 张林玉 许韵 XI Yawei;LI Li;WANG Ying;YANG Xiaofang;GUO Cuihua;QIAN Jingjing;WANG Bijun;ZHANG Linyu;XU Yun(Health Care Department,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053,China)

机构地区：[1]中国中医科学院广安门医院干部保健科,北京市100053 [2]中国中医科学院广安门医院保健办,北京市100053 [3]贵州中医药大学第一附属医院手术室

出　　处：《中国护理管理》2024年第9期1303-1307,共5页Chinese Nursing Management

摘　　要：目的:评价电热砭石热熨技术改善老年患者脾肾阳虚型功能性便秘的效果,为缓解其便秘症状、提升生活质量提供参考。方法:便利选取2023年7月至2024年2月在北京市某三级甲等中医医院收治的老年脾肾阳虚型功能性便秘患者为研究对象,随机分为对照组(n=29)和实验组(n=29),对照组给予健康指导及腹部按摩,实验组给予健康指导及电热砭石热熨治疗。采用便秘患者症状自评量表(PAC-SYM)、Bristol粪便性状评分(BSFS)、患者便秘状况评估量表(PAC-QOL)对患者进行评定,同时记录干预前后两组患者每周排便次数,观察排便频次改善情况。结果:干预前后两组PAC-SYM、BSFS、PAC-QOL得分差异均有统计学意义(P<0.05),且实验组患者排便次数干预前后差异有统计学意义(P<0.01);实验组患者干预后PAC-SYM、BSFS、PAC-QOL评分、排便次数均优于对照组(P<0.01)。结论:电热砭石热熨技术能够明显改善老年患者脾肾阳虚型功能性便秘症状,使排便次数增加,提高老年患者生活质量。Objective:To investigate the clinical efficacy of the electro-heating bian-stone warming and ironing technique in elderly patients with functional constipation due to spleen-kidney yang deficiency.Methods:From July 2023 to February 2024,58 patients with functional constipation due to spleen-kidney yang deficiency who were admitted to a tertiary grade A Traditional Chinese Medicine hospital in Beijing were recruited as the study participants.They were randomized into either an experimental group(n=29)or a control group(n=29).Patients in the control group received abdominal massages on the basis of health guidance.On the other hand,patients in the experimental group received electro-heating bian-stone warming and ironing therapy on the basis of health guidance.The improvement in patients'constipation was evaluated using the Patient Assessment of Constipation Symptom(PAC-SYM),Bristol Stool Form Scale(BSFS),Patient Assessment of Constipation Quality of Life(PAC-QOL),and records of weekly defecation frequency before and after the intervention.Results:The PAC-SYM,BSFS,and PAC-QOL scores for both the experimental and control groups were compared before and after the intervention,showing statistically significant differences(P<0.05).After the intervention,there were notable differences in PAC-SYM,BSFS,PAC-QOL,the weekly defecation frequency significantly between the experimental and control groups(P<0.01).Conclusion:The electro-heating bian-stone warming and ironing technique can significantly improve functional constipation symptoms in elderly patients with functional constipation due to spleen-kidney yang deficiency,increase defecation frequency,and enhance the patient's quality of life.

关 键 词：电热 砭石热熨 腹部按摩 功能性便秘 老年患者 脾肾阳虚 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]