神阙穴贴敷协同合谷穴按摩在预防老年脑卒中患者便秘中的应用
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摘要
目的脑卒中是我国发病率较高的老年性疾病。脑卒中患者因饮食、活动、认知、吞咽等方面的原因引起便秘,其危害越来越引起社会和家庭的关注,为了预防老年脑卒中患者便秘的发生,解决便秘对老年脑卒中患者的影响,本文探讨神阙穴贴敷协同合谷穴按摩在预防老年脑卒中患者便秘中的应用。方法从2016年1月—2017年5月入住六安市中医院脑病一科的脑卒中患者中选择64例老年患者为研究对象,按随机数字表法分成对照组和观察组各32例。对照组患者采用常规护理干预的方法,观察组患者在常规护理干预的基础上给予神阙穴贴敷协同合谷穴按摩。比较2组患者的第1次排便时间。结果对照组患者第1天排便4人,占总人数的12.50%。观察组患者第1天排便11人,占总人数的34.37%。观察组第1次排便时间明显早于对照组,采用SPSS 17.0统计软件进行统计分析,计数资料采用χ~2检验,2组差异有统计学意义(χ~2=4.267,P<0.05)。结论神阙穴贴敷协同合谷穴按摩可以有效地预防老年脑卒中患者便秘的发生,对减轻患者的痛苦、减少便秘带来的危害有很大临床意义,该操作方法值得在临床上推广。
Objective Stroke is a kind of senile diseases with high morbidity in our country. Due to cognitive, diet, swallowing, exercise and other factors, seniors with constipation caused increasing concern of society and family. This article discusses the application of Shenque and Hegu Acupoint massage in the prevention of constipation in senile stroke patients. Methods We selected 64 senile stroke patients admitted to the first Encephalopathy Division in Lu'an Chinese Medicine hospital from January 2016 to May 2017, and randomly divided them into control group and observation group. In the control group, the routine nursing intervention was adopted, and the patients in the observation group were given a Shenque and Hegu acupoint massage on the basis of routine nursing intervention. The first defecation time of the two groups of patients was compared. Results On the first day, there were respectively 4 patients(12.50%) and 11 patients(34.37%) defecated in the control group and observation group. The observation group's first defecation time was significantly earlier than that of the control group, via the SPSS 17.0 software for statistical analysis and χ~2 test for the count data(χ~2=4.267, P<0.05). Conclusion The Shenque combined with Hegu acupoint can effectively prevent the occurrence of constipation in senile stroke patients, which is of great clinical significance to alleviate the suffering of patients and reduce the harm caused by constipation, which is worth popularizing and widely used in clinic.
Objective Stroke is a kind of senile diseases with high morbidity in our country. Due to cognitive, diet, swallowing, exercise and other factors, seniors with constipation caused increasing concern of society and family. This article discusses the application of Shenque and Hegu Acupoint massage in the prevention of constipation in senile stroke patients. Methods We selected 64 senile stroke patients admitted to the first Encephalopathy Division in Lu'an Chinese Medicine hospital from January 2016 to May 2017, and randomly divided them into control group and observation group. In the control group, the routine nursing intervention was adopted, and the patients in the observation group were given a Shenque and Hegu acupoint massage on the basis of routine nursing intervention. The first defecation time of the two groups of patients was compared. Results On the first day, there were respectively 4 patients(12.50%) and 11 patients(34.37%) defecated in the control group and observation group. The observation group's first defecation time was significantly earlier than that of the control group, via the SPSS 17.0 software for statistical analysis and χ~2 test for the count data(χ~2=4.267, P<0.05). Conclusion The Shenque combined with Hegu acupoint can effectively prevent the occurrence of constipation in senile stroke patients, which is of great clinical significance to alleviate the suffering of patients and reduce the harm caused by constipation, which is worth popularizing and widely used in clinic.
引文
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[10] 何利萍,夏泳.个性化护理对氯氮平致便秘的干预研究[J].中华全科医学,2017,15(7):1249-1252.
[11] 李党桂,黄翠娥,吴静,等.不同灌肠方式对解除老年便秘患者的疗效分析和护理体会[J].实用临床医药杂志,2015,19(14):139,144.
[12] 贾玉梅,王红美,顾娟,等.生大黄穴位贴敷联合随身灸在脑卒中后便秘护理中的疗效观察[J].实用临床医药杂志,2017,21(8):173-174.
[13] 卢丽雅,麦冠梁.硬膜外阻滞联合针刺分娩镇痛的可行性及安全性[J].山东医药,2014,54(7):33-35.
