加味六磨汤方贴敷神阙穴联合四磨汤口服液治疗抗精神病药物所致便秘临床研究
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R749.3;R256.35

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Clinical Study on Point Application of Modified Liumo Tang at Shenque(CV8) Combined with Simo Tang Oral Liquid for Constipation Induced by Antipsychotic Medicine
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    目的:观察加味六磨汤方贴敷神阙穴联合四磨汤口服液治疗抗精神病药物所致便秘的疗效。方法:将110 例气滞秘患者随机分为2 组各55 例。2 组患者均服用四磨汤口服液,予调整生活方式、按摩腹部等护理措施。观察组加用加味六磨汤方贴敷神阙穴,5 d 为1 个疗程。2 组均治疗4 周。治疗前后评定便秘主要症状评分和便秘患者症状自评量表(PAC-SYM) 评分,记录治疗前1 周和治疗4 周后7 d 的平均每周自发完全排便(SCBM) 次数。比较2 组的临床疗效。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2 组PAC-SYM 腹部症状、直肠症状、大便症状评分及总分均较治疗前降低(P<0.01),观察组腹部症状、直肠症状、大便症状评分及总分均低于对照组(P<0.01)。2 组便秘主要症状积分均较治疗前降低(P<0.01),SCBM次数均较治疗前增加(P<0.01)。观察组便秘主要症状积分低于对照组(P<0.01),SCBM 次数多于对照组(P<0.01)。结论:在口服四磨汤口服液和常规护理的基础上加用加味六磨汤方贴敷神阙穴干预抗精神病药物所致便秘,能有效改善便秘相关症状,提高临床疗效。

    Abstract:

    Abstract: Objective: To observe the curative effect of point application of modified Liumo tang at Shenque(CV8) combined with Simo tang oral liquid for constipation induced by antipsychotic medicine. Methods: A total of 110 cases of patients with constipation due to qi stagnation were randomly divided into two groups,55 cases in each group. Both groups were given Simo tang oral liquid, adjustment of their life style, abdominal massage and other nursing measures. The observation group was additionally treated with point application of modified Liumo tang at Shenque(CV8) based on the treatment of the control group. Both groups were treated for four weeks, five days being a course. Before and after treatment, the scores of main symptoms of constipation and Patient Assessment of Constipation Symptoms(PAC- SYM) were evaluated. The average times of spontaneous complete bowel movement(SCBM) per week were recorded one week before treatment and seven days after four weeks of treatment. The clinical effect in the two groups was compared. Results: After treatment,the clinical effect in the observation group was better than that in the control group(P<0.05). The scores of abdominal symptoms, rectal symptoms, stool symptoms and the total scores of PAC- SYM in the two groups were decreased when compared with those before treatment(P<0.01),and the above scores in the observation group were lower than those in the control group(P<0.01). The scores of main symptoms of constipation in the two groups were decreased when compared with those before treatment(P<0.01),and the time of SCBM were increased when compared with those before treatment(P<0.01). The scores of main symptoms of constipation in the observation group were lower than those in the control group(P<0.01),and the time of SCBM was more than that in the control group(P<0.01). Conclusion:Based on Simo tang oral liquid and routine nursing measures,the intervention of point application of modified Liumo tang at Shenque (CV8) on constipation induced by antipsychotic medicine can effectively improve constipation- related symptoms and clinical effect.

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夏洪芳.加味六磨汤方贴敷神阙穴联合四磨汤口服液治疗抗精神病药物所致便秘临床研究[J].新中医,2020,52(20):131-134

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  • 在线发布日期: 2020-10-19
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