新型针灸贴联合大黄贴治疗老年人功能性便秘的效果

Effects of a new type of acupuncture and moxibustion plaster combined with rhubarb root and rhizome plaster on the treatment of functional constipation in the elderly

目的观察新型针灸贴联合大黄贴治疗老年人功能性便秘(FC)的效果。方法选取2019年5月—12月陕西省长安区养老院的FC患者120例,按照随机对照原则将其分为4组,每组各30例。空白组A不进行任何治疗便秘的措施,对照组B予醋制大黄贴贴神阙穴治疗,对照组C予针灸贴贴天枢穴(双侧)治疗,试验组D予针灸贴贴天枢穴(双侧)联合醋制大黄贴贴神阙穴治疗,10 d为1个疗程。比较观察4组患者的排便次数、首次排便时间、排便速度及大便性状。结果治疗后,试验组D、对照组B、对照组C患者排便总有效率高于空白组A(P<0.01),试验组D患者排便总有效率高于对照组B、对照组C(P<0.05)。试验组D、对照组B、对照组C患者首次排便时间与排便速度均较空白组A缩短(P<0.05);试验组D患者首次排便时间与排便速度较对照组B、对照组C缩短(P<0.05)。试验组D、对照组B、对照组C患者大便性状改善优于空白组A(P<0.01),试验组D患者大便性状改善高于对照组B、对照组C(P<0.05)。结论新型针灸贴联合大黄贴治疗老年人FC临床效果显著,且操作简单,使用方便,易于推广。

Objective To explore the effect of a new type of acupuncture and moxibustion plaster combined with rhubarb root and rhizome plaster on the treatment of functional constipation(FC)in the elderly.Methods A total of 120 patients with FC in the Nursing Homes in Chang′an District,Shaanxi Province from May to December 2019 were selected and divided them into four groups according to the principle of randomized control method,with 30 cases in each group.Blank group A was treated with no treatment for constipation,control group B was treated with vinegar-made rhubarb root and rhizome plaster patched on shénquēpoint,control group C was treated with acupuncture and moxibustion plaster patched on tiānshūpoint(both sides),test group D was treated with acupuncture and moxibustion plaster patched on tiānshūpoint(both sides)combined with vinegar-made rhubarb root and rhizome plaster patched on shénquēpoint,10 d as a course of treatment.The number of bowel movements,first bowel movement time,bowel speed and stool characteristics of the four groups were compared and observed.Results After treatment,the total effective rate of defecation of patients in the test group D,control group B and control group C were higher than that of the blank group A(P<0.01).The total effective rate of defecation in the experimental group D was higher than that in the control group B and C(P<0.05).The first bowel movement time and bowel speed of patients in the test group D,control group B and control group C were shorter than those in the blank group A(P<0.05);the first bowel movement time and bowel speed of patients in the test group D were shorter than those in the control group B and control group C(P<0.05).The improvement of stool characteristics of patients in the test group D,control group B and control group C were better than that of the blank group A(P<0.01)The improvement of stool characters in experimental group D was higher than that in control group B and C(P<0.05).Conclusion The new type of acupuncture and moxibustion plaster combined with rhubarb root and rhizome plaster has a remarkable clinical effect on the improvement of FC among the elderly,which is simple to operate,easy to use and easy to promote.