| 摘要: |
| 目的：观察按摩疗法加健康教育结合乳果糖口服液治疗便秘的临床疗效。方法：将60 例便秘患者随机分为治疗组和对照组，每组各30 例。对照组给予乳果糖口服液治疗，治疗组在对照组基础上采用按摩疗法并结合健康教育。2组均以14 d为1个疗程，共治疗2个疗程。治疗结束后随访1个月，观察2组综合疗效、生活质量（PAC-QOL）评分及症状积分。结果：总有效率治疗组为93.33%（28/30），高于对照组的76.67%（23/30），差异有统计学意义（P<0.05）。2组治疗后PAC-QOL评分比较，差异有统计学意义（P<0.05）。治疗2周后，治疗组排便时间积分、症状总积分低于对照组（均P<0.05）;治疗4周后，治疗组排便困难、排便时间、排便感（下坠、不尽、胀感）、排便频度积分及症状总积分低于对照组（均P<0.05）;治疗结束后1个月，治疗组粪便性状、排便困难、排便时间、排便感（下坠、不尽、胀感）、排便频度积分及症状总积分低于对照组（均P<0.05）。结论：按摩疗法加健康教育结合乳果糖口服液治疗便秘效果优于单纯乳果糖口服液治疗，值得临床推广应用。 |
| 关键词: 便秘 按摩疗法 健康教育 乳果糖口服液 |
| DOI： |
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| Clinical effect of massage therapy and health education combined with lactulose oral liquid in treatment of constipation：An analysis of 30 cases |
| ZHANG Hua,YAO Xiangyang,PENG Junliang |
| (Shanghai Jinshan Hospital of Integrated Traditional Chinese and Western Medicine，Shanghai 201501，China) |
| Abstract: |
| Objective：To investigate the clinical effect of massage therapy and health education combined with lactulose oral liquid in the treatment of constipation. Methods：A total of 60 patients with constipation were randomly divided into treatment group and control group，with 30 patients in each group. The patients in the control group were given lactulose oral liquid，and those in the treatment group were given massage therapy and health education in addition to the treatment in the control group. Each course of treatment was 14 days，and both groups were treated for two courses. The two groups were followed up for 1 month after treatment and were observed in terms of overall response，Patient Assessment of Constipation Quality of Life Questionnaire (PAC-QOL) score，and symptom score. Results：The treatment group had a significantly higher overall response rate than the control group ［93.33% (28/30) vs 76.67% (23/30)，P<0.05］. There was a significant difference in PAC-QOL score between the two groups after treatment (P<0.05). After 2 weeks of treatment，the treatment group had significantly lower score of time to first defecation and total symptom score than the control group (both P<0.05);after 4 weeks of treatment，compared with the control group，the treatment group had significantly lower scores of difficult defecation，time to first defecation，feeling of defecation (tenesmus，incomplete defecation，and feeling of distension)，and defecation frequency and total symptom score (all P<0.05);compared with the control group at 1 month after treatment，the treatment group had significantly lower scores of stool form，difficult defecation，time to first defecation，feeling of defecation (tenesmus，incomplete defecation，and feeling of distension)，and defecation frequency and total symptom score (all P<0.05). Conclusion：Massage therapy and health education combined with lactulose oral liquid has a better clinical effect than lactulose oral liquid alone in the treatment of constipation and thus holds promise for clinical application. |
| Key words: constipation massage therapy health education lactulose oral liquid |
