皮内针联合穴位贴敷对脊柱骨折后便秘病人疗效、排便相关指标及 PAC-QOL评分的影响

目的 探究皮内针联合穴位贴敷对脊柱骨折后便秘病人疗效、排便相关指标及生活质量量表(PAC-QOL)评分的影响.方法 选取2016年1月至2019年2月十堰市太和医院收治的脊柱骨折后便秘病人96例,对其进行随机单双编号后分为观察组与对照组,对照组采用穴位敷贴治疗,观察组采用皮内针联合穴位贴敷治疗,对比两组病人疗效、临床症状积分、排便相关指标、肛肠动力学指标及PAC-QOL评分.结果 治疗5 d及10 d,两组病人症状积分均较治疗前下降,观察组明显低于对照组(10.72±2.30)比(13.17±2.15)分,(7.28±1.46)比(10.69±1.75)分](P<0.05);观察组治疗总有效率83.33％显著高于对照组64.58％(P<0.05);观察组治疗后两次排便间隔时间及每次排便时间均明显短于对照组(P<0.05);观察组直肠静息压、肛管收缩压均明显大于对照组(6.04±1.39)比(6.80±1.61)kPa,(14.81±1.34)比(15.73±1.62)kPa](P<0.05),直肠初始感觉容积明显小于对照组(41.65±5.11)比(38.12±5.40)kPa](P<0.05);治疗5 d及10 d,观察组PAC-QOL评分均显著低于对照组(69.72±11.68)比(56.41±10.35)分,(65.31±10.72)比(50.45±9.08)分](P<0.05).结论 皮内针联合穴位贴敷可在一定程度上减轻脊柱骨折后便秘病人临床症状,改善肠道功能,提高疗效,降低PAC-QOL评分.

Influences of intradermal needle combined with acupoint application on the curative effect, defecation related indicators and PAC-QOL score of patients with constipation after spinal fracture

Objective To explore the influences of intradermal needle combined with acupoint application on the curative effect,defecation related indicators and quality of life scale (PAC-QOL) score of patients with constipation after spinal fracture.Methods Ninety-six patients with constipation after spinal fracture admitted to Taihe Hospital in Shiyan City from January 2016 to February2019 were selected, and they were divided into observation group and control group after random numbering. The control group wastreated with acupoint application, while the observation group was treated with intradermal needle combined with acupoint application.The curative effect, clinical symptom score, defecation related indicators, anorectal dynamics indicators and PAC-QOL score were compared between the two groups.Results After 5 days and 10 days of treatment, the symptom scores of both groups were lower than thosebefore treatment, and the observation group were significantly lower than the control group (10.72±2.30) vs. (13.17±2.15) points, (7.28± 1.46) vs. (10.69±1.75) points] (P < 0.05). The total effective rate of the observation group was 83.33%, which was significantly higherthan 64.58% of the control group (P < 0.05). The interval of defecation and defecation time in the observation group were significantlyshorter than those in the control group (P < 0.05). The resting rectal pressure and anal systolic pressure in the observation group weresignificantly higher than those in the control group (6.04±1.39) vs. (6.80±1.61) kPa, (14.81±1.34) vs. (15.73±1.62) kPa] (P < 0.05), and the initial rectal sensory volume was significantly smaller than that in the control group (41.65±5.11) vs. (38.12±5.40)kPa] (P < 0.05). After 5 days and 10 days of treatment, the PAC-QOL scores of the observation group were significantly lower than those of the control group (69.72±11.68) vs. (56.41±10.35) points, (65.31±10.72) vs. (50.45±9.08) points] (P < 0.05).Conclusions Intradermal needle combined with acupoint application can relieve the clinical symptoms, improve intestinal function, improve curative effect and reduce PAC-QOL score in patients with constipation after spinal fracture to a certain extent.