穴位推拿对住院精神病患者药源性便秘的影响

Effects of Acupoint Massage on Drug-Induced Constipation in Hospitalized Psychiatric Patients

目的探讨穴位推拿治疗住院精神病患者药源性便秘的效果.方法将2019年10月—2020年11月我院心身科收治的200例住院精神病药源性便秘患者纳入研究,以随机数字表法将患者分为试验组与对照组.对照组采用临床常规治疗,试验组在对照组基础上添加穴位推拿治疗.对比两组的临床治疗效果.结果试验组的治疗总有效率96.00%高于对照组的85.00%,不良事件发生率6.00%低于对照组的17.00%,组间差异有统计学意义(P<0.05).治疗前,两组患者的便秘情况比较,差异无统计学意义(P>0.05);治疗后,试验组的排便间隔时间、排便时间均短于对照组,排便费力—线性视觉模拟评分低于对照组,组间差异有统计学意义(P<0.01).治疗前,两组的肠鸣音次数比较,差异无统计学意义(P>0.05);治疗后1、3、7 d,试验组的肠鸣音次数均多于对照组,组间差异有统计学意义(P<0.01).试验组生活质量综合评定问卷-74中的生理功能、躯体功能、心理功能及社会功能评分均高于对照组,组间差异有统计学意义(P<0.05).结论穴位推拿治疗住院精神病患者药源性便秘的疗效显著,可有效缓解便秘症状,恢复肠道功能,亦可降低治疗期间不良事件的发生,对患者预后质量的改善与生活质量的提升均有显著作用.

Objective To explore the effect of acupoint massage on drug-induced constipation in hospitalized psychiatric patients.Methods A total of 200 inpatients with drug-induced constipation and psychosis who were admitted to our hospital's psychosomatic department from October 2019 to November 2020 were included in the study,and the patients were divided into experimental group and control group by random number table method.The control group received routine clinical treatment,while the experimental group received acupoint massage therapy on the basis of the control group.The clinical treatment effects of the two groups were compared.Results The total effective rate of treatment in the experimental group was 96.00%higher than that in the control group,which was 85.00%,and the incidence of adverse events was 6.00%lower than that in the control group,which was 17.00%,and the differences between the groups were statistically significant(P<0.05).Before treatment,there was no significant difference in constipation between the two groups(P>0.05);after treatment,the defecation interval and defecation time of the experimental group were shorter than those of the control group,and the defecation effort-linear visual analog scale score was lower than that of the control group,and the differences between the groups were statistically significant(P<0.01).Before treatment,there was no significant difference in the number of bowel sounds between the two groups(P>0.05);1,3,and 7 days after treatment,the number of bowel sounds in the experimental group was more than that in the control group,and the difference was statistically significant(P<0.01).The scores of physiological function,physical function,psychological function and social function in the generic quality of life inventory-74 of the experimental group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Acupoint massage has a remarkable curative effect on drug-induced constipation in inpatients with mental illness.It can effectively relieve constipation symptoms,restore intestinal function,and reduce the occurrence of adverse events during treatment,which has a significant effect on the improvement of patients'prognosis and quality of life.