CAJ | 학술논문

目的：探讨对骨科术后功能性便秘老年患者采用中药敷脐配合穴位按摩护理手法治疗的临床效果。方法：随机收集80例骨科术后老年功能性便秘患者，分为治疗组与对照组40例，对照组仅给予穴位按摩治疗，治疗组在穴位按摩治疗基础上加用中药敷脐。结果：治疗组总有效率92．50％，显著高于对照组72．50％；治疗组治疗1周、2周、治疗后2周、4周、6周的症状总积分均显著低于对照组，差异有统计学意义（ P＜0．05）。结论：中药敷脐配合穴位按摩治疗，能有效改善患者临床症状，且停药后的持续时间长，值得推广。
목적：탐토대골과술후공능성편비노년환자채용중약부제배합혈위안마호리수법치료적림상효과。방법：수궤수집80례골과술후노년공능성편비환자，분위치료조여대조조40례，대조조부급여혈위안마치료，치료조재혈위안마치료기출상가용중약부제。결과：치료조총유효솔92．50％，현저고우대조조72．50％；치료조치료1주、2주、치료후2주、4주、6주적증상총적분균현저저우대조조，차이유통계학의의（ P＜0．05）。결론：중약부제배합혈위안마치료，능유효개선환자림상증상，차정약후적지속시간장，치득추엄。
Objective] To investigate clinical effects on application Traditional Chinese Medicine (TCM) to umbilicus combined with acupoint massage in functional constipation of elderly patients after orthopaedic surgery .[Method] 80 elderly patients after orthopaedic surgery with functional constipation were divided equally into two groups at random . The experimental group was treated with TCM to umbilicus combined with acupoint massage ,and the control group was simply treated with acupointmas-sage .[Result] The total effective rate of experimental group is up to 92 .50% ,which is significantly higher than 72 .50% of the control group .The total symptom scores of 1 week ,2 weeks ,2 weeks after treatment ,4 weeks after treatment and 6 weeks after treatment of the experimental group were significantly lower than those of the control group , and have statistical signifi-cance (P<0 .05) .[Conclusion]It is effective in reducing clinical symptoms by using TCM to umbilicus combined with acu-point massage in functional constipation of elderly patients after orthopaedic surgery ,prolonging the effect after drug withdrawal and worth promoting in clinical practice .