蟾附脐贴治疗长期卧床患者顽固性腹胀临床研究

Clinical Study on Intervention of Refractory Abdominal Bloating in Bedridden Patients Using Chanfu Navel Paste

目的探讨蟾附脐贴对长期卧床患者顽固性腹胀的临床疗效。方法纳入32例长期卧床的顽固性腹胀患者,随机分为对照组及治疗组,每组16例,对照组给予常规临床干预,治疗组加用蟾附脐贴外敷神阙。结果治疗组治疗后首次排气时间为(8.7+6.8)h,对照组为(20.9±12.8)h(P<0.01),差异有统计学意义。治疗组24、48 h腹胀评分、24 h排气次数明显优于对照组(PV0.01),2组患者24、48 h腹痛评分无明显统计学差异。治疗组48 h腹胀评分改善率均明显优于对照组(P<0.01)o结论与常规临床干预比较,蟾附脐贴可有效促进长期卧床患者肛门排气,缓解其腹胀症状。

Objective To investigate the clinical effect of Chanfu navel paste on the refractory abdominal bloating in bedridden patients.Methods Thirty・two bedridden patients with refractory abdominal bloating were included and randomized into control group(n=16)and treatment group(n=16).Patients in the control group were given routine clinical intervention,while those in the treatment group was received external application of Chanfu navel paste on the acupoint Shenque.Results The first exhaust time was(8.7±6.8)hours in the treatment group and(20.9±12.8)hours in the control group(P<0.01),and the difference between the two groups was statistically significant.The 24-hour and 48-hour abdominal distension score and 24-hour exhaust frequency in the treatment group were significantly better than those in the control group(P<0.01).There was no statistically significant difference between the two groups in the abdominal pain score at 24 and 48 hours.The improvement rate of abdominal bloating at 48 hour were much better in the treatment group than that of the control group(P<0.01).Conclusion Compared with routine clinical intervention,Chanfu navel paste can effectively promote anal exhaust and relieve abdominal distension in patients with long-term bed rest.