八髎穴推拿对脊髓损伤后神经源性肠道功能障碍的康复效果研究

Study on the rehabilitation effect of Baliao acupoint massage on neurogenic bowel dysfunction after spinal cord injury

目的探讨八髎穴推拿对脊髓损伤后神经源性肠道功能障碍的康复效果。方法60例脊髓损伤后神经源性肠道功能障碍患者作为研究对象,按随机数字表法分为对照组和观察组,每组30例。对照组给予常规肠道功能训练治疗,观察组在常规肠道功能训练治疗的基础上实施八髎穴推拿。比较两组治疗前后Wexner便秘评分、神经源性肠道功能障碍评分,排便频率、排便时间及排便困难发生情况。结果治疗前后,两组Wexner便秘评分、神经源性肠道功能障碍评分组间比较,差异均无统计学意义(P>0.05);治疗后,两组Wexner便秘评分、神经源性肠道功能障碍评分均优于治疗前,差异具有统计学意义(P<0.05)。且观察组治疗前后Wexner便秘评分、神经源性肠道功能障碍评分变化值显著大于对照组,差异具有统计学意义(Z观察组=-2.993、Z对照组=-2.921,P观察组=0.003、P对照组=0.003<0.05)。治疗前,两组排便频率、排便时间、排便困难发生情况比较,差异均无统计学意义(P>0.05);治疗后,观察组的排便频率、排便时间、排便困难发生情况均优于治疗前,差异具有统计学意义(P=0.000、0.002、0.002<0.05);对照组的排便频率、排便时间、排便困难发生情况与治疗前比较,差异均无统计学意义(P>0.05);观察组治疗后排便频率明显优于对照组,差异具有统计学意义(χ2=19.200,P=0.000<0.05);两组治疗后排便时间、排便困难发生情况比较,差异均无统计学意义(P>0.05)。结论应用八髎穴推拿可在常规肠道功能训练治疗的基础上增强对脊髓损伤后神经源性肠道功能障碍的治疗效果,值得临床推广。

Objective To discuss the rehabilitation effect of Baliao acupoint massage on neurogenic bowel dysfunction after spinal cord injury.Methods A total of 60 patients with neurogenic bowel dysfunction after spinal cord injury were divided into a control group and an observation group according to random numerical table,with 30 cases in each group.The control group was given conventional intestinal function training treatment,and the observation group was given Baliao acupoint massage on the basis of conventional intestinal function training.The Wexner constipation score,neurogenic bowel dysfunction score,defecation frequency,defecation time and defecation difficulty were compared between the two groups before and after treatment.Results Before and after treatment,there were no statistically significant differences in Wexner continence grading scale score and neurogenic bowel dysfunction score between the two groups(P>0.05).After treatment,the Wexner continence grading scale score and neurogenic bowel dysfunction score of the two groups were better than those before treatment in this group,and the differences were statistically significant(P<0.05).The changes of Wexner continence grading scale score and neurogenic bowel dysfunction score before and after treatment in the observation group were significantly greater than those in the control group,and the differences were statistically significant(Zobservation group=-2.993,Z control group=-2.921,Pobservation group=0.003,P control group=0.003<0.05).Before treatment,there were no statistically significant differences in the defecation frequency,defecation time and defecation difficulty between the two groups(P>0.05).After treatment,the defecation frequency,defecation time and defecation difficulty in the observation group were better than before treatment in this group,and the difference was statistically significant(P=0.000,0.002,0.002<0.05).The defecation frequency,defecation time and defecation difficulty in the control group were not significantly different from those before treatment in this group(P>0.05).After treatment,the defecation frequency in the observation group was significantly better than that in the control group,and the difference was statistically significant(χ2=19.200,P=0.000<0.05).After treatment,there was no statistically significant difference in defecation time and defecation difficulty between the two groups(P>0.05).Conclusion The application of Baliao acupoint massage can enhance the therapeutic effect of neurogenic bowel dysfunction after spinal cord injury on the basis of conventional bowel function training,which is worthy of clinical promotion.