参芪术药汤联合腹部穴位按摩预防糖尿病合并颅脑损伤患者便秘临床研究(1)
摘要目的：研究參芪术药汤联合腹部穴位按摩预防糖尿病合并颅脑损伤患者便秘的效果。方法：选取2014年8月至2016年11月南阳市中医院收治的糖尿病合并颅脑损伤患者150例，按就诊编号分为2组，单号纳入对照组(n=75)，双号纳入观察组(n=75)。给予所有患者常规护理，对照组患者接受腹部穴位按摩，观察组患者接受参芪术药汤联合腹部穴位按摩，将2组症候积分、视觉模拟疼痛评分(VAS)、便秘发生率、生命质量评分及临床疗效进行比较分析。结果：与治疗前比较，治疗后观察组和对照组的症候积分、VAS评分均明显降低，而躯体活动、认知功能、生理健康、心理健康、社会关系评分均明显上升，且观察组上述指标均优于对照组，差异有统计学意义(P<005)；观察组治疗后7 d内便秘发生率明显低于对照组，差异有统计学意义(P<005)；观察组临床疗效总有效率明显高于对照组，差异有统计学意义(P<005)。结论：应用参芪术药汤联合腹部穴位按摩对糖尿病合并颅脑损伤患者进行治疗，可显著提高临床疗效，有效预防便秘的发生，提高患者生命质量，值得推广。
关键词参芪术药汤；腹部穴位按摩；糖尿病；颅脑损伤；便秘；视觉模拟疼痛评分；生命质量；认知功能
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Clinical Study on Shenqi Shuyao Decoction Combined with Abdominal Acupoint Massage in the Prevention of Constipation of Patients with Diabetes and Craniocerebral Injury
Li Qingji， Hui Ling， Bai Fubin
(Nanyang Hospital of Traditional Chinese Medicine， Nanyang 473000， China)
AbstractObjective：To study the effects of Shenqi Shuyao decoction combined with abdominal acupoint massage on the prevention of constipation of patients with diabetes and craniocerebral injury. Methods：A total of 150 patients with diabetes and craniocerebral injury admitted into the hospital from August 2014 to November 2016 were divided into two groups by registration order. Odd numbers were included into control group (n=75) and even numbers were included into research group (n=75). All the patients were given routine nursing. Control group received abdominal acupoint massage， and research group received Shenqi Shuyao decoction combined with abdominal acupoint massage. TCM symptom score， VAS， incidence of constipation， survival quality score and clinical efficacy of two groups were compared and analyzed. Results：Compared with pretreatment， TCM symptom score and VAS score of two groups significantly decreased after treatment， while scores of physical activity， cognitive function， physical health， psychological health， social relations significantly increased， and abovementioned indexes of research group were significantly better than control group (P<005)； 7 d after treatment， the incidence of constipation was significantly lower than that of control group (P<005)； Clinical total effective rate of research group was significantly higher than that of control group (P<005). Conclusion：Shenqi Shuyao decoction combined with abdominal acupoint massage in the treatment of patients with diabetes and craniocerebral injury can significantly increase clinical efficacy， effectively prevent the occurrence of constipation and improve survival quality， which is worthy of generalization., 百拇医药(李清 记惠玲 白富斌)
关键词参芪术药汤；腹部穴位按摩；糖尿病；颅脑损伤；便秘；视觉模拟疼痛评分；生命质量；认知功能
, http://www.100md.com
Clinical Study on Shenqi Shuyao Decoction Combined with Abdominal Acupoint Massage in the Prevention of Constipation of Patients with Diabetes and Craniocerebral Injury
Li Qingji， Hui Ling， Bai Fubin
(Nanyang Hospital of Traditional Chinese Medicine， Nanyang 473000， China)
AbstractObjective：To study the effects of Shenqi Shuyao decoction combined with abdominal acupoint massage on the prevention of constipation of patients with diabetes and craniocerebral injury. Methods：A total of 150 patients with diabetes and craniocerebral injury admitted into the hospital from August 2014 to November 2016 were divided into two groups by registration order. Odd numbers were included into control group (n=75) and even numbers were included into research group (n=75). All the patients were given routine nursing. Control group received abdominal acupoint massage， and research group received Shenqi Shuyao decoction combined with abdominal acupoint massage. TCM symptom score， VAS， incidence of constipation， survival quality score and clinical efficacy of two groups were compared and analyzed. Results：Compared with pretreatment， TCM symptom score and VAS score of two groups significantly decreased after treatment， while scores of physical activity， cognitive function， physical health， psychological health， social relations significantly increased， and abovementioned indexes of research group were significantly better than control group (P<005)； 7 d after treatment， the incidence of constipation was significantly lower than that of control group (P<005)； Clinical total effective rate of research group was significantly higher than that of control group (P<005). Conclusion：Shenqi Shuyao decoction combined with abdominal acupoint massage in the treatment of patients with diabetes and craniocerebral injury can significantly increase clinical efficacy， effectively prevent the occurrence of constipation and improve survival quality， which is worthy of generalization., 百拇医药(李清 记惠玲 白富斌)
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