中医综合护理干预对功能性便秘患者肛肠动力学指标和症状改善状况的影响

doi:10.3969/j.issn.1671-7171.2024.12.013

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摘要【目的】探讨中医综合护理干预对功能性便秘患者肛肠动力学指标和症状改善状况的影响。【方法】82例功能性便秘患者,随机分为对照组和观察组,每组41例。对照组接受秘宝康治疗和常规护理干预,观察组在对照组基础上增加中医综合护理干预。比较两组干预前后肛肠动力学指标[肛管静息压(ARP)、肛管最大收缩压(AMCP)、肛管最长收缩时间(ALCT)]、便秘症状积分、中医证候积分、焦虑状态特质问卷(STAI)评分的差异。【结果】干预后,观察组ARP和AMCP低于对照组(P<0.05),两组ALCT比较,差异无统计学意义(P>0.05);观察组便秘症状各项积分、中医证候各项积分和STAI评分均低于对照组(P<0.05)。【结论】中医综合护理能提升功能性便秘患者的肛肠动力学指标,改善症状,降低患者的便秘和焦虑程度,值得临床推广应用。

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	许楠

关键词 ：便秘, 中医护理, 症状评估, 治疗结果

Abstract：【Objective】 To investigate the effects of integrated traditional Chinese medicine (TCM) nursing intervention on anorectal dynamics and symptom improvement in patients with functional constipation.【Methods】 A total of 82 patients with functional constipation were randomly divided into the control group and the observation group, with 41 patients in each group. The control group received Mibaokang treatment and routine nursing care, while the observation group received the same treatment as the control group with the addition of integrated TCM nursing intervention. The differences in anorectal dynamics [resting anal pressure (ARP), maximal anal contraction pressure (AMCP), longest anal contraction time (ALCT)], constipation symptom scores, TCM syndrome scores, and anxiety trait scores (STAI) before and after the intervention were compared between the two groups.【Results】 After the intervention, the ARP and AMCP levels in the observation group were lower than those in the control group (P<0.05), but there was no significant difference in ALCT levels between the two groups (P>0.05). The constipation symptom scores, TCM syndrome scores, and STAI scores in the observation group were all significantly lower than those in the control group (P<0.05).【Conclusion】 Integrated TCM nursing intervention can improve anorectal dynamics, alleviate symptoms, and reduce the severity of constipation and anxiety in patients with functional constipation, making it worthy of clinical promotion and application.

Key words： Constipation Nursery of Traditional Chinese Medicine Symptom Assessment Treatment Outcome

收稿日期: 2024-05-10

中图分类号:

R442.2

基金资助:河南省中医药科学研究专项课题(2022ZY1017);河南省中医药科学研究专项课题(2022JDZX010)

引用本文:

许楠. 中医综合护理干预对功能性便秘患者肛肠动力学指标和症状改善状况的影响[J]. 医学临床研究, 2024, 41(12): 1870-1873.
XU Nan. The Impact of Integrated Traditional Chinese Medicine Nursing Intervention on Anorectal Dynamics and Symptom Improvement in Patients with Functional Constipation. JOURNAL OF CLINICAL RESEARCH, 2024, 41(12): 1870-1873.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.12.013 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I12/1870

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