常规治疗联合陈朴苏麻贴穴位贴敷治疗脊柱手术后腹胀、便秘的效果观察  

Effect of Conventional Treatment Combined with Chenpusuma Acupoint Application on Abdominal Distension and Constipation after Spinal Surgery

作　　者：梁群珠 林念慈 邹燕芳[1] 曾燕玲[2] 何美玲 黄春霞 莫素珍 龚丽明 Liang Qunzhu;Lin Nianci;Zou Yanfang;Zeng Yanling;He Meiling;Huang Chunxia;Mo Suzhen;Gong Liming(First Department of Orthopaedics,Jiangmen Xinhui District Hospital of Traditional Chinese Medicine,Jiangmen 529100,Guangdong Province,China;Department of Nursing,Jiangmen Xinhui District Hospital of Traditional Chinese Medicine,Jiangmen 529100,Guangdong Province,China)

机构地区：[1]江门市新会区中医院骨科一区,广东江门529100 [2]江门市新会区中医院护理部,广东江门529100

出　　处：《中外医药研究》2024年第33期97-99,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：江门市科学技术局项目(编号:2023YL08015)。

摘　　要：目的:观察常规治疗联合陈朴苏麻贴穴位贴敷治疗脊柱手术后腹胀、便秘的效果。方法:选取2023年6月—2024年5月江门市新会区中医院收治的脊柱内固定术后出现腹胀与便秘的胸腰段脊柱骨折患者80例为研究对象,通过随机数字表法将患者分为对照组(n=40)与观察组(n=40)。对照组采用常规治疗,观察组在对照组基础上增加陈朴苏麻贴穴位贴敷干预。比较两组首次肛门排气与排便时间、腹胀持续时间、一周排便次数、症状严重程度评分,并评价安全性。结果:观察组首次肛门排气时间、首次排便时间早于对照组,腹胀持续时间短于对照组,一周排便次数多于对照组(P<0.001);治疗3d后,两组腹胀评分低于治疗前(P<0.05);治疗7d后,两组便秘症状评分降低,观察组低于对照组(P<0.05);两组不良反应总发生率对比,无统计学差异(P>0.05)。结论:常规治疗联合陈朴苏麻贴穴位贴敷治疗脊柱手术后腹胀、便秘的效果较好,能促进患者排气、排便,缓解临床症状,且安全性较高。Objective:To observe the effect of conventional treatment combined with acupoint application of Chenpusuma on abdominal distension and constipation after spinal surgery.Methods:A total of eighty patients with thoracolumbar spinal fracture who experienced abdominal distension and constipation after spinal internal fixation were selected from Jiangmen Xinhui District Hospital of Traditional Chinese Medicine from June 2023 to May 2024 as the study objects.The patients were divided into control group(n=40)and observation group(n=40)by random number table method.The control group was treated with routine treatment,and the observation group was treated with acupoint application of Chenpusuma on the basis of control group.The first time of anal exhaust and defecation,the duration of abdominal distension,the frequency of defecation in one week,and the score of symptom severity were compared between the two groups,and the safety was evaluated.Results:The time of first anal exhaust and first defecation in observation group was earlier than that in control group,the duration of abdominal distension was shorter than that in control group,and the frequency of defecation per week was higher than that in control group(P<0.001);after 3 days of treatment,the abdominal distension scores in both groups were lower than before treatment(P<0.05);after 7 days of treatment,the scores of constipation symptoms in the observation group were lower than those in the control group(P<0.05);there was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:Conventional treatment combined with acupoint application of Chenpusuma in the treatment of abdominal distension and constipation after spinal surgery has a good effect,can promote patients'exhaust and defecation,relieve clinical symptoms,with high safety.

关 键 词：腹胀 便秘 脊柱手术 陈朴苏麻贴 穴位贴敷 

分 类 号：R244.9[医药卫生—针灸推拿学]