[14] 赵振向,李晔,刘怡琳,等.帕金森病肠道起源的研究进展[J].山东医药,2017,57(12):107-109.
[15] 韩小宏,李小娟.老年支气管扩张合并支气管哮喘的临床护理研究[J].实用临床医药杂志,2017,21(20):134-135,138.
[16] 葛英姿,黎蓉.电子灸防治阿片类相关性便秘的疗效观察[J].实用临床医药杂志,2016,20(24):142-143.
[17] 郝书婕,朱帆,张敏,等.抗阻运动对脑卒中患者下肢运动功能、步行能力及生活质量影响的Meta分析[J].山东医药,2017,57(24):71-74.
[18] 陈光付.精细护理干预预防脑卒中昏迷患者便秘的整体效果[J].现代医药卫生,2017,33(9):1404-1406.
[19] 袁修银,任俊翠,刘畅,等.医院-社区-家庭整体护理在脑卒中康复中的应用[J].中华全科医学,2016,14(3): 491-493,514.
[20] 孔祥丽,张雷,李军朝.西安地区NINJ2基因多态性与缺血性脑卒中发生的关系[J].医学临床研究,2017,34(3):498-501.
[2] 李学军,章微微,付金英,等.社会关系质量对中青年首发脑卒中患者早期创伤后应激障碍的影响[J].中华全科医学,2017,15(3):483-486.
[3] 周晓林,朱兰,曹广文.社区分级康复管理模式对脑卒中后居家患者功能恢复的效果评价[J].中华全科医学,2017,15(7):1201-1203.
[4] 赵永红,印丽莉.通便散外敷在便秘治疗中的临床护理[J].现代医药卫生,2017,33(22):3487-3489.
[5] 陶博,王富伟.排便康复干预对功能性便秘患者便秘严重度、自我效能感及生存质量的影响[J].现代医药卫生,2017,33(14):2177-2178.
[6] 章开容.系统化护理干预对脑卒中偏瘫患者便秘的效果分析[J].现代医药卫生,2017,33(4):593-595.
[7] 周婷,巩尊科,王世雁,等.重复经颅磁刺激对脑卒中后执行功能障碍的影响[J].实用医学杂志,2017,33(7):1036-1039.
[8] 吴晓伟,李华,王春芹,等.数字胃肠机下结肠钡灌肠和仿真排粪造影对便秘的临床诊断效果研究[J].陕西医学杂志,2017,46(4):423-425.
[9] 刘洋.慢性便秘的病因与治疗研究进展[J].现代医药卫生,2014,30(10):1496-1499.
[10] 何利萍,夏泳.个性化护理对氯氮平致便秘的干预研究[J].中华全科医学,2017,15(7):1249-1252.
[11] 李党桂,黄翠娥,吴静,等.不同灌肠方式对解除老年便秘患者的疗效分析和护理体会[J].实用临床医药杂志,2015,19(14):139,144.
[12] 贾玉梅,王红美,顾娟,等.生大黄穴位贴敷联合随身灸在脑卒中后便秘护理中的疗效观察[J].实用临床医药杂志,2017,21(8):173-174.
[13] 卢丽雅,麦冠梁.硬膜外阻滞联合针刺分娩镇痛的可行性及安全性[J].山东医药,2014,54(7):33-35.
[14] 赵振向,李晔,刘怡琳,等.帕金森病肠道起源的研究进展[J].山东医药,2017,57(12):107-109.
[15] 韩小宏,李小娟.老年支气管扩张合并支气管哮喘的临床护理研究[J].实用临床医药杂志,2017,21(20):134-135,138.
[16] 葛英姿,黎蓉.电子灸防治阿片类相关性便秘的疗效观察[J].实用临床医药杂志,2016,20(24):142-143.
[17] 郝书婕,朱帆,张敏,等.抗阻运动对脑卒中患者下肢运动功能、步行能力及生活质量影响的Meta分析[J].山东医药,2017,57(24):71-74.
[18] 陈光付.精细护理干预预防脑卒中昏迷患者便秘的整体效果[J].现代医药卫生,2017,33(9):1404-1406.
[19] 袁修银,任俊翠,刘畅,等.医院-社区-家庭整体护理在脑卒中康复中的应用[J].中华全科医学,2016,14(3): 491-493,514.
[20] 孔祥丽,张雷,李军朝.西安地区NINJ2基因多态性与缺血性脑卒中发生的关系[J].医学临床研究,2017,34(3):498-501.