Department of Rehabilitation Medicine, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, Hubei Province, China.
Department of Nursing, LiChuan People's Hospital, Lichuan, Hubei, China.
Medicine (Baltimore). 2024 Sep 27;103(39):e39863. doi: 10.1097/MD.0000000000039863.
To explore the therapeutic effect of traditional Chinese medicine (TCM) nursing technology combined with TCM massage on elderly patients with functional constipation (FC). Ninety elderly patients with FC admitted to our hospital from January 2022 to February 2023 were selected and randomly divided into 3 groups. The control group was treated with conventional Western medicine, observation group 1 was treated with TCM massage on the basis of the control group, and observation group 2 was treated with medicine ironing combined with TCM massage on the basis of the control group. Compare 3 groups of TCM syndrome scores, clinical efficacy, complete spontaneous bowel movements (CSBM) per week, Bristol fecal trait scale, and safety. There was a statistically significant difference in clinical effective rates among the 3 groups (96.67%, 83.33%, 66.67%) (P < .05), and the observation group 2 was higher than the observation group 1 and higher than the control group. After treatment, the TCM syndrome scores of the 2 groups were lower than those of the observation group 1 and the control group; And observation showed that the TCM syndrome score of group 1 was lower than that of the control group (P < .05). After treatment, the increase in scores of CSBM and Bristol fecal traits in the 2 groups was higher than that in the observation group and control group, and the increase in scores of CSBM and Bristol fecal traits in the observation group was higher than that in the control group (P < .05). There was no statistically significant difference in the incidence of adverse reactions among the 3 groups (10.00%, 6.67%, 20.00%) (P > .05). The application of TCM nursing techniques such as TCM ironing and TCM massage in elderly patients with FC has a significant clinical effect, which can effectively improve clinical symptoms, defecation frequency, and fecal characteristics, and has high safety.
探讨中医护理技术联合中医按摩对老年功能性便秘（FC）患者的治疗效果。选取 2022 年 1 月至 2023 年 2 月我院收治的 90 例老年 FC 患者，随机分为 3 组。对照组采用常规西药治疗，观察组 1 在对照组基础上加用中医按摩治疗，观察组 2 在对照组基础上加用中药熨烫联合中医按摩治疗。比较 3 组中医证候评分、临床疗效、每周完全自主排便（CSBM）次数、布里斯托粪便特征量表和安全性。3 组临床有效率比较差异有统计学意义（96.67%、83.33%、66.67%）（P < .05），观察组 2 高于观察组 1 及对照组。治疗后 2 组中医证候评分均低于观察组 1 及对照组；且观察组 1 低于对照组（P < .05）。治疗后 2 组 CSBM 及布里斯托粪便特征评分增加均高于观察组及对照组，观察组 CSBM 及布里斯托粪便特征评分增加均高于对照组（P < .05）。3 组不良反应发生率比较差异无统计学意义（10.00%、6.67%、20.00%）（P > .05）。中医熨烫和中医按摩等中医护理技术在老年 FC 患者中的应用具有显著的临床效果，能有效改善临床症状、排便频率和粪便特征，且安全性高。
