穴位按摩联合艾灸治疗胸腰椎骨折术后腹胀临床研究
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R248.2

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浙江省医药卫生科技计划项目(2022ZH082,2021RC037)


Clinical Study on Point Massage Combined with Moxibustion for Abdominal Disten⁃ sion After Operation for Thoracolumbar Fracture
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    摘要:

    目的:观察穴位按摩联合艾灸治疗胸腰椎骨折术后腹胀的临床疗效。方法:选取158 例胸腰椎骨 折术后腹胀患者,根据随机数字表法分为对照组和观察组各79 例。对照组采用常规护理干预,观察组在对照 组基础上给予穴位按摩联合艾灸治疗,2 组均治疗10 d。比较2 组临床疗效、临床症状缓解时间、抑郁评分、 焦虑评分、生活质量评分及治疗满意度。结果:治疗后,观察组临床疗效总有效率97.47%,高于对照组 87.34%(P<0.05)。观察组首次肛门排气、首次排便、腹胀缓解时间均短于对照组(P<0.05)。2 组焦虑、抑 郁评分均较治疗前降低(P<0.05),观察组焦虑、抑郁评分均低于对照组(P<0.05)。2 组精神健康、情感职 能、活力、社会功能评分均较治疗前升高(P<0.05),观察组精神健康、情感职能、活力、社会功能评分均高 于对照组(P<0.05)。观察组治疗总满意度96.20%,高于对照组86.08%(P<0.05)。结论:穴位按摩联合艾 灸治疗胸腰椎骨折术后腹胀,可减轻患者的临床症状与负性情绪,提高其生活质量及治疗满意度。

    Abstract:

    Abstract:Objective:To observe the effect of point massage combined with moxibustion on abdominal distension after operation for thoracolumbar fracture. Methods: A total of 158 cases of patients with abdominal distension after operation for thoracolumbar fracture were selected and divided into the control group and the observation group according to the random number table method, with 79 cases in each group. The control group was intervened with routine nursing,and the observation group was additionally treated with point massage combined with moxibustion based on the treatment of the control group. Both groups were treated for 10 days. The clinical effects,the remission time of clinical symptoms,depression scores,anxiety scores,quality of life scores,and treatment satisfaction were compared between the two groups. Results: After treatment, the total effective rate was 97.47% in the observation group, higher than that of 87.34% in the control group (P<0.05). The first anal exhaust time,the first defecation time, and the remission time of abdominal distension in the observation group were earlier than those in the control group (P<0.05). The scores of anxiety and depression in the two groups were decreased when compared with those before treatment (P<0.05), and the scores of anxiety and depression in the observation group were lower than those in the control group (P<0.05). The scores of mental health, emotional function, vitality, and social function in the two groups were increased when compared with those before treatment (P<0.05), and the scores of mental health, emotional function, vitality, and social function in the observation group were higher than those in the control group (P<0.05). The total satisfaction degree of treatment was 96.20% in the observation group,higher than that of 86.08% in the control group (P<0.05). Conclusion:Point massage combined with moxibustion for abdominal distension after operation for thoracolumbar fracture can relieve the clinical symptoms and negative emotion of patients,and improve their quality of life and treatment satisfaction.

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傅青,李巧平,郑佳蕾,李璟.穴位按摩联合艾灸治疗胸腰椎骨折术后腹胀临床研究[J].新中医,2023,55(10):163-166

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  • 在线发布日期: 2023-05-25
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