腹部穴位按摩联合中药穴位贴敷在急性心肌梗死便秘患者中的应用

Application of abdominal massage combined with Traditional Chinese Medicine acupoint application in the treatment of constipation in patients with acute myocardial infarction

目的探讨腹部穴位按摩联合中药穴位贴敷在急性心肌梗死便秘患者中的应用效果。方法60例急性心肌梗死便秘患者随机分为观察组与对照组,各30例。对照组给予常规护理,观察组在对照组的基础上给予腹部穴位按摩联合自制中药药膏“心梗通便膏”穴位贴敷。评价2组临床疗效,对比干预后首次排便时间与不良排便率。结果观察组总有效率为93.33%(28/30),高于对照组的70.00%(21/30),差异有统计学意义(P<0.05)。观察组首次排便时间为(0.92±0.28)d,短于对照组的(1.53±0.78)d,差异有统计学意义(P<0.05)。观察组不良排便率为10.00%(3/30),低于对照组的46.67%(14/30),差异有统计学意义(P<0.05)。结论腹部穴位按摩联合自制中药药膏“心梗通便膏”穴位贴敷可促进急性心肌梗死患者排便,降低不良排便率。

Objective To investigate the effect of abdominal massage combined with Traditional Chinese Medicine(TCM)acupoint application in the treatment of constipation in patients with acute myocardial infarction.Methods Totally 60 patients with constipation followed by acute myocardial infarction were randomly divided into the observation group and the control group,with 30 cases in each group.All patients received comprehensive treatment and nursing care,and those in the observation group were given abdominal massage and acupoint application with self-made TCM purgative cream.The curative effect,the time to first defecation,rate of poor defecation status were observed and compared between two groups.Results The total effective rate in the observation group was 93.33%(28/30),which was significant higher than 70.00%(21/30)in the control group(P<0.05).A shorter time to first defecation was found in the observation group than that in the control group(0.92±0.28 days vs.1.53±0.78 days,P<0.05).The rate of poor defecation status in the observation group was significantly lower than that in the control group(10.00%vs.46.67%,P<0.05).Conclusion The abdominal massage combined with Traditional Chinese Medicine acupoint application is potentially effective to relieve constipation and improve constipation status in patients with acute myocardial infarction.