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大黄联合吴茱萸穴位贴敷改善老年心衰病患者便秘效果观察 被引量:21

Effect of Rhubarb Combined with Evodia on Acupoint Application to Improve Constipation in Senile Patients with Heart Failure
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摘要 目的:探讨大黄联合吴茱萸穴位贴敷改善老年心衰病患者便秘的效果观察。方法:将2017年3月—2018年3月在我院心内科治疗的78例老年心衰病便秘患者随机分为两组,对照组使用常规药物治疗,观察组使用大黄联合吴茱萸穴位贴敷治疗,比较两组患者的临床疗效、便秘症状改善情况、生活质量、腹胀和便秘再发率。结果:观察组治疗有效率为97.44%,明显高于对照组的79.49%,差异有统计学意义(P<0.05);观察组治疗后肛门首次排气时间、腹胀缓解时间、首次排便时间与对照组相比明显缩短,差异有统计学意义(P<0.05);观察组治疗后便秘症状评分及BI指数与对照组相比明显改善,差异有统计学意义(P<0.05);观察组治疗后腹胀和便秘再发率明显低于对照组,差异有统计学意义(P<0.05)。结论:大黄联合吴茱萸穴位贴敷改善老年心衰病患者便秘的效果显著,能快速改善腹胀、腹痛、便秘等症状,加快胃肠功能的恢复,降低便秘复发率,改善生活质量,具有积极的临床意义。 Objective:To investigate the effect of rhubarb combined with evodia on acupoint application in the treatment of constipation in elderly patients with heart failure. Methods:78 elderly patients with constipation in the department of cardiology,March 2017-2018 years,were randomly divided into two groups. The control group was treated with conventional medicine. The observation group was treated with rhubarb combined with evodia acupoint application. The clinical efficacy,constipation improvement,quality of life,abdominal distention and bowel movement were compared between the two groups. Results:The effective rate of treatment in the observation group was 97.44%,which was significantly higher than that of the control group(79.49%),the difference was statistically significant(P<0.05). The initial anus exhaust time,abdominal distention time and the first defecation time in the observation group were significantly shorter than those of the control group(P<0.05). The score of constipation and BI index in the observation group were significantly improved compared with the control group(P<0.05),and the rate of abdominal distention and constipation in the observation group was significantly lower than that of the control group(P<0.05). Conclusion:Acupoint application of rhubarb combined with evodia can improve the constipation of elderly patients with heart disease. It can quickly improve the symptoms of abdominal distention,abdominal pain and constipation,accelerate the recovery of gastrointestinal function,reduce the recurrence rate of constipation,and improve the quality of life. It has positive clinical significance.
作者 朱云 ZHU Yun(Liu'an Hospital of Traditional Chinese Medicine,Liu'an 237006,Anhui,China)
机构地区 六安市中医院
出处 《辽宁中医药大学学报》 CAS 2019年第3期206-208,共3页 Journal of Liaoning University of Traditional Chinese Medicine
关键词 老年心衰 便秘 大黄联合吴茱萸穴位贴敷 效果观察 elderly heart failure constipation rhubarb and evodia acupoint application effect observation
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