大黄外敷神阙穴联合胃肠起搏在老年功能性便秘患者中的应用

Application of Rhei Radix et Rhizoma topical application at shénquēcombined with gastrointestinal pacing in elderly patients with functional constipation

目的探讨大黄外敷神阙穴联合胃肠起搏在老年功能性便秘(FC)患者中的应用效果。方法选取江苏省南通市中医院2018年9月—2020年3月收治60例老年FC患者为研究对象,采用随机数字表法将其分为对照组和试验组,每组各30例。对照组给予生活指导和胃肠起搏治疗,试验组在对照组的基础上加用大黄外敷神阙穴治疗。治疗4个疗程(连续治疗10 d为1个疗程)后评价两组疗效,分别于治疗前、治疗4个疗程后,比较两组患者肛管运动功能[肛管最大收缩压(MSP)、收缩持续时间(DSS)及肛管静息压(RP)水平]改善情况。结果治疗后,试验组疗效优于对照组,差异有统计学意义(P<0.05)。治疗后,两组MSP及RP均较治疗前降低,且试验组均低于对照组;两组DSS均较治疗前缩短,且试验组短于对照组,差异有统计学意义(P<0.05)。结论大黄外敷神阙穴联合胃肠起搏治疗老年FC患者可有效提高肛管运动功能,临床疗效确切。

Objective To investigate the application effect of Rhei Radix et Rhizoma topical application at shénquēcombined with gastrointestinal pacing in elderly patients with functional constipation(FC).Methods Sixty elderly patients with FC admitted to Nantong Hospital of Traditional Chinese Medicine from September 2018 to March 2020 were selected as the research objects,and they were divided into control group and experimental group by random number table method,with 30 cases in each group.The control group was treated with life guidance and gastrointestinal pacing,on basis of control group,the experimental group was treated with Rhei Radix et Rhizoma topical application at shénquē.After four courses(10 days of continuous treatment was taken as one course)of treatment,the efficacy of the two groups was evaluated;before treatment and after 4 courses of treatment,the improvement conditions of anal canal motor function(maximum squeeze pressure[MSP]of anal canal,duration sustained squeeze[DSS]and anal canal resting pressure[RP]level)was tested and compared.Results After treatment,the efficacy of the experimental group was better than that of the control group,the difference was statistically significant(P<0.05).After treatment,the MSP and RP in both groups were lower than those before treatment,and the experimental group was lower than the control group;the DSS in both groups was shorter than that before treatment,and the experimental group was shorter than the control group,the differences were statistically significant(P<0.05).Conclusion The Rhei Radix et Rhizoma topical application of shénquēcombined with gastrointestinal pacing in the treatment of elderly patients with FC can improve the anal canal motor function,and the clinical effect is definite.