茴枳散早期腹部熨烫防治胸腰椎骨折后腹胀、便秘的临床效果研究

Effect of Huizhi Powder on Early Abdominal Ironing in Treating Abdominal Distension and Constipation after Compression Fracture of Thoracolumbar Spine

目的:观察早期茴枳散腹部熨烫预防胸腰椎骨折后腹胀、便秘的临床效果。方法:采用随机对照设计,共纳入179例胸腰椎骨折患者,随机分为3组,常规组60例,盐熨组60例,盐+茴枳散组59例,三组患者早期干预即在入院1小时内分别采取常规护理、盐熨(常规护理基础上)、盐+茴枳散(常规护理基础上)熨烫的方法,比较三组患者在治疗3天后腹胀、便秘发生情况。结果:治疗3天后,腹胀防治有效常规组35例(58.33%),盐熨组47例(78.33%),盐+茴枳散54例(91.52%);便秘防治有效的常规组33例(55.50%),盐熨组44例(73.33%),盐+茴枳散53例(89.83%),P<0.05,差异有统计学意义,三种方案防治腹胀、便秘的有效率不全相同。其中,盐熨组与常规组比较,P<0.05,差异有统计学意义,盐熨组效果优于常规组,盐+茴枳散组与常规组比较,P<0.05,差异有统计学意义,盐+茴枳散组效果优于常规组,盐+茴枳散组与盐熨组比较,P<0.05,差异有统计学意义,盐+茴枳散组效果优于盐熨组。盐+茴枳散组防治腹胀、便秘效果最佳。结论:茴枳散早期腹部熨烫能有效降低胸腰椎骨折患者的腹胀、便秘的发生率,值得临床推广使用。

Objective:To investigate the effect of Huizhi Powder on abdominal ironing in the early treatment of thoracolumbar fracture abdominal distention constipation. Methods:One hundred and seventy nine patients with thoracolumbar fractures were randomly divided into 3 groups:a controlled group(n=60, usual care), a salt-iron group(n=60, salt-iron based on usual care), and a salt-Huizhi Powder group(n=59, salt-iron combined with Huizhi Powder-iron based on usual care). Patients in the three groups were intervened within one hour of admission as described above. After 3 days treatment, we observed the incidence of abdominal distension and constipation among three groups. Results:After 3 days treatment, the total effective cases of abdominal distension in the controlled group were 35 and general effective rate was 58.33%, in the salt-iron group were 47 and general effective rate was 78.33%, in salt-Huizhi Powder group were 54 and general effective rate was 91.52%. In addition, the total effective cases of constipation in the controlled group were 33 and the general effective rate was 55.50%, in the salt-iron group were 44 and general effective rate was 73.33%, in salt-Huizhi Powder group were 53 and general effective rate was 89.83%. These results indicated that the effective of preventing and treating abdominal distension and constipation was not all the same among the three methods, and the difference was statistically significant(P<0.05). The total effective rate of the salt-iron group and salt-Huizhi Powder group was higher significantly when compared with the controlled group(P<0.05). Compared with the salt-iron group, the effective rate of the salt-Huizhi Powder group was significantly increased(P<0.05). Thus, these results displayed that the salt-Huizhi Powder could effectively ameliorated the patients with abdominal distension and constipation. Conclusion:Huizhi Powder early abdominal ironing can effectively reduce the incidence of abdominal distension and constipation in patients with thoracolumbar fracture, which has a high clinical application value.