| 张东芝,孙敬争,吕 萍,王 丹,谭红霞.砭石中药膏摩在胸腰椎骨折术后便秘中的应用效果分析[J].中国烧伤创疡杂志,2024,(4):306~309. |
| DOI： |
| 中文关键词: 砭石 膏摩 胸腰椎骨折 术后 胃肠功能 腹胀 便秘 |
| 英文关键词:Stone needle Ointment rubbing Thoracolumbar fracture Postoperative Gastrointestinal function Abdominal distension Constipation |
| 基金项目:2022 年南阳市科技攻关项目 (KJGG126) |
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| 中文摘要: |
| 【摘要】 目的 分析探讨砭石中药膏摩在胸腰椎骨折术后便秘中的应用效果。方法 选取 2022 年 10 月至2023 年 6 月南阳市中医院独山院区收治的 102 例胸腰椎骨折术后便秘患者作为研究对象, 按照不同治疗方法将其分为研究组 (51 例) 和对照组 (51 例), 研究组患者在常规按摩基础上联合应用砭石中药膏摩治疗, 对照组患者单纯采用常规按摩治疗, 对比观察两组患者肠鸣音恢复正常时间、首次排便时间、便秘症状积分及临床疗效。结果 研究组患者肠鸣音恢复正常时间为 (41.96±7.44) h、首次排便时间为 (48.34±10.31) h, 明显短于对照组患者的肠鸣音恢复正常时间 (55.66±13.58) h、首次排便时间 (65.47±16.82) h ( t = 6.318、6.201, P 均<0.001)。治疗第 3、7 天, 研究组患者便秘症状积分均明显低于对照组 ( t = 7.369? 15.730, P 均<0.001)。治疗后, 研究组患者显效 25 例、有效 25 例、无效 1 例, 明显优于对照组患者的显效 13 例、有效 32 例、无效 6 例(Z= -2.778, P= 0.005)。结论 在常规按摩基础上联合应用砭石中药膏摩治疗胸腰椎骨折术后便秘, 能够明显缩短肠鸣音恢复正常时间及首次排便时间, 缓解腹胀和便秘症状, 疗效显著, 临床应用价值较高。 |
| 英文摘要: |
| 【Abstract】 Objective To analyze the clinical efficacy of stone needle Chinese medicine ointment rubbing in treating constipation following thoracolumbar fracture surgery. Methods 102 patients suffering from constipation after thora-columbar fracture surgery, admitted to the Dushan Branch of Nanyang Traditional Chinese Medicine Hospital from October 2022 to June 2023, were enrolled as research subjects and divided into study group ( n = 51) and control group ( n = 51) according to different treatment methods they received. Patients in the study group received stone needle Chinese medicine ointment rubbing besides routine massage, whereas patients received routine massage alone in the control group. The return time of normal bowel sound, first defecation time, constipation symptom score, and clinical efficacy were compared between the two groups. Results The return time of normal bowel sound and first defecation time were respectively (41.96±7.44) h and (48.34±10.31) h in the study group, which were significantly shorter than the corresponding (55.66±13.58) h and (65.47±16.82) h in the control group (t = 6.318 and 6.201, both P<0.001). On day 3 and 7 of treatment, the constipation symptom score in the study group were significantly lower than those in the control group (t = 7.369 and 15.730, both P<0.001). After the treatment, 25 cases were markedly effective, 25 cases were effective, and 1 case was ineffective in the study group, much better than the control group - 13 cases markedly effective, 32 cases effective, and 6 cases ineffective (Z= -2.778, P= 0.005). Conclusion The application of stone needle Chinese medicine ointment rubbing on the basis of routine massage in treating constipation following thoracolumbar fracture surgery can significantly shorten the return time of normal bowel sound and first defecation time, alleviate abdominal distension and constipation symptoms, and realize good curative effects, presenting high value of application in clinical practice. |
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