不同温度电子灸对阿片类药物相关性便秘的影响

Effect of electronic moxibustion in different temperatures on opioid-related constipation

  • 摘要:
      目的  探讨使用电子灸时采取不同温度对阿片类药物相关性便秘(OIC)的影响。
      方法  将发生OIC的86例恶性肿瘤患者采用数字表法随机分为对照组28例、试验Ⅰ组29例、试验Ⅱ组29例。3组均采用常规治疗护理方案,试验Ⅰ组、试验Ⅱ组在对照组基础上分别予电子灸治疗,试验Ⅰ组电子灸温度为45 ℃, 试验Ⅱ组电子灸温度为50 ℃, 观察3组患者的便秘严重程度情况及治疗效果。
      结果  对照组、试验Ⅰ组、试验Ⅱ组的便秘严重程度差异有统计学意义(P < 0.05); 试验Ⅱ组的治疗有效率(86.21%)和试验Ⅰ组的治疗有效率(82.76%)显著优于对照组(71.43%)(P < 0.05)。
      结论  电子灸采用50 ℃的温度对OIC的治疗效果更显著。

     

    Abstract:
      Objective  To investigate the effects of electronic moxibustion in different temperatures on opioid-related constipation(OIC).
      Methods  Eighty-six malignant tumors patients with OIC were randomly divided into control group (n=28), experimental group Ⅰ(n=29), and experimental group Ⅱ(n=29). The patients in three groups were treated with conventional treatment and nursing. The experimental groups Ⅰand Ⅱ were additionally treated with electronic moxibustion at 45 ℃, 50 ℃, respectively, on the basis of the control group. The patient′s constipation severity and treatment effect were compared.
      Results  There were significant differences in the severity of constipation in three groups(P < 0.05). The treatment efficiency of the experimental group Ⅱwas 86.21%, and 82.76% in the experimental group Ⅰ, which wereboth higher than that of the control group(P < 0.05).
      Conclusion  The use of electronic moxibustion at 50 ℃ is more effective in treating OIC.

     

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