腹部按摩联合润便汤加减治疗老年性便秘临床研究

Clinical Study on Abdominal Massage Combined with Modified Runbian Tang for Senile Constipation

目的:观察腹部按摩联合润便汤加减治疗老年性便秘的临床疗效。方法:选取80例老年性便秘患者,根据不同治疗方案分为A组和B组,每组40例。A组给予润便汤加减治疗,B组在A组基础上给予腹部按摩治疗,2组均治疗2周。比较2组排便间隔时间、粪便性质、排便困难评分,临床疗效及治疗后初次排便不良情况(用力排便、大便干结、不尽感、阻塞感)。结果:治疗后,B组排便间隔时间、粪便性质、排便困难评分均低于A组(P<0.05)。B组总有效率为92.50%,高于A组的75.00%(P<0.05)。B组治疗后初次排便不良情况发生率为10.00%,低于A组的30.00%(P<0.05)。结论:腹部按摩联合润便汤加减治疗老年性便秘,可有效减轻患者的便秘症状。

Objective: To observe the clinical effect of the therapy of abdominal massage combined with modified Runbian tang on senile constipation. Methods:A total of 80 patients with senile constipation were selected and divided into Group A and Group B according to different treatment schemes,40 cases in each group. Group A was treated with modified Runbian tang,and Group B was additionally treated with abdominal massage based on the treatment of Group A. Both groups were treated for two weeks. The scores of defecation interval, the scores of fecal properties, the scores of difficulty in defecation, clinical effect and poor initial defecation(forced defecation, dry stools, feeling of exhaustion and obstruction)after treatment were compared between the two groups. Results:After treatment,the scores of defecation interval,fecal properties and difficulty in defecation in Group B were all lower than those in Group A(P<0.05). The total effective rate was92.50% in Group B,higher than that of 75.00% in Group A(P<0.05). The incidence of poor initial defecation after treatment was 10.00% in Group B,lower than that of 30.00% in Group A(P<0.05). Conclusion:The therapy of abdominal massage combined with modified Runbian tang can effectively relieve constipation symptoms of patients.