摘要
目的探讨易罐疗法配合盆灸治疗老年性便秘患者的临床效果。方法选取2018年10月~2019年10月我院收治的60例老年性便秘患者为研究对象,按照随机数字表法将其分为A组、B组、C组,每组各20例。A组患者采用常规西药治疗,B组患者采用盆灸治疗,C组患者在B组的基础上联合易罐疗法。比较三组患者治疗前及治疗3 d后的中医症状积分(胃脘胀满、食欲缺乏、疲乏无力)、生活质量[便秘患者生存质量问卷(PAC-QOL)]、排便功能[便秘评分量表(CCS)]、大便性状(Bristol粪便性状评分量表)及1周内大便次数。结果三组患者治疗3 d后的胃脘胀满、食欲缺乏、疲乏无力各项中医症状积分、PAC-QOL、CCS评分均低于治疗前,差异有统计学意义(P<0.05);B组、C组患者治疗3 d后的各项中医症状积分、PAC-QOL、CCS评分均低于A组,差异有统计学意义(P<0.05);C组患者治疗3 d后的各项中医症状积分、PAC-QOL、CCS评分均低于B组,差异有统计学意义(P<0.05)。三组患者治疗3 d后的Bristol评分及1周内大便次数均高于治疗前,差异有统计学意义(P<0.05),B组、C组患者治疗3 d后的Bristol评分及1周内大便次数均高于A组,差异有统计学意义(P<0.05);C组患者治疗3 d后的Bristol评分及1周内大便次数均高于B组,差异有统计学意义(P<0.05)。结论易罐疗法结合盆灸治疗老年性便秘可取得显著的效果,缓解患者疾病症状,改善其排便功能,提高患者生活质量、排便性状与次数。
Objective To explore the clinical effect of Yiguan therapy combined with pelvic moxibustion in the treatment of elderly constipation patients.Methods A total of 60 patients with elderly constipation admitted to our hospital from October 2018 to October 2019 were selected as the research subjects, and they were divided into group A, group B and group C according to the random number table method, with 20 cases in each group.Group A was treated with conventional Western medicine, group B was treated with pelvic moxibustion, and group C was combined with Yiguan therapy on the basis of group B.The scores of traditional Chinese medicine(TCM) symptoms(gastric fullness, loss of appetite, fatigue and weakness), quality of life(patient assessment of constipation quality of life [PAC-QOL]), defecation function(constipation score scale [CCS]), stool traits(Bristol stool score scale) and stool frequency within 1 week were compared between the two groups before treatment and after 3 d of treatment.Results After 3 d of treatment, the scores of TCM symptoms in gastric fullness, loss of appetite and fatigue and weakness, scores of PAC-QOL and CCS in the three groups were lower than those before treatment, with statistically significant differences(P<0.05).The scores of TCM symptoms and scores of PAC-QOL and CCS after 3 d of treatment in group B and group C were lower than those in group A, with statistically significant differences(P<0.05).The scores of TCM symptoms and scores of PAC-QOL and CCS after 3 d of treatment in group C were lower than those in group B, with statistically significant differences(P<0.05).The Bristol score and stool frequency within 1 week in the three groups after 3 d of treatment were higher than those before treatment, with statistically significant differences(P <0.05).The Bristol score and stool frequency cally significant differences(P<0.05).The Bristol score and stool frequency within 1 week in group C were higher than those in the group B, with statistically significant differences(P <0.05).Conclusion Yiguan therapy combined with pelvic moxibustion can achieve significant effect in treating elderly constipation, alleviate the disease symptoms of patients, improve the defecation function, and promote the quality of life, traits and frequency of defecation of patients.
作者
李盛琳
邝秋群
曾美花
陈平
吴彩玲
吴穗宁
李宝玉
卢嘉怡
LI Sheng-lin;KUANG Qiu-qun;ZENG Mei-hua;CHEN Ping;WU Cai-ling;WU Sui-ning;LI Bao-yu;LU Jia-yi(Department of Osteology,Orthopedic Hospital of Liwan District in Guangzhou City,Guangdong Province,Guangzhou 510140,China;Department of Nursing,Orthopedic Hospital of Liwan District in Guangzhou City,Guangdong Province,Guangzhou 510140,China)
出处
《中国当代医药》
2020年第25期165-168,173,共5页
China Modern Medicine
基金
广东省广州市卫生和计划生育科技项目(20192A 011023)。
关键词
易罐疗法
盆灸
老年性便秘
治疗效果
排便功能
生活质量
Yiguan therapy
Pelvic moxibustion
Elderly constipation
Treatment effect
Defecation function
Quality of life
