大承气汤中药直肠滴入联合穴位按摩对中风恢复期实秘患者护理效果观察  

Bservation on the nursing effect of traditional Chinese medicine rectal drip combined with acupoint massage on stroke recovery stage constipation patients with dachengqi decoction

作　　者：胡亚萍 陈立敏 王景平 李宗正 HU Yaping;CHEN Limin;WANG Jingping;LI Zongzheng(Department of Traditional Chinese Medicine,The Second People's Hospital of Kunming,Kunming 650204;Rehabilitation Department of The First People's Hospital of Kunming,Kunming 650204,China)

机构地区：[1]云南省昆明市第二人民医院中医科,650204 [2]云南省昆明市第一人民医院康复科,650204

出　　处：《中国老年保健医学》2024年第6期160-162,167,共4页Chinese Journal of Geriatric Care

摘　　要：目的分析大承气汤中药直肠滴入与穴位按摩联合治疗中风恢复期便秘患者中辨证分型为实秘患者的护理效果。方法选取我院中医科2022年1月至2023年12月收治的60岁以上中风恢复期便秘患者80例作为研究对象。按照随机分组的方式将其划分为对照组40例和观察组40例,对照组实施中医内科一般护理常规干预,观察组在常规护理中加入中医适宜技术大承气汤中药直肠滴入联合穴位按摩护理模式。将两组患者的干预效果进行观察,且对其干预前后不同阶段大便性状进行评估,记录患者干预期间的不良反应发生状况。结果观察组的干预总有效率相较于对照组更高,差异显著(P<0.05)。在干预前,观察组与对照组大便性状评分比较,差异无统计学意义(P>0.05)。在干预7天后、干预14天后,两组患者的大便性状评分呈上升趋势,且观察组的升高幅度明显高于对照组,差异显著(P<0.05)。结论在护理中风恢复期便秘患者时运用大承气汤中药直肠滴入联合穴位按摩技术,通过中医辨证分型可保证护理效果,及时改善实秘患者便秘症状,值得临床选用与推广。Objective To analyze the nursing effect of the combination of Dachengqi decoction,traditional Chinese medicine rec-tal infusion,and acupoint massage in the treatment of stroke recovery constipation patients with solid constipation according to syn-drome differentiation.Methods 80 cases of stroke recovery constipation patients over 60 years old admitted to the Traditional Chi-nese Medicine Department of our hospital from January 2022 to December 2023 were selected as the analysis objects.According to the method of random grouping,the patients were divided into a control group(n=40)and an observation group(n=40).The former received routine intervention in general nursing of traditional Chinese medicine,while the latter added the appropriate technology of traditional Chinese medicine,Dachengqi decoction,and rectal drip combined with acupoint massage nursing mode in routine nurs-ing.The intervention effects of the two groups of patients were observed,and their fecal characteristics at different stages before and after intervention were evaluated,and the occurrence of adverse reactions during the intervention period was recorded.Results The total effective rate of intervention in the observation group was higher than that in the control group,with a significant difference(P<0.05).Before intervention,there was no statistically significant difference in stool trait scores between the observation group and the control group(P>0.05).After 7 days and 14 days of intervention,the stool trait scores of the two groups of patients showed an up-ward trend,and the increase in the observation group was significantly higher than that in the control group,with a significant differ-ence(P<0.05).Conclusion The use of Dachengqi decoction combined with rectal drip and acupoint massage technology in nurs-ing patients with constipation during the recovery period of stroke can ensure nursing effectiveness and timely improve constipation symptoms in patients with constipation through traditional Chinese medicine syndrome differentiation and

关 键 词：大承气汤 直肠滴入 穴位按摩 中风恢复期 辨证分型 护理效果 

分 类 号：R47[医药卫生—护理学]