推拿治疗便秘疾病临床效果分析

探讨推拿治疗便秘疾病临床效果。方法 选择2015年7月份~2016年6月份来我院治疗的80例便秘患者作为研究对象,分成对照组和实验组,对照组实施常规治疗,实验组在常规治疗基础上采取推拿按摩疗法,对比患者治疗效果。结果 实验组患者接受了腹部推拿治疗之后,4小时内进行排便的患者20例,在24小时之内排便的患者28例,患者的便质转润,排便比较通畅;对照组患者治疗后4小时内排便的患者7例,在24小时内排便的患者19例,两组数据对比差异性显著(P<0.05)。对比与对照组来看,实验组患者推拿治疗的效果更显著。结论 推拿按摩法促进了患者的排便,效果更优,且简单操作无痛苦,推拿按摩的治疗方式效果很好,值得推广。

中西医结合治疗老年慢性功能性便秘疾病临床效果

探究分析中西医结合的治疗方式对老年慢性功能性便秘疾病的治疗效果情况。方法 选取本诊所2019年6月-2020年6月期间所诊治的共计70名老年慢性功能性便秘患者作为研究对象,将所有的患者按照随机分配的方式分为对照组和观察组,其中对照组人数35名,在临床上采用西药(乳果糖、莫沙必利)治疗,观察组实施中西医结合治疗,方案为乳果糖、莫沙必利、中药方。对比两组患者在临床上的治疗情况。结果 观察组治疗有效率(97.14%)高于对照组的(74.29%);观察组的腹胀、腹痛、排便不尽、排便困难、大便性状评分情况优于对照组;治疗后观察组的排便频率(4.98±0.69)次/周,高于对照组的(3.24±0.45)次/周;观察组不良反应(头晕、腹泻、呕吐)发生率为2.86%,低于对照组的20.00%;观察组的治疗满意度也高于对照组。结论 在当前阶段针对老年慢性功能性便秘疾病患者实施中西医联合治疗的方案能够有效的促进患者的胃肠道功能的恢复,改善患者的便秘症状,减少便秘的发生,可在临床上进行推广和普及。

苜蓿过量放倒11只獭兔

7月12日肃宁县王街养兔户杨某．因给兔喂未干而潮湿的苜蓿而引起11只獭兔发生肠便秘疾病。死亡4只．治愈7只，下面把治疗过程介绍如下。

Personality factors and profiles in variants of irritable bowel syndrome

AIM: To study the association between irritable bowel syndrome (IBS) variants (constipation,diarrhea,or both) and personality traits in non-psychiatric patients. METHODS: IBS was diagnosed using the Rome Ⅱ diagnostic criteria after exclusion of organic bowel pathology. The entry of each patient was confirmed following a psychiatric interview. Personality traits and the score of each factor were evaluated using the NEO Five Factor Inventory. RESULTS: One hundred and fifty patients were studied. The mean age (± SD) was 33.4 (± 11.0) year (62% female). Subjects scored higher in neuroticism (26.25 ± 7.80 vs 22.92 ± 9.54,P < 0.0005),openness (26.25 ± 5.22 vs 27.94 ± 4.87,P < 0.0005) and conscientiousness (32.90 ± 7.80 vs 31.62 ± 5.64,P < 0.01) compared to our general population derived from universities of Iran. Our studied population consisted of 71 patients with Diarrhea dominant-IBS,33 with Constipation dominant-IBS and 46 with Altering type-IBS. Scores of conscientiousness and neuroticism were significantly higher in C-IBS compared to D-IBS and A-IBS (35.79 ± 5.65 vs 31.95 ± 6.80,P = 0.035 and 31.97 ± 9.87,P = 0.043,respectively). Conscientiousness was the highest dimension of personality in each of the variants. Patients with C-IBS had almost similar personality profiles,composed of higher scores for neuroticism and conscientiousness,with low levels of agreeableness,openness and extraversion that were close to those of the general population. CONCLUSION: Differences were observed between IBS patients and the general population,as well as between IBS subtypes,in terms of personality factors. Patients with constipation-predominant IBS showed similar personality profiles. Patients with each subtype of IBS may benefit from psychological interventions,which can be focused considering the characteristics of each subtype.

