|
|
Clinical effect of Yiguan therapy combined with pelvic moxibustion in the treatment of elderly constipation patients |
LI Sheng-lin1 KUANG Qiu-qun2 ZENG Mei-hua1 CHEN Ping1 WU Cai-ling1 WU Sui-ning1 LI Bao-yu1 LU Jia-yi1 |
1. Department of Osteology, Orthopedic Hospital of Liwan District in Guangzhou City, Guangdong Province, Guangzhou 510140, China;
2. Department of Nursing, Orthopedic Hospital of Liwan District in Guangzhou City, Guangdong Province, Guangzhou 510140, China |
|
|
Abstract 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 within 1 week in group B and group C after 3 d of treatment were lower than those in the group A, with statistically 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.
|
|
|
|
|
[1] |
尚星辰,王美峰,林征,等.功能性便秘患者的心理韧性与社会支持应对方式的相关性研究[J].护士进修杂志,2020,35(1):11-14.
|
[2] |
张管平,夏虎平.顽固性便秘患者菌群移植前后肠道菌群变化及与肠道动力的相关性[J].现代消化及介入诊疗,2020,25(1):5-10.
|
[3] |
戴敏.中药穴位贴敷联合耳穴压豆治疗老年性便秘30 例[J].中国中医药科技,2020,27(1):117-119.
|
[4] |
中华医学会消化病学分会胃肠动力学组,中华医学会消化病学分会功能性胃肠病协作组.中国慢性便秘专家共识意见(2019,广州)[J].中华消化杂志,2019,39(9):577-598.
|
[5] |
杨勇,丁曙晴,丁义江.功能性便秘中医证候诊断的量化研究[J].中医学报,2019,34(11):2434-2437.
|
[6] |
郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:243-247.
|
[7] |
高远,王菁,陈慧,等.八段锦联合生物反馈对功能性排便障碍的疗效及脑肠肽的影响[J].中国康复理论与实践,2018,24(9):1077-1081.
|
[8] |
邹燕,刘建阳.揿针疗法干预阿片类药物所致顽固性便秘疗效观察[J].上海针灸杂志,2019,38(6):638-641.
|
[9] |
徐国会,萧枫,张颖,等.垂直律动治疗老年功能性便秘患者的临床疗效[J].上海医学,2017,40(3):152-155.
|
[10] |
邹多武.利那洛肽:慢性便秘和便秘型肠易激综合征的新选择[J].中华消化杂志,2019,39(4):286-288.
|
[11] |
孙光军,肖文洁,林爱珍.“缩泉润肠法”治疗老年功能性便秘临证心悟[J].江苏中医药,2020,52(2):76-77.
|
[12] |
于靓,殷立新.盆底生物反馈与针灸辨证取穴在脑卒中后便秘康复护理中的应用[J].四川中医,2016,34(9):204-206.
|
[13] |
黄娟.疏肝理气导滞汤治疗便秘型肠易激综合征的临床观察[J].中国中医药科技,2020,27(1):147-148.
|
[14] |
古爱群,赖婷姗,姚丽媚.腹部按摩配合背部走罐治疗老年功能性便秘疗效观察[J].新中 医,2015,47(3):273-274.
|
[15] |
张威.72 例中老年功能性便秘患者肛门直肠动力学特点分析[J].浙江医学,2017,39(1):52-53.
|
[16] |
王月卿,刘芳.沉香通便散敷脐加灸法对习惯性便秘患者症状改善及消化道激素影响的研究[J].世界中西医结合杂志,2020,15(2):357-360.
|
[17] |
李亚玲,曾超,叶云,等.中药传统饮片与中药配方颗粒治疗老年功能性便秘的临床疗效观察[J].中国医院药学杂志,2017,37(23):2378-2382.
|
|
|
|