调味承气方敷脐联合吐纳摩腹法治疗中老年髋部骨折围手术期便秘的临床效果

Clinical effect of Tiaowei Chengqi Prescription umbilical therapy combined with deep breathing exercises and abdominal massage in the treatment of prevention constipation of hip fractures in middle-aged and elderly people during the perioperative

目的探讨调味承气方敷脐联合吐纳摩腹法治疗中老年髋部骨折围手术期便秘的效果。方法选取中国中医科学院望京医院2021年4月至2022年6月收治的中老年髋部骨折围手术期便秘患者63例,采用随机数字表法将其分为试验组32例,对照组31例。两组均给予常规治疗,试验组在常规治疗基础上给予调味承气方敷脐联合吐纳摩腹法干预,观察两组患者临床疗效及对患者生活质量的影响。结果试验组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗后,两组Wexner便秘、Bristol粪便性状评分低于治疗前,且试验组低于对照组(P<0.05),对照组排便周期长于治疗前,试验组排便周期短于治疗前,且试验组排便周期短于对照组,差异有统计学意义(P<0.05)。治疗后,两组积极应对评分高于治疗前,消极应对评分低于治疗前,且试验组积极应对评分高于对照组,消极应对评分低于对照组,差异有统计学意义(P<0.05)。出院后1个月,两组躯体部分、精神部分评分高于治疗前,且试验组高于对照组,差异有统计学意义(P<0.05)。结论调味承气方敷脐联合吐纳摩腹法治疗围手术期中老年髋部骨折卧床便秘效果较好,可提升患者生活质量。

Objective To explore the effect of Tiaowei Chengqi Prescription umbilical therapy combined with deep breathing exercises and abdominal massage on treating of prevention constipation of hip fractures in middle-aged and elderly people during the perioperative.Methods A total of 63 middle-aged and elderly patients with hip fracture were selected from Wangjing Hospital of China Academy of Chinese Medical Sciences from April 2021 to June 2022,and they were divided into experimental group 32 cases,and control group 31 cases by random number table method.The two groups were given conventional treatment,and the experimental group was given Tiaowei Chengqi Prescription umbilical therapy combined with deep breathing exercises and abdominal massage on the basis of conventional treatment.The clinical efficacy and impact on the quality of life of patients in two groups were observed.Results The clinical efficacy of the experimental group was better than that of the control group,the difference was statistically significant(P<0.05).After treatment,the Wexner constipation and Bristol fecal trait scores of the two groups were lower than those before treatment,and the experimental group was lower than the control group(P<0.05).The defecation cycle of the control group was longer than before treatment,and the defecation cycle of the experimental group was shorter than that of the control group,and the differences were statistically significant(P<0.05).After treatment,the positive coping score of the two groups was higher than those before treatment,the negative coping scores of the two group were lower than those before treatment,and the positive coping score of the experimental group was higher than that of the control group,and the negative coping score was lower than that of the control group,the differences were statistically significant(P<0.05).One month after discharge,the physical and mental scores of the two groups were higher than those before treatment,and the group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion The Tiaowei Chengqi Prescription umbilical therapy combined with deep breathing exercises and abdominal massage has a good effect on the treatment of perioperative hip fracture bedridden constipation in middle-aged and elderly patients,and can improve the quality of life of patients.