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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
引用本文:彭庆婕,翁俊梅,杨言府. 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[J]. 中华全科医学, 2019, 17(3): 511-514. DOI: 10.16766/j.cnki.issn.1674-4152.000721
作者姓名:彭庆婕  翁俊梅  杨言府
作者单位:六安市中医院脑病内一科, 安徽 六安 237000
基金项目:安徽省卫生厅中医药科研计划课题(2014zy48)
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χ2检验,2组差异有统计学意义(χ2=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。 

关 键 词:老年   脑卒中   便秘   神阙穴贴敷   合谷穴按摩
收稿时间:2018-02-05

Application of Shenque and Hegu acupoint massage in preventing constipation of senile stroke patients
Affiliation:Department of Neurology, Traditional Chinese Medicine Hospital of Lu'an, Lu'an, Anhui 237000, China
Abstract: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 χ2 test for the count data (χ2=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. 
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