【摘要】 目的 观察卯时饮水配合便秘仪模仿人手按摩腹部、穴位刺激对慢传输型便秘(STC)患者的效果。方法 92例STC患者,根据随机数字表法分为实验组和对照组,每组46例。实验组患者每天卯时(早晨6点)饮温开水300 ml后使用便秘仪顺势推压大肠、按摩腹部、刺激便秘穴位等促进肠道蠕动；对照组患者采用枸橼酸莫沙必利片治疗。比较两组患者治疗前后中医证候积分、焦虑及抑郁程度,抑郁、焦虑症状改善效果。结果 治疗后,两组患者排便不畅感、腹部胀满及隐痛、神疲乏力、睡眠质量积分均低于本组治疗前,且实验组患者排便不畅感、腹部胀满及隐痛、神疲乏力、睡眠质量积分分别为(1.39±1.33)、(0.72±0.21)、(1.69±0.43)、(0.69±1.20)分,低于对照组的(2.31±1.21)、(1.01±0.15)、(2.13±0.52)、(1.25±1.22)分,差异具有统计学意义(P<0.05)。治疗后,两组患者汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分均低于本组治疗前,且实验组患者HAMA评分(19.18±3.67)分、HAMD评分(15.28±4.51)分均明显低于对照组的(28.42±6.95)、(21.18±6.49)分,差异具有统计学意义(P<0.05)。实验组患者抑郁症状、焦虑症状改善总有效率分别为95.65%、86.96%,明显高于对照组的76.09%、67.39%,差异具有统计学意义(P<0.05)。结论 卯时饮水配合便秘仪治疗STC疗效可靠,能够明显减轻便秘患者负面情绪,改善患者的临床症状,值得临床推广应用。更多还原

【Abstract】 Objective To observe the effects of drinking water during 5 a.m. and 7 a.m. combined with constipation device imitating hand massage on abdomen and acupoint stimulation on patients with slow transit constipation(STC). Methods 92 patients with STC were divided into an experimental group and a control group according to random numerical table, with 46 cases in each group. Patients of the experimental group drank 300 ml of warm boiled water during 5 a.m. and 7 a.m.(6:00 a.m.) every morning and then used the constipation device to push large intestine, massage abdomen and stimulate constipation acupoint to promote intestinal peristalsis. Patients of the control group were treated with mosapride citrate tablets. The traditional Chinese medicine syndrome score, the degree of anxiety and depression, and the improvement of depression and anxiety symptoms were compared between the two groups before and after treatment. Results After treatment, the scores of poor defecation, abdominal fullness and dull pain, mental fatigue and sleep quality of the two groups were lower than those of this group before treatment; the score of poor defecation of the experimental group was(1.39±1.33) points, the score of abdominal fullness and dull pain of the experimental group was(0.72±0.21) points,the score of mental fatigue of the experimental group was(1.69±0.43) points, the score of sleep quality of the experimental group was(0.69±1.20) points, which were lower than(2.31±1.21),(1.01±0.15),(2.13±0.52),(1.25±1.22) points of the control group, respectively; and the differences were statistically significant(P<0.05).After treatment, the scores of Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) of the two groups were lower than those of this group before treatment, and the HAMA score of the experimental group was(19.18±3.67) points and HAMD score of the experimental group was(15.28±4.51) points, which were significantly lower than(28.42±6.95) and(21.18±6.49) points of the control group, respectively; and the differences were statistically significant(P<0.05). The overall efficacy depressive symptoms and anxiety symptoms of the experimental group were 95.65% and 86.96%, respectively, which were significantly higher than 76.09% and 67.39% of the control group, respectively; and the differences were statistically significant(P<0.05). Conclusion Drinking water during 5 a.m. and 7 a.m. combined with constipation device has reliable therapeutic effects on STC. It can significantly reduce the negative emotions of patients with constipation, and improve their clinical symptoms. Thus, it is worthy of clinical promotion and application.更多还原