大黄外敷神阙穴联合胃肠起搏治疗功能性便秘疗效观察

Observation of the curative effect of external application of rhubarb on Shenque point combined with gastrointestinal pacing on functional constipation

目的探讨大黄外敷神阙穴联合胃肠起搏治疗功能性便秘的疗效。方法选取2018年2月~2019年2月在我院脾胃病科就诊治疗的88例功能性便秘患者,将其随机分为观察组和对照组,每组各44例,对照组采用大黄外敷神阙穴,观察组采用大黄外敷神阙穴联合胃肠起搏治疗,大黄外敷神阙穴同对照组,同时采用胃肠起搏器进行治疗,并进行相应护理,观察并比较两组便秘症状评分、治疗效果、生活质量评分。结果治疗前两组便秘各症状评分比较,差异无统计学意义(P>0.05);治疗后观察组腹胀、排便费力、排便不尽感、直肠阻塞感评分低于对照组;观察组总有效率高于对照组(P<0.05);治疗前两组生活质量评分比较,差异无统计学意义(P>0.05);治疗后观察组生理不适、心理社会不适、担心焦虑、满意度及总分均低于对照组(P<0.05)。结论大黄外敷神阙穴联合胃肠起搏治疗功能性便秘效果良好,改善便秘各症状,提高生活质量及总有效,值得推广应用。

Objective To explore the curative effect of external application of rhubarb on Shenque point combined with gastrointestinal pacing on functional constipation.Methods From February 2018 to February 2019,88 patients with functional constipation seeking medical advice and treated in the department of spleen and stomach diseases of our hospital were randomly divided into the observation group and the control group,with 44 patients in each group.The control group was treated with external application of rhubarb on Shenque point.10 g of rhubarb powder and peppermint oil were mixed evenly,coated on cataplasm and then used to cover the Shenque point of the patients for 4 h every time,with 10 times being a course of treatment.The observation group was treated with external application of rhubarb on Shenque point combined with gastrointestinal pacing.The external application of rhubarb on Shenque point was the same with the control group,and meanwhile,gastrointestinal pacemaker was used for treatment 1 time/day,lasting 30 min/time,with 10 times being a course of treatment.At the same time,the corresponding nursing service was provided.The observation indexes included constipation symptom scores,treatment effect and quality of life scores.Results Before treatment,there were no differences in various constipation symptom scores between the two groups(P>0.05).After treatment,the scores of abdominal distension,strenuous defecation,sense of incomplete defecation and rectal obstruction in the observation group were lower than those in the control group;the total effective rate in the observation group was higher than that in the control group(P<0.05).Before treatment,there was no difference in quality of life scores(P>0.05).After treatment,the physiological discomfort,psychosocial discomfort,worry and anxiety,satisfaction and total scores of the observation group were all lower than those of the control group(P<0.05).Conclusion External application of rhubarb on Shenque point combined with gastrointestinal pacing produces satisfying effect on functional constipation.It ameliorates various symptoms of constipation and improves the quality of life and the total effective rate.It is worthy of promotion and application.