腹部推拿联合艾灸治疗脾虚型功能性便秘的临床疗效

Clinical Effect of Abdominal Massage Combined with Moxibustion on Functional Constipation of Spleen Deficiency Type

摘要:

〔摘 要〕 目的：分析腹部推拿联合艾灸治疗脾虚型功能性便秘的临床疗效。 方法：选取郑州人民医院 2021 年 11 月至 2023 年 1 月期间收治的 78 例脾虚型功能性便秘患者，其中艾灸治疗的 39 例患者纳入对照组，在艾灸治疗基础上联合腹 部推拿治疗的 39 例患者纳入观察组。治疗后，比较两组患者临床疗效与相关临床指标。 结果：观察组患者总有效率高于 对照组，差异具有统计学意义（P ＜ 0.05）；治疗后，观察组患者排便次数、大便性状、盆底松弛程度、阻塞感、排便不 尽感积分均低于对照组，差异具有统计学意义（P ＜ 0.05）；治疗后，观察组患者直肠肛管压差、力排时肛管残余压均低 于对照组，差异具有统计学意义（P ＜ 0.05）；治疗后，观察组患者血清胃动素（MTL）、P 物质（SP）水平均高于对照组， 生长抑素（SS）水平低于对照组，差异具有统计学意义（P ＜ 0.05）。 结论：腹部推拿联合艾灸治疗脾虚型功能性便秘可 进一步改善患者相关临床指标。

Abstract:

〔Abstract〕 Objective To analyze the clinical effect of abdominal massage combined with moxibustion on functional constipation of spleen deficiency type. Methods A total of 78 patients with functional constipation of spleen deficiency type admitted to Zhengzhou People's Hospital from November 2021 to March 2023 were selected. 39 patients treated with moxibustion were included in the control group, and 39 patients treated with moxibustion combined with abdominal massage were included in the observation group. After treatment, the clinical efficacy and related clinical indexes were compared between the two groups. Results The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). After treatment, the scores of defecation frequency, stool characteristics, pelvic floor relaxation degree, obstruction feeling and inadequate defecation feeling in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05). After treatment, the rectal anal canal pressure difference and residual anal canal pressure during discharge in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05). After treatment, the levels of serum motilin (MTL) and substance P (SP) in the observation group were higher than those in the control group, while the level of serum somatostatin (SS) was lower than that in the control group, and the differences were statistically significant (P < 0.05). Conclusion Abdominal massage combined with moxibustion in the treatment of functional constipation with spleen deficiency type can further improve the relevant clinical indicators.