CAJ | 학술논문

目的：观察大黄外敷神阙穴对腰椎骨折术后便秘的影响。方法：将74例腰椎骨折术后便秘患者采用随机数字表方法分为观察组和对照组,每组37例。两组均予以常规治疗和护理(包括健康指导、情志护理、饮食调理、排便护理等),观察组在此基础给予大黄外敷神阙穴治疗,每天敷6 h,连续治疗3 d后观察疗效。结果：治疗3 d后,观察组患者首次排气及排便时间均短于对照组,两组差异均有统计学意义(P＜0.05)；两组疗效差异具有统计学意义,观察组优于对照组(P＜0.01)。结论：大黄外敷神阙穴治疗腰椎骨折术后便秘疗效可靠,操作方便,易于被患者接受,适宜临床推广。
목적：관찰대황외부신궐혈대요추골절술후편비적영향。방법：장74례요추골절술후편비환자채용수궤수자표방법분위관찰조화대조조,매조37례。량조균여이상규치료화호리(포괄건강지도、정지호리、음식조리、배편호리등),관찰조재차기출급여대황외부신궐혈치료,매천부6 h,련속치료3 d후관찰료효。결과：치료3 d후,관찰조환자수차배기급배편시간균단우대조조,량조차이균유통계학의의(P＜0.05)；량조료효차이구유통계학의의,관찰조우우대조조(P＜0.01)。결론：대황외부신궐혈치료요추골절술후편비료효가고,조작방편,역우피환자접수,괄의림상추엄。
Objective:To observe the effect of Da Huang (Rheum Officinale) application at Shenque (CV 8) on constipation after operation for lumbar vertebral fracture. Methods:Seventy-four patients with constipation after operation for lumbar vertebral fracture were divided into an observation group and a control group by the random number table, 37 cases in each group. The two groups both received ordinary treatment (including healthcare guidance, emotional care, diet arrangement, and defecation nursing), while the observation group was additionally givenDa Huang (Rheum Officinale) application at Shenque (CV 8) for 6 h each day. The therapeutic efficacy was evaluated after successive 3-day treatment. Results:After 3-day treatment, it took significantly less time for the observation group to conduct the first flatulence and defecation than for the control group (P<0.05); the therapeutic efficacy of the observation group was significantly higher than that of the control group (P<0.01). Conclusion:Da Huang (Rheum Officinale) application at Shenque (CV 8) is effective in treating constipation after lumbar vertebral fracture operation, and it’s easy-to-operate and well accepted by patients, hence it’s proper to promote this method in clinic.