中药敷脐结合穴位贴压解决心肌梗死患者便秘的效果观察

Effect of traditional Chinese medicine applied with umbilicus and acupoints on constipations in patients with myocardial infarction

目的探讨中药敷脐结合穴位贴压解决心肌梗死患者便秘的效果。方法选择2011年6月～2012年6月本院收治的78例急性心肌梗死患者,将患者随机分为对照组40例和干预组38例,对照组患者给予常规护理,干预组在对照组基础上,给予中药敷脐结合穴位贴压。比较两组患者首次排便时间、大便性状以及排便后不良反应发生率。结果干预组患者首次排便时间较对照组明显缩短,大便性状明显改善,两组比较,均P<0.05,差异具有统计学意义。两组患者在排便后半小时内均无出现心律失常、急性心力衰竭等并发症。结论中药敷脐结合穴位贴压能有效调节急性心肌梗死患者胃肠功能,有效解决患者便秘的发生。

Objective To study the effect of observation of traditional Chinese medicine applied with umbilicus and acupoints on constipations in patients with myocardial infarction.Methods Seventy-eight acute myocardial infarction patients admitted in our hospital from June 2011 to June 2012 were randomized into the control group（n=40）and the intervention group（n=38）.The former were managed with routine nursing care and the latter with addition traditional Chinese medicine applied on the umbilicus and pressed on the acupoints besides the routine nursing care.The first time for defecation,the characters of defecation and the incidence of adverse reactions after defecation in the two groups were observed and compared.Results Compared with the control group,the first time for defecation in the intervention group was significantly reduced（P 0.05）,and the characters of stools were significantly improved （P 0.05）.There were no complications such as arrhythmia and acute heart failure half an hour after defecation in the two groups.Conclusion The traditional Chinese medicine applied on umbilicus and pressed on the acupoints may regulate the gastrointestinal function of patients with acute myocardial infarction and effectively prevent and treat their constipations.