Clinical effect of Tiaowei Chengqi Prescription umbilical therapy combined with deep breathing exercises and abdominal massage in the treatment of prevention constipation of hip fractures in middle-aged and elderly people during the perioperative
JI Yingxia1 SU Xiaolan2 CHEN Yixiu2 TIAN Jing3 LI Xiaojuan4 HAO Juntao5 WANG Jingyun6 GAO Xinxia7▲
1.Department of Rehabilitation, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China; 2.Department of Spleen and Stomach, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China; 3.Department of Orthopaedics, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China; 4.Blood Purifying Center, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China; 5.the First Department of Spinal, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China; 6.Department of Cardiovascular Medicine, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China; 7.Department of Nursing, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China
Abstract:Objective To explore the effect of Tiaowei Chengqi Prescription umbilical therapy combined with deep breathing exercises and abdominal massage on treating of prevention constipation of hip fractures in middle-aged and elderly people during the perioperative. Methods A total of 63 middle-aged and elderly patients with hip fracture were selected from Wangjing Hospital of China Academy of Chinese Medical Sciences from April 2021 to June 2022, and they were divided into experimental group 32 cases, and control group 31 cases by random number table method. The two groups were given conventional treatment, and the experimental group was given Tiaowei Chengqi Prescription umbilical therapy combined with deep breathing exercises and abdominal massage on the basis of conventional treatment. The clinical efficacy and impact on the quality of life of patients in two groups were observed. Results The clinical efficacy of the experimental group was better than that of the control group, the difference was statistically significant (P<0.05). After treatment, the Wexner constipation and Bristol fecal trait scores of the two groups were lower than those before treatment, and the experimental group was lower than the control group (P<0.05). The defecation cycle of the control group was longer than before treatment, and the defecation cycle of the experimental group was shorter than that of the control group, and the differences were statistically significant (P<0.05). After treatment, the positive coping score of the two groups was higher than those before treatment, the negative coping scores of the two group were lower than those before treatment, and the positive coping score of the experimental group was higher than that of the control group, and the negative coping score was lower than that of the control group, the differences were statistically significant (P<0.05). One month after discharge, the physical and mental scores of the two groups were higher than those before treatment, and the group was higher than the control group, the differences were statistically significant (P<0.05). Conclusion The Tiaowei Chengqi Prescription umbilical therapy combined with deep breathing exercises and abdominal massage has a good effect on the treatment of perioperative hip fracture bedridden constipation in middle-aged and elderly patients, and can improve the quality of life of patients.
季英霞1 苏晓兰2 陈一秀2 田婧3 李晓娟4 郝俊涛5 王静云6 高新霞7▲. 调味承气方敷脐联合吐纳摩腹法治疗中老年髋部骨折围手术期便秘的临床效果[J]. 中国医药导报, 2023, 20(30): 138-142.
JI Yingxia1 SU Xiaolan2 CHEN Yixiu2 TIAN Jing3 LI Xiaojuan4 HAO Juntao5 WANG Jingyun6 GAO Xinxia7▲. Clinical effect of Tiaowei Chengqi Prescription umbilical therapy combined with deep breathing exercises and abdominal massage in the treatment of prevention constipation of hip fractures in middle-aged and elderly people during the perioperative. 中国医药导报, 2023, 20(30): 138-142.
[1] 刘泽民,吕欣,刘晋元.髋部骨折2342例流行病学分布特点的单中心分析[J].中国组织工程研究,2020,24(32):5085-5091. [2] 于普林,李增金,郑宏,等.老年人便秘流行病学特点的初步分析[J].中华老年医学杂志,2001,20(2):132-134. [3] Kinnunen O. Study of constipation in a geriatric hospital,day hospital,old people’s home and at home [J]. Aging (Milano),1991,3(2):161-170. [4] 吕恒刚,宋云平,郭莘.便秘的危害及预防[J].解放军预防医学杂志,2019,37(8):198. [5] Konradsen H,Lundberg V,Florin J,et al. Prevalence of constipation and use of laxatives and association with risk factors among older patients during hospitalization:a cross sectional study [J]. BMC Gastroenterology,2022,22(1):110. [6] 郑晓捷,郑沐欣,柳思露,等.四子散热敷腹部穴位预防股骨粗隆骨折患者术后便秘的疗效[J].实用医学杂志,2018,34(19):3304-3306. [7] Tack J,Boardman H,Layer P,et al. An expert consensus definition of failure of a treatment to provide adequate relief (F-PAR) for chronic constipation an international Delphi survey [J]. Aliment Pharmacol Ther,2017,45(3):434-442. [8] 代金刚,曹洪欣, 张明亮.《诸病源候论》呼吸吐纳法浅探[J].中医杂志,2016,57(3):267-270. [9] 胥少汀,葛宝丰,徐印坎.实用骨科学[M].4版.北京:人民军医出版社,2012:1000-1030. [10] 张声生,沈洪,张露,等.便秘中医诊疗专家共识意见(2017)[J].中医杂志,2017,58(15):1345-1350. [11] 国家体育总局健身气功管理中心.健身·气功六字诀(节选)[J].中华养生保健,2005,2(1): 7-8. [12] Lewis SJ,Heaton KW. Stool form Scale as a useful guide to intestinal transit time [J]. Scand J Gastroenol,1997,32(9):920-924. [13] Agachan FCT, Pfeifer JRP,Wexner SD. A constipation scooring system to simplify evaluation and management of constipated patients [J]. Dis Colon Rectnrn,1996,7(39):681-685. [14] 解亚宁.简易应对方式问卷[M].北京:中国心理卫生杂志社,1999:122-124. [15] 方积乾.生活质量测定方式及应用[M].北京:北京医科大学出版社,2000.29. [16] 中华医学会外科学分会肛肠外科学组.便秘症状及疗效评估[J].中华胃肠外科杂志,2005,8(4):355. [17] 中华医学会外科学分会结直肠肛门外科学组,中华医学会消化病学分会胃肠动力组.中国慢性便秘诊治指南(2013版)[J].中国实用乡村医生杂志,2014(4):4-7,8. [18] 童卫东,张胜本,刘宝华,等.酚酞对大鼠结肠动力及肠神经系统的影响研究[J].中华消化杂志,2003,23(12):15-18. [19] Lindberg G,Hamid SS,Malfertheiner P,et al. World Gastroenterology Organisation global guideline: constipation-a global perspective [J]. J Clin Gastroenterol,2011,45(6):483-487. [20] 代金刚,曹洪欣,张明亮.《诸病源候论》呼吸吐纳法浅探[J].中医杂志,2016,57(3):267-270. [21] 张瑛,包向东,傅睿,等.益肾增液汤治疗老年功能性便秘临床研究[J].中华中医药学刊,2015,33(1):143-145. [22] 黄小梅,朱志方,张玲珍,等.顺气通腑汤灌肠在癌痛患者药源性便秘致阴液亏虚中的应用效果[J].中国当代医药,2022,29(1):181-184. [23] 李金果,沈红英,王燕.缩唇腹式呼吸预防骨科术后并发症的效果观察[J].护理实践与研究,2012,9(21):71-72. [24] 孙建梅,王润琪.髋关节骨折患者生活质量影响因素分析[J].湖南师范大学学报(医学版),2020,17(5):63-66. [25] L?覿m?覽s K,Graneheim UH,Jacobsson C. Experiences of abdominal massage for constipation [J]. J Clin Nurs,2012,21(5/6): 757-765. [26] 王国华,魏连海.从《内经》理论分析健身气功“六字诀”的开阖补泻[J].中医药导报,2019,25(6):18-20.