Fiber and colorectal diseases: Separating fact from fiction

Whilst fruits and vegetables are an essential part of our dietary intake, the role of fiber in the prevention of colorectal diseases remains controversial. The main feature of a high-fiber diet is its poor digestibility. Soluble fiber like pectins, guar and ispaghula produce viscous solutions in the gastrointestinal tract delaying small bowel absorption and transit. Insoluble fiber, on the other hand, pass largely unaltered through the gut. The more fiber is ingested, the more stools will have to be passed. Fermentation in the intestines results in build up of large amounts of gases in the colon. This article reviews the physiology of ingestion of fiber and defecation. It also looks into the impact of dietary fiber on various colorectal diseases. A strong case cannot be made for a protective effect of dietary fiber against colorectal polyp or cancer. Neither has fiber been found to be useful in chronic constipation and irritable bowel syndrome. It is also not useful in the treatment of perianal conditions. The diverticulosis theory should also be challenged. The authors urge clinicians to keep an open mind about fiber. One must be aware of the truths and myths about fiber before recommending it.

予妇科疾病伴便秘者行术前清洁灌肠护理的新体会

目的：提高予妇科病伴便秘者行术前清洁灌肠的效果.方法：在用不同的程序和时间对我科妇科疾病伴便秘者行术前清洁灌肠中进行讨论与总结.结果：按照调整后的程序和时间对妇科疾病伴便秘者行术前清洁灌肠,能提高手术的效果.

Microbial treatment in chronic constipation

Chronic functional constipation is a kind of common intestinal disease that occurs in children, adults and elderly people. This disease not only causes great influence to physiological function, but also results in varying degrees of psychological barriers. At present, constipation treatments continue to rely on traditional methods such as purgative therapy and surgery. However, these approaches can disrupt intestinal function. Recent research between intestinal diseases and gut microbiota has gradually revealed a connection between constipation and intestinal flora disturbance, providing a theoretical basis for microbial treatment in chronic constipation. Microbial treatment mainly includes probiotic preparations such as probiotics, prebiotics, synbiotics and fecal microbiota transplantation(FMT). Due to its safety, convenience and curative effect, probiotic preparations have been widely accepted, especially gradually developed FMT with higher curative effects. Microbial treatment improves clinical symptoms, promotes the recovery of intestinal flora, and has no complications during the treatment process. Compared with traditional treatments, microbial treatment in chronic constipation has advantages, and is worthy of further promotion from clinical research to clinical application.

Clinical Study on Deep Insertion at Tianshu (ST 25) for Colonic Slow Transit Constipation

Objective：To observe the clinical effect of deep insertion at Tianshu（ST 25）for colonic slow transit constipation（STC）.Methods：120 cases of STC patients were randomly divided,60 cases in a deep insertion group,30 cases in an electroacupuncture group and 30 cases in a medication group by 2：1：1 ratio.The deep insertion group was treated with deep insertion at Tianshu（ST 25）.The electroacupuncture group was treated with routine insertion at Tianshu（ST 25）.The medication group was treated with oral administration of Lactulose oral liquid.The first voluntary defecation time,and constipation scores before the treatment,four weeks after the treatment and relevant scores of clinical symptoms were assessed in the three groups of the patients.Results：The scores of the clinical symptoms in improvement of constipation were better in the deep insertion group than in the electroacupuncture group and medication group,with differences in statistical significance（P〈0.01）.The unsuccessful numbers in the improvement of defecation and abdominal pain were also better in the deep insertion group than in the other two groups,and better in instant effect in the deep insertion.Conclusion：The improvement of STC clinical symptoms was better by deep insertion at Tianshu（ST 25）than by medication and routine acupuncture method at Tianshu（ST 25）.