蔣幸麗 潘曉明

【摘要】 目的 分析大黃加姜汁聯(lián)合艾灸在老年長(zhǎng)期臥床患者便秘中的臨床效果。方法 0例老年長(zhǎng)期臥床便秘患者， 按照隨機(jī)對(duì)照原則將患者分為治療A組（25例）、對(duì)照A組（20例）以及對(duì)照B組

（25例）。對(duì)照A組予以常規(guī)治療和護(hù)理， 對(duì)照B組加用潤(rùn)腸通便藥， 治療A組在對(duì)照組基礎(chǔ)上應(yīng)用大黃加姜汁聯(lián)合艾灸， 對(duì)比三組病情緩解情況。結(jié)果 治療A組每周排便次數(shù)（3.44±1.12）次明顯高于對(duì)照A組的（2.18±0.75）次和對(duì)照B組的（2.79±0.93）次， 治療A組的每次排便時(shí)間（9.05±4.59）min短于對(duì)照A組的（19.66±8.05）min和對(duì)照B組的（14.81±6.73）min， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）;治療A組病情控制總有效率96.00%均高于對(duì)照A組的65.00%、對(duì)照B組的76.00%， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 老年長(zhǎng)期臥床患者便秘予以大黃加姜汁聯(lián)合艾灸治療， 能夠幫助患者對(duì)便秘癥狀進(jìn)行緩解， 保障整體臨床療效。

【關(guān)鍵詞】 大黃;姜汁;艾灸;老年患者;長(zhǎng)期臥床;便秘

DOI：10.14163/j.cnki.11-5547/r.2019.34.076

Study on clinical application of rheum officinale and ginger juice combined with moxibustion in constipation of elderly long-term bedridden patients ? JIANG Xing-li， PAN Xiao-ming. Maoming Hospital of Traditional Chinese Medicine， Maoming 525000， China

【Abstract】 Objective ? To analyze the clinical effect of rheum officinale and ginger juice combined with moxibustion in constipation of elderly long-term bedridden patients. Methods ? A total of 70 cases of elderly long-term bedridden patients were divided into treatment group A （25 cases）， control group A （20 cases） and control group B （25 cases） by random control principal. Control group A received conventional treatment and nursing， control group B received relaxing bowel medicine， and treatment group A received rheum officinale and ginger juice combined with moxibustion. The remission status was compared in three groups. Results ? Number of defecation （3.44±1.12） times/week in treatment group A was obviously higher than （2.18±0.75） time/week in control group A and （2.79±0.93） time/week in control group B. Defecating time （9.05±4.59） min/time in treatment group A was shorter than （19.66±8.05） min/time in control group A and （14.81±6.73） min/time in control group B. Their difference was statistically significant （P<0.05）. The total effective rate of disease control 96.00% in treatment group A was higher than 65.00% in control group A and 76.00% in control group B， and their difference was statistically significant （P<0.05）. Conclusion ? Rheum officinale and ginger juice combined with moxibustion help relieve constipation symptoms in elderly long-term bedridden patients， thus ensuring the overall clinical efficacy.

【Key words】 Rheum officinale; Ginger juice; Moxibustion; Elderly patients; Long-term bedridden; Constipation

我國(guó)現(xiàn)階段存在相對(duì)嚴(yán)重的老齡化社會(huì)狀況， 老年人和慢性疾病患病率顯著增多， 老年患者可能因疾病長(zhǎng)期臥床， 能引起便秘， 這也是此類(lèi)患者最為常見(jiàn)的并發(fā)癥， 嚴(yán)重影響人類(lèi)的健康和生活質(zhì)量[1， 2]。我國(guó)中醫(yī)適宜手段廣泛參與對(duì)便秘患者的干預(yù)， 有操作簡(jiǎn)便、可防可治、安全可靠、無(wú)不良反應(yīng)的優(yōu)勢(shì)， 是符合現(xiàn)階段患者需求的干預(yù)手段[3]。本科近年來(lái)應(yīng)用大黃加姜汁聯(lián)合艾灸緩解便秘， 獲得了患者的認(rèn)可。本文分析了大黃加姜汁聯(lián)合艾灸在老年長(zhǎng)期臥床患者便秘中的臨床效果， 現(xiàn)報(bào)告如下。