基于子午流注理论穴位贴敷联合中医定向透药治疗脊柱骨折术后便秘的疗效分析

Clinical effect of acupoint application based on theory of midnight-noon ebb-flow acupoint selection combined with targeted penetration of traditional Chinese medicine in treatment of constipation after spinal fracture surgery

  • 摘要:
      目的  探讨基于子午流注理论穴位贴敷神阙穴联合辨证施治中医定向透药对脊柱骨折患者术后便秘的影响。
      方法  将80例胸腰段脊柱骨折患者随机分为对照组和观察组。对照组(40例)术后予以骨科常规治疗及护理,观察组(40例)术后在对照组基础上给予子午流注穴位贴敷神阙穴联合中医定向透药治疗。比较2组术后各证型便秘发生率、术后首次肛门排气时间、首次排便时间、1周排便次数、症状改善时间、临床治疗效果。
      结果  观察组治疗后便秘发生率较对照组低,首次肛门排气时间、首次排便时间缩短,1周内排便次数增加,差异有统计学意义(P < 0.05)。观察组便秘的临床治疗总有效率高于对照组,差异有统计学意义(P < 0.05)。
      结论  基于子午流注理论穴位贴敷神阙穴联合辨证施治中医定向透药治疗能有效降低脊柱骨折患者术后便秘的发生率,提高舒适度及生活质量。

     

    Abstract:
      Objective  To explore the effect of acupoint application based on midnight-noon ebb-flow acupoint selection combined with targeted penetration of traditional Chinese medicine in the treatment of constipation after spinal fracture surgery.
      Methods  A total of 80 cases with thoracolumbar fractures were randomly divided into control group and observation group. A total of 40 cases in the control group were given routine nursing and health education, while 40 cases in the observation group was given acupoint application at Shenque based on midnight-noon ebb-flow acupoint selection combined with targeted penetration of traditional Chinese medicine on the basis of the control group. The incidence of constipation of different types, the time to first anal exhaust, the time to first defecation, the frequency of defecation in one week, the symptom improvement time and clinical treatment effect were compared between the two groups.
      Results  The incidence of constipation in the observation group was lower, the time to first anal exhaust and the time to first defecation in the observation group were significantly shorter than those of the control group, and the defecation times in one week were significantly increased(P < 0.05). The total effective rate of constipation in the observation group was significantly higher than that of the control group (P < 0.05).
      Conclusion  Acupoint application at Shenque based on midnight-noon ebb-flow acupoint selection combined with targeted penetration of traditional Chinese medicine can effectively reduce the occurrence of constipation after thoracolumbar fracture surgery, and improve the comfort and quality of life of patients.

     

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