药物配合物理疗法防治心肌梗死合并便秘疗效观察

目的:探讨药物配合物理疗法对于心肌梗死合并便秘的疗效。方法:将心肌梗死合并便秘的144例病人随机分为实验组72例和对照组72例,实验组采用药物配合物理疗法,方法是:麻仁软胶囊1粒,2次/日,口服,同时结合腹部按摩和穴位按摩。对照组采用单一药物治疗:麻仁软胶囊2粒,2次/日,口服。分别于治疗后的第1周、2周、3周统计便秘症状改善情况和有效率。结果:治疗后1～3周,便次增加情况、大便性状及排便时间改善方面2组无明显差别(P>0.05);排便不尽感改善实验组好于对照组,而对照组腹痛腹泻率较高(P<0.05)。数据采用卡方检验,第1周和第2周实验组与对照组有效率无显著性差异(P>0.05)。第3周实验组疗效好于对照组(P<0.05)。结论:药物配合物理疗法对于心肌梗死合并便秘病人疗效可靠、持久,能够建立正常的排便反射,减少药物的毒副作用,其疗效优于单一药物疗法。

Efficacy Observation of Medication Cooperating with Physical Therapeutics to the Treatment of Miocardial Infarction Accompanied with Constipation

Objective: To explore the efficacy of medication cooperating with physical therapeutics to the treatment of miocardial infarction accompanied with constipation.Methods: To divide 144 cases of miocardial infarction accompanied with constipation by random into two groups: Medication cooperating with physical therapeutics group(experimental group) for 72 cases and Medication group(control group) for other 72 cases.The control group uses Hemp kernel soft capsule' 1.2 bid po;the experimental group uses Hemp kernel soft capsule' 0.6 bid po and abdomen massage accompanied with traditional point massage,increasing fibrin in the daily diet in the meantime.To observe the improvement of constipation and efficacy after the 1st,the 2nd and the 3rd week.Results: After 1～3 weeks,there is no significant difference in the improvement of defecation numbers,defecation characteristics and defecation times(P>0.05).The improvement of 'defection not flu' in experimental group is better than that in control group,and there is a higher rate of abdominal pain or diarrhea in control group(P<0.05).Date analysis with χ2test indicates that the efficient of experimental group is better than the control in No.3 week(P<0.05),but there is no significant difference in No.1 and No.2 week(P>0.05).Conclusion: The efficacy of medication cooperating with physical therapeutics is credible and permanent which can help a patient to make up a normal reflect of defecate and has less medical side-effects.The efficacy is better than those of single medications.