摘要
目的探讨润肠通便方联合穴位按摩在老年股骨颈骨折术后腹胀便秘患者中的应用价值。方法选取2020年1月至2022年12月周口骨科医院收治的168例老年股骨颈骨折术后腹胀便秘患者作为研究对象,采用随机数字表法分为观察组和对照组,每组各84例。两组均给予常规治疗,对照组在常规治疗的基础上采用穴位按摩治疗,观察组在对照组的基础上联合润肠通便方。比较两临床疗效、胃肠功能恢复情况(首次排便时间、首次排气时间、腹胀改善时间、肠鸣音恢复时间)、治疗前及治疗7 d后便秘症状评分(排便困难程度、排便频率、排便不尽感、粪便性状),以及血清胃肠激素[胃动素(MTL)、胃泌素(GAS)、生长抑素(SS)]、血清白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)、一氧化氮(NO)水平。结果观察组临床总有效率为98.81%,高于对照组的90.48%,差异有统计学意义(P<0.05);观察组首次排气时间、首次排便时间、肠鸣音恢复时间、腹胀改善时间均短于对照组,差异均有统计学意义(P<0.05);观察组治疗7 d后排便困难程度、排便频率、排便不尽感、粪便性状评分均低于对照组,血清SS、GAS、IL-6、TNF-α、NO水平均低于对照组,MTL水平高于对照组,差异均有统计学意义(P<0.05)。结论采用润肠通便方与穴位按摩联合治疗老年股骨颈骨折术后腹胀便秘患者可明显提高临床疗效,抑制炎症因子水平,减轻临床症状,增强胃肠功能。
Objective To explore the application value of Runchang Tongbian decoction combined with acupoint massage in elderly patients with abdominal distension and constipation after femoral neck fracture surgery.Methods A total of 168 elderly patients with abdominal distension and constipation after femoral neck fracture admitted to Zhoukou Orthopedic Hospital from January 2020 to December 2022 were selected as the research objects.They were divided into observation group and control group by random number table method,with 84 cases in each group.Both groups were given routine treatment.The control group was treated with acupoint massage based on the routine treatment,and observation group was treated with Runchang Tongbian recipe based on the control group combined with acupoint massage.The clinical efficacy,gastrointestinal function recovery(first defecation time,first exhaust time,abdominal distension improvement time,bowel sound recovery time),constipation symptom scores(defecation difficulty degree,defecation frequency,incomplete defecation feeling,stool characteristics)before treatment and 7 days after treatment,serum gastrointestinal hormones[motilin(MTL),gastrin(GAS),somatostatin(SS)],serum interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),nitric oxide(NO)levels were compared between the 2 groups.Results The total effective rate of observation group was 98.81%,which was higher than 90.48%of control group,and the difference was statistically significant(P<0.05).The first exhaust time,the first defecation time,the recovery time of bowel sounds and the improvement time of abdominal distension in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).After 7 days of treatment,the difficulty degree of defecation,defecation frequency,incomplete defecation and stool trait scores in observation group were lower than those in control group,the serum levels of SS,GAS,IL-6,TNF-αand NO were lower than those in control group,and the MTL level was higher than t
作者
王培培
赵云昌
夏红涛
WANG Peipei;ZHAO Yunchang;XIA Hongtao(Department of the Third Ward of Traumatic Orthopedics,Zhoukou Orthopedics Hospital,Zhoukou,Henan 466000,China;Department of Orthopedics,Zhoukou Central Hospital,Zhoukou,Henan 466000,China)
出处
《检验医学与临床》
CAS
2023年第20期3049-3052,共4页
Laboratory Medicine and Clinic
关键词
润肠通便方
穴位按摩
股骨颈骨折
腹胀
便秘
Runchang Tongbian decoction
acupoint massage
femoral neck fracture
abdominal distention
constipation
