大黄加姜汁联合艾灸在老年长期卧床患者便秘中的临床应用研究

蒋幸丽 潘晓明

【摘要】 目的 分析大黄加姜汁联合艾灸在老年长期卧床患者便秘中的临床效果。方法 0例老年长期卧床便秘患者， 按照随机对照原则将患者分为治疗A组（25例）、对照A组（20例）以及对照B组

（25例）。对照A组予以常规治疗和护理， 对照B组加用润肠通便药， 治疗A组在对照组基础上应用大黄加姜汁聯合艾灸， 对比三组病情缓解情况。结果 治疗A组每周排便次数（3.44±1.12）次明显高于对照A组的（2.18±0.75）次和对照B组的（2.79±0.93）次， 治疗A组的每次排便时间（9.05±4.59）min短于对照A组的（19.66±8.05）min和对照B组的（14.81±6.73）min， 差异具有统计学意义（P<0.05）;治疗A组病情控制总有效率96.00%均高于对照A组的65.00%、对照B组的76.00%， 差异具有统计学意义（P<0.05）。结论 老年长期卧床患者便秘予以大黄加姜汁联合艾灸治疗， 能够帮助患者对便秘症状进行缓解， 保障整体临床疗效。

【关键词】 大黄;姜汁;艾灸;老年患者;长期卧床;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

我国现阶段存在相对严重的老龄化社会状况， 老年人和慢性疾病患病率显著增多， 老年患者可能因疾病长期卧床， 能引起便秘， 这也是此类患者最为常见的并发症， 严重影响人类的健康和生活质量[1， 2]。我国中医适宜手段广泛参与对便秘患者的干预， 有操作简便、可防可治、安全可靠、无不良反应的优势， 是符合现阶段患者需求的干预手段[3]。本科近年来应用大黄加姜汁联合艾灸缓解便秘， 获得了患者的认可。本文分析了大黄加姜汁联合艾灸在老年长期卧床患者便秘中的临床效果， 现报告如下。