运动训练在便秘型肠易激综合征患者中的应用

Application of exercise training in irritable bowel syndrome patients with constipation

目的探讨运动训练对便秘型肠易激综合征（IBS—C）患者的临床效应。方法选取2011年4月至2012年4月门诊IBS—C患者50例，采用随机数字表法分为对照组和实验组，各25例。对照组采用常规护理，实验组在对照组的基础上采用运动训练进行护理干预，比较两组患者治疗效果，采用IBS-QOL量表评估两组患者的生活质量。结果干预后实验组总有效率92．0％，对照组76．0％。两组治疗效果比较差异有统计学意义（U=-2．900，P〈0．01）。实验组患者IBS-QOL量表评分中焦虑不安（92．5±17．5）分、挑食（89．9±17．2）分、健康忧虑（89．1±15．7）分、社会反应（86．5±16．4）分较干预前得到改善，与对照组比较差异有统计学意义（￡值分别为2．734，2．028，2．541，2．023；P〈0．05）。结论运动训练能有效地提高IBS-C患者的生活质量，增强治疗效果。

Objective To explore the effect of exercise training on irritable bowel syndrome patients with constipation. Methods Totals of 50 cases were randomly divided into control group and experimental group, 25 cases in each group. The patients in control group received routine nursing care, experimental group were based on the use of exercise training for nursing intervention. Curative effect in the two groups were compared, and the quality of life before and after intervention was assessed by IBS-QOL. Results After intervention in experimental group, total effective rate of experimental group was significantly higher than that of control group （92.0% vs 76.0%, U = - 2. 900, P 〈 0.01 ）. Improvement of anxiety （92.5±17.5 ）, picky eating（89.9±17.2）, worried about health （ 89.1 ±15.7 ） and social reaction （ 86.5±16.4） in experimental group were superior to pre-intervention （t = 3. 405, 5. 610, 5. 149, 2. 370, respectively; P 〈0.05）, also to control group （t = 2.734, 2. 028, 2. 541, 2. 023, respectively; P 〈 0.05 ）. Conclusions Exercise training helps to improve the patient＇ s quality of life, which can enhance the curative effects.