耳穴压豆联合大黄贴敷神阙穴治疗多发性骨髓瘤并发气虚型便秘临床研究
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R733.3;R256.35

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Clinical Study on Auricular Point Pressing with Beans Combined with Point Application of Radix et Rhizoma Rhei at Shenque Point for Multiple Myeloma Complicated with Constipation of Qi Deficiency Type
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    摘要:

    目的:观察在常规医护措施基础上加用耳穴压豆联合大黄贴敷神阙穴治疗多发性骨髓瘤并发气虚型便秘的临床效果。方法:将发生气虚型便秘的204 例多发性骨髓瘤患者按治疗方法不同分成对照组和观察组各102 例。2 组均予多发性骨髓瘤常规治疗及预防便秘护理措施,并予大黄贴敷神阙穴治疗,观察组加予耳穴压豆进行治疗。2 组疗程均为14 d。比较2 组患者治疗前及治疗14 d 后的排便指标评分、气虚证症状评分、生活质量评分[便秘患者生活质量自评量表(PAC-QOL)],比较2 组治疗后的疗效和不良反应发生率。结果:治疗14 d 后,观察组的疗效优于对照组(P<0.05)。2 组排便困难、排便时间、排便间隔、粪便形态评分均较治疗前下降(P<0.01),观察组4 项评分均低于对照组(P<0.01)。2 组排便无力、腹中隐痛、乏力懒言、食欲不振评分均较治疗前下降(P<0.01),观察组4 项症状评分均低于对照组(P<0.01)。2 组PAC-QOL 生理、社会和心理、担心和焦虑、满意度评分均较治疗前下降(P<0.01),观察组4 项评分均低于对照组(P<0.01)。2 组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:在常规医护措施基础上加用耳穴压豆联合大黄贴敷神阙穴治疗发生气虚型便秘的多发性骨髓瘤患者,在改善便秘方面疗效显著,可有效提高患者的生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of auricular point pressing with beans combined with point application of Radix et Rhizoma Rhei at Shenque point on the treatment of multiple myeloma complicated with constipation of qi deficiency type on the basis of conventional medical measures. Methods:A total of 204 patients with multiple myeloma with constipation of qi deficiency type were divided into the control group and the observation group,102 cases in each group. Both groups were given routine treatment and nursing measures to prevent constipation,and treated with point application of Radix et Rhizoma Rhei at Shenque point,and the observation group was additionally treated with auricular point pressing with beans. The treatment course of both groups was 14 days. The scores of defecation index, symptoms of qi deficiency syndrome and Patient-Assessment of Constipation Quality of Life(PAC-QOL) before treatment and 14 days after treatment were compared between the two groups,and the effect and incidence of adverse reactions after treatment were compared. Results:After 14 days of treatment,the therapeutic effect in the observation group was better than that in the control group (P<0.05). The scores of defecation difficulty,defecation time,defecation interval and fecal morphology in both groups were decreased when compared with those before treatment(P<0.01),and the above four scores in the observation group were lower than those in the control group(P<0.01). The scores of defecation weakness,abdominal dull pain,lack of strength and unwillingness to speak,and poor appetite in both groups were decreased when compared with those before treatment(P< 0.01),and the scores of the above four symptoms in the observation group were lower than those in the control group(P< 0.01). The scores of physiology,society and psychology,worry and anxiety,and satisfaction in PAC- QOL in both 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). There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusion:On the basis of conventional medical care measures,the therapy of auricular point pressing with beans and point application of Radix et Rhizoma Rhei at Shenque point has a significant effect on patients with multiple myeloma complicated with constipation of qi deficiency type in improving constipation, and can effectively improve the quality of life.

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王丽凤,蔡文亮,徐宏,苏萍,周郁鸿.耳穴压豆联合大黄贴敷神阙穴治疗多发性骨髓瘤并发气虚型便秘临床研究[J].新中医,2021,53(22):135-139

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  • 在线发布日期: 2021-11-26
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