大黄芒硝敷脐治疗骨科术后便秘患者临床疗效观察

Observation of Clinical Efficacy on Constipation after Orthopedic Surgery Treated with Umbilicus Compress of Rhubarb and Mirabilite in the Patients

目的观察大黄芒硝敷脐治疗骨科术后便秘患者的临床疗效。方法将70例骨科手术后发生便秘的患者随机分为治疗组与对照组,每组35例。在常规护理基础上,对照组予多库酯钠片口服,治疗组予大黄芒硝敷脐,两组均以1周为1个疗程。治疗结束后观察两组患者Bristol大便性状分型评分、大便次数评分、总有效率情况。结果治疗结束后,两组患者Bristol大便性状分型评分、大便次数评分与治疗前比较,差异均有统计学意义(P<0.05),组间比较差异无统计学意义(P>0.05)。治疗组总有效率优于对照组(P<0.05)。结论大黄芒硝敷脐治疗骨科术后便秘患者疗效满意,且安全性良好,值得进一步应用推广。

Objective To observe the clinical efficacy on constipation after orthopedic surgery trea-ted with umbilicus compress of Rhubarb and Mirabilite in the patients. Methods Seventy cases of constipa-tion after orthopedic surgery were randomized into a treatment group and a control group,35 cases in each one. On the basis of the routine nursing,in the control group,Docusate Sodium Tablets（Dioctyl Sodium Sulfo-succinate）were used. In the treatment group,the umbilicus compress of Rhubarb and Mirabilite was given. The treatment of 1 week made 1 session in the two groups. Bristol stool scale,defecation frequency and total effective rate were observed and compared at the end of treatment in the two groups. Results At the end of treatment,the scores of Bristol stool scale and defecation frequency were different significantly as compared with those before treatment in the two groups（P ﹤ 0. 05）. The differences were not significant in comparison between the two groups（P ﹥ 0. 05）. The total effective rate in the treatment group was better than that in the control group（P ﹤ 0. 05）. Conclusion The umbilicus compress of Rhubarb and Mirabilite achieves the sat-isfactory and safe efficacy on constipation after orthopedic surgery and deserves to further promote.