摘要
目的:探讨郑氏提顶理筋手法结合中药润肠通便方治疗臀坐式骶尾椎骨折源性便秘的临床疗效。方法:将四川省骨科医院、成都市天府新区人民医院、成都市第一骨科医院收治的臀坐式骶尾椎骨折源性便秘患者126例,按照随机数字表法分为两组,对照组、实验组各63例,对照组给予普通提按手法复位+口服布洛芬缓释胶囊镇痛及便通胶囊通便治疗;实验组给“郑氏提顶理筋手法+口服润肠通便方”治疗。治疗疗程均为4周。分析评估两组患者治疗前后不同时间点的疼痛缓解(VAS评分量表)、肠功能恢复(BFI评分量表)、骨折后功能恢复情况(ODI评分量表)的差异,并判定临床疗效。结果:两组共有120例患者资料完整得到随访。实验组和对照组各60例,实验组和对照组观察指标差异有统计学意义(P<0.05)。①在VAS评分方面:治疗前两组患者VAS评分无统计学差异(P>0.05)。治疗后1、2、3、4周,实验组的VAS评分较对照组显著降低,差异有统计学意义(P<0.05);②在BFI评分方面:治疗后,实验组和对照组在排便费力程度、排便不净感和排便总体满意度方面的差异均有统计学意义(P<0.05),其中对照组排便费力程度和不净感评分明显高于实验组,且实验组排便总体满意度评分更高;③在骨折后功能恢复方面:两组患者治疗前ODI评分无统计学差异(P>0.05)。在治疗后,两组患者的ODI评分均较治疗前明显下降,实验组的骨折后功能恢复优于对照组,差异有统计学意义(P<0.05)。结论:郑氏提顶理筋手法结合润肠通便方可改善骶尾椎骨折患者的肠功能及便秘症状,缓解疼痛,促进骨折后功能恢复。
Objective:To investigate the clinical effect of Zheng's lifting the top and regulating tendons manipulation combined with Runchang Tongbian Formula in the treatment of hip sitting sacrococcygeal fracture with constipation.Methods:126patients with hip sitting sacrococcygeal fracture and constipation admitted to Sichuan Provincial Orthopedic Hospital,Chengdu Tianfu New Area People's Hospital and Chengdu First Orthopedic Hospital were randomly divided into experimental group and control group according to the random number table method,with 63patients in each group.The control group was treated with external application of erhuang new wound pain-relieving ointment plus oral ibuprofen sustained-release capsule,The experimental group was treated with Zheng's lifting and regulating tendon manipulation combined with oral Runchang Tongbian Fang and external application of Erhuang Xinshang Zhitong Ointment.The course of treatment for both groups was 4weeks.The VAS,BFI and ODI scores of the two groups were compared before and after treatment to determine the clinical efficacy.Results:A total of 120patients in the two groups had complete data and were followed up.There were 60cases in the experimental group and 60cases in the control group.In terms of VAS score,there was no significant difference between the two groups before treatment(P>0.05).After 1,2,3,and 4weeks of treatment,the VAS score of the experimental group was significantly lower than that of the control group at all time points,with a statistically significant difference(P<0.05).②In terms of BFI,after one week of treatment,there were statistically significant differences between the experimental group and the control group in terms of defecation exertion,fecal uncleanness and overall satisfaction with defecation(P<0.05).The scores of defecation exertion and uncleanness in the experimental group were significantly lower than those in the control group,while the overall satisfaction with defecation in the experimental group was higher.③In terms of functional recovery after fracture,there was no significant difference in ODI scores between the two groups before treatment(P>0.05).After treatment,the ODI scores of the two groups were significantly lower than those before treatment,and the functional recovery after fracture in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Zheng's method of lifting the top and regulating tendons combined with the method of moistening the intestines and relieving constipation can improve the intestinal function and constipation of patients with hip sitting sacrococcygeal fracture,relieve pain,and promote the recovery of fracture function.
作者
袁荣霞
陈子锴
谢正虎
李玮琳
王晗松
田孟喆
虞亚明
YUAN Rongxia;CHEN Zikai;XIE Zhenghu;无(Sichuan orhopaedics hospital,Chengdu Sichuan 610041,China;Chengdu Spor Universily,Chengdu Sichuan 610041,China)
出处
《四川中医》
2024年第3期155-159,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省中医药管理局科学技术研究专项课题(编号:2020LC0179)。
关键词
骶尾椎骨折
便秘
郑氏提顶理筋手法
润肠通便方
骨折疼痛
Sacrococcygeal fracture
Constipation
Zheng's technique of lifting the top and regulating tendons
Runchang Tongbian Fang
Fracture pain
