足三里择时穴位按摩对COPD肺心病胃肠功能的影响

目的探讨改善COPD肺心病患者胃肠功能的有效方法。方法将60例COPD肺心病伴胃肠功能障碍患者随机分为观察组和对照组各30例。两组均行常规护理,观察组在此基础上,选择足三里于辰时(8:00～9:00)和亥时(21:00～22:00)进行穴位按摩,每次10～15min。干预2个月后比较两组患者胃肠功能障碍(腹胀、食欲不振、排便困难或腹泻)改善情况。结果观察组治疗效果显著优于对照组(P<0.01)。结论根据子午流注理论进行足三里择时按摩可有效改善COPD肺心病患者的胃肠功能。

Impact of Zusanli massage timing on gastrointestinal function in patients with cor pulmonale complicating COPD

Objective To explore an effective method for improving gastrointestinal function of patients with cor pulmonale complicating COPD. Methods Sixty patients with cor pulmonale due to COPD were randomly divided into an observation group and a control group of 30.Both groups received routine nursing care,while participants in the observation group were additionally given acupoint massage to Zusanli in the morning(8:00-9:00) and at night(21:00-22:00)for 10-15 min per time.After 2 months′ intervention,gastrointestinal dys function(abdominal distension,poor appetite,difficult defecation or diarrhea) of both groups was compared. Results The curative effect in the observation group was significantly better than that in the control group(P<0.01). Conclusion According to the Midnight-noon ebb-flow theory,appropriate Zusanli massage timing can effectively improve gastrointestinal function of patients with cor pulmonale complicating COPD.