腹部点穴摩灸法联合心理干预治疗功能性便秘

Clinical analysis of abdominal point massage and moxibustion therapy combined with psychological counseling in treating functional constipation

目的观察腹部点穴摩灸法联合心理干预治疗"气滞型"功能性便秘的临床疗效,并探究其作用机制。方法收集我院"气滞型"功能性便秘患者70例,随机分为对照组和治疗组,各35例。对照组给予四磨汤口服液联合健康指导;治疗组在对照组基础上予以腹部点穴摩灸法联合心理干预治疗。疗程7 d。记录2组治疗前后便秘主要症状评分、焦虑抑郁状态的SAS量表与SDS量表评分,统计临床疗效及护理满意度。结果 2组便秘的主要症状有效率、护理满意度SAS评分及SDS评分比较,差异均有统计学意义(P<0.05)。结论腹部点穴摩灸法联合心理干预治疗"气滞型"功能性便秘优于常规治疗,可有效改善患者便秘的主要症状及焦虑抑郁状态,增加护理满意度。

Objective To observe the curative effect of point massage and moxibustion therapy combined with psychological counseling in treating functional constipation due to qi stagnation,and then to explore its mechanism.Methods A total of 70 patients with functional constipation due to qi stagnation were randomly divided into treatment group(n=35)and control group(n=35),the control group was given Simo Decoction and health guidance;the treatment group was combined with abdominal point massage and moxibustion therapy based on the psychological counseling.After treatment,the scale of major symptoms of constipation,SAS scale and SDS scale for anxiety and depression,clinical efficacy and nursing satisfaction were observed and analyzed.Results There were significant differences in the effective rate of main symptoms of constipation,SAS score and SDS score of nursing satisfaction between the two groups(P<0.05).Conclusion Abdominal point massage and moxibustion therapy combined with psychological counseling can effectively treat qi stagnation type of functional constipation,improve the major symptoms of constipation,and relieve anxiety and depression of patients,improve nursing satisfaction.