大黄子午流注穴位贴敷用于便秘患者结肠镜前肠道准备的效果

Effects of rheum officinale midnight-noon and ebb-flow doctrine acupoint application on bowel preparation before colonoscopy among constipation patients

目的：观察大黄子午流注穴位贴敷应用于便秘患者结肠镜前肠道准备的效果。方法采用随机对照方法，收集符合纳入标准的病例66例，分为对照组和观察组各33例。观察组采用大黄子午流注穴位贴敷＋常规肠道准备方法，对照组采用常规肠道准备方法。观察两组患者肠道清洁效果、首次排气和排便时间、粪便达到无渣程度所需时间及患者对肠道准备的耐受程度，并对干预后便秘患者结肠镜前肠道准备情况的安全性进行评估。结果观察组肠道清洁Ⅰ级＋Ⅱ级患者31例、对肠道的耐受程度Ⅰ级＋Ⅱ级患者32例，对照组分别为30例、31例，两组患者肠道准备满意和对肠道的耐受程度比较，差异有统计学意义（χ2值分别为12．321，9．524；P＜0．01）；观察组患者首次排气（74．73±44．634）min、排便时间（75．79±46．219）min，与对照组比较差异无统计学意义（P＞0．05）；观察组肠道准备时间（251．79±72．738）min，对照组（294．06±55．411）min，差异有统计学意义（P＜0．05）；对肠道的耐受程度观察组优于对照组（P＜0．01）。结论大黄子午流注穴位贴敷能够在一定程度上缩短粪便达到无渣程度所需时间方面，改善便秘患者肠道清洁效果，提高患者对肠道准备的耐受程度。

Objective Toobserve the effects of rheum officinale midnight-noon and ebb-flow doctrine （MNEFD） acupoint application on bowel preparation before colonoscopy for constipation patients.Methods A total of 66 cases met the inclusion criteria were collected and divided into control and observation groups with 33 cases in each group using randomized controlled method .Rhubarb MNEFD acupoint application and routine bowel preparation were used for observation group , while routine bowel preparation alone was employed in the control group.The intestinal cleansing effects , the first exhaust and defecation time , the time required to reach a fecal residue-free level and the patients′tolerance to bowl preparation were observed .Meanwhile, the safety of bowl preparation for colonoscopy among constipation patients was assessed as well after the intervention .Results In observation group , 31 cases of patients were confirmed with intestinal cleansing grade I and II , and 32 cases of patients were with intestinal tolerance grade I and II; while they were 30 and 31 in the control group .The difference of satisfaction and intestinal tolerance level of bowl preparation between two groups were significant （χ2 =12.321,9.524;P 〈0.01）.The first exhaust and defecation time were （74.73 ±44.634） min and （75.79 ±46.219）min for patients in the observation group without significant difference compared with that of control group （P〉0.05）.The bowl preparation time for patients in the observation group was （251.79 ± 72.738）min, shorter than that of control group （294.06 ±55.411）min （P〈0.05）; intestinal tolerance level was better than that of control group （ P 〈0.01 ） .Conclusions Rhubarb MNEFD acupoint application can improve the effects of intestinal cleansing and increase the tolerance level of patients for bowl preparation with respect to a shortened time for fecal to reach residue-free at certain level .