【摘要】 目的探讨穴位贴敷联合艾灸治疗肿瘤患者阿片类药物相关性便秘的疗效。方法选取2018年2月～2020年2月收治于我院肿瘤科的70例阿片类药物相关性便秘的肿瘤患者,采用随机数字表法分为治疗组与对照组,各35例。对照组通便予以麻仁润肠丸治疗,治疗组予以穴位贴敷联合艾灸治疗,两组共治疗10 d后,对两组患者的便秘情况和临床疗效进行比较。结果治疗组便秘患者临床疗总有效率为94.29%,高于对照组的62.86%,差异有统计学意义(P<0.05)。两组治疗前在排便的次数、排便困难程度、大便的性状等症候积分无显著性差异(P>0.05);治疗组症候积分在治疗后明显低于对照组,差异有统计学意义(P<0.05)。结论穴位贴敷联合艾灸治疗肿瘤患者阿片类药物相关性便秘疗效确切,对改善患者便秘症状有效,可在临床推广应用。更多还原

【Abstract】 Objective To explore the efficacy of acupoint application combined with moxibustion on opioid-related constipation in tumor patients. Methods From February 2018 to February 2020, 70 tumor patients with opioid-related constipation admitted to the oncology department of our hospital were selected and randomly divided into the treatment group(n=35) and the control group(n=35). The control group was treated with Marenrunchang-pill for relaxing bowels,while the treatment group was treated with acupoint application combined with moxibustion. After 10 days of treatment,constipation and clinical efficacy of the two groups were observed and compared. Results The total efficacy rate of clinical treatment for constipation patients in the treatment group was 94.29%, which was higher than 62.86% in the control group, and the difference was statistically significant(P<0.05). At the baseline, there was no significant difference between the two groups in symptom scores such as defecation frequency, defecation difficulty degree and defecation features(P >0.05). Symptom scores in the treatment group were significantly lower than those in the control group after treatment, and the difference was statistically significant(P<0.05). Conclusion Acupoint application combined with moxibustion has a definite curative effect on opioid-related constipation in tumor patients, It is effective in improving constipation symptoms of patients, and should be popularized and applied clinically.更多还原