摘要
【目的】观察艾灸随身灸联合耳穴压籽对老年帕金森病(PD)患者便秘的改善效果。【方法】将120例长春市社区老年PD便秘患者随机分成治疗组和对照组,每组各60例。对照组给予常规的非药物性改善方式干预治疗(包括生活调节、运动调节和心理调节等),治疗组在对照组的基础上给予艾灸随身灸联合耳穴压籽干预治疗,2组疗程均为4周。观察2组干预前后便秘Wexner量表评分和便秘患者生活质量量表(PAC-QOL)评分的变化情况,评价2组患者的便秘疗效和治疗的满意度。【结果】(1)干预4周后,治疗组的总有效率及总满意度分别为85.0%和93.3%,对照组分别为66.7%和70.0%,组间比较,治疗组的便秘疗效及总满意度均明显优于对照组,差异均有统计学意义(P<0.05)。(2)干预后,2组患者的便秘Wexner量表评分和PAC-QOL量表各维度评分及其总分均较干预前明显降低(P<0.01或P<0.05),且治疗组的降低作用均明显优于对照组,差异均有统计学意义(P<0.01或P<0.05)。【结论】采用艾灸随身灸联合耳穴压籽干预措施治疗社区老年PD便秘患者具有显著疗效,不仅能够改善患者便秘症状,提高患者生活质量,而且患者的接受度良好。
Objective To observe the effect of portable moxibustion combined with auricular point seed-pressing therapy on improving the constipation of the elderly Parkinson’s disease(PD)patients in the community.Methods One hundred and twenty elderly PD patients in the community of Changchun city were randomly divided into treatment group and control group,60 cases in each group.The control group received the conventional nonmedication intervention therapy such as the management of diet,daily living,exercises and psychology,and the treatment group was given portable moxibustion combined with auricular point seed-pressing therapy together with the conventional non-medication intervention therapy.The treatment for the two groups lasted 4 weeks.Before and after treatment,the changes of the scores of Wexner constipation scale and Patient Assessment of Constipation Quality of Life questionnaire(PAC-QOL)were observed for the evaluation of the therapeutic efficacy on the constipation and the satisfaction for the treatment.Results(1)After intervention for 4 weeks,the total effective rate and the overall satisfaction of the treatment group were 85.0%,93.3%respectively,significantly higher than those of the control group(66.7%,70.0%),and the differences were statistically significant(P<0.05).(1)After intervention,the scores of Wexner constipation scale and the scores of each dimension of PAC-QOL as well as the overall PAC-QOL scores in the two groups were obviously decreased in comparison with those before treatment(P<0.05 or P<0.01),and the decrease in the treatment group was superior to that in the control group(P<0.05 or P<0.01).Conclusion The intervention of portable moxibustion combined with auricular point seed-pressing therapy exerts certain effect on improving the constipation of the elderly Parkinson’s disease patients in the community,which can not only relieve the symptoms of constipation and improve the quality of life,but also significantly improve the satisfaction of patients.
作者
金芳
郑子月
鲍金雷
姚新
JIN Fang;ZHENG Zi-Yue;BAO Jin-Lei;YAO Xin(Changchun University of Chinese Medicine,Changchun 130117 Jilin,China)
出处
《广州中医药大学学报》
CAS
2020年第4期651-656,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
吉林省中医药管理局基金项目(编号:2016108)。
关键词
艾灸随身灸
耳穴压籽
老年帕金森病
便秘
portable moxibustion
auricular point seed-pressing therapy
Parkinson’s disease in the elderly
constipation
