中药穴位敷贴辅以精准护理治疗老年急性冠脉综合征患者介入手术后便秘的研究
Study on Traditional Chinese Medicine Acupoint Application Combined with Precision Nursing in the Treatment of Constipation after Interventional Surgery in Elderly Patients with Acute Coronary Syndrome
DOI: 10.12677/TCM.2023.127232, PDF,   
作者: 卢 晶, 谢玉明*, 黄 美：湖北省中医院(湖北中医药大学附属医院、湖北省中医药研究院)，湖北 武汉
关键词: 穴位；敷贴；急性冠脉综合征；便秘；中药；Acupoints； Application； Acute Coronary Syndrome； Constipation； Traditional Chinese Medicine
摘要: 目的：探讨中药穴位敷贴辅以精准护理治疗老年急性冠脉综合征患者介入手术后便秘的临床价值。方法：选取在我院就诊的患者100例，将患者随机分为试验组和对照组，每组各50例，对照组采用西医标准治疗方案，试验组在对照组的基础上加上吴茱萸中药穴位敷贴辅以精准护理。观察两组患者的临床疗效和随访1年复发情况。结果：两组治疗均有效，试验组有效率远高于对照组，试验组复发率低于对照组，P < 0.05。结论：吴茱萸穴位敷贴辅以精准护理治疗老年急性冠脉综合征患者介入手术后便秘安全有效。
Abstract: Objective: To explore the clinical value of traditional Chinese medicine Acupoint application combined with precision nursing in the treatment of constipation in elderly patients with acute coronary syndrome after interventional surgery. Methods: 100 patients who were treated in our hospital were selected and randomly divided into the experimental group and the control group, 50 cases in each group. The control group was treated with standard western medicine, and the experimental group was added on the basis of the control group. The application is complemented by precise care. The clinical efficacy and 1-year follow-up recurrence of the two groups were observed. Results: Both groups were effective, the effective rate of the experimental group was much higher than that of the control group, and the recurrence rate of the experimental group was lower than that of the control group, P < 0.05. Conclusion: Evodia Acupoint application combined with precision nursing is safe and effective in the treatment of constipation in elderly patients with acute coronary syndrome after interventional surgery.
文章引用：卢晶, 谢玉明, 黄美. 中药穴位敷贴辅以精准护理治疗老年急性冠脉综合征患者介入手术后便秘的研究[J]. 中医学, 2023, 12(7): 1569-1573. https://doi.org/10.12677/TCM.2023.127232

参考文献

[1] 张艳红, 崔萌, 江宁. 养心饮汤增减对老年急性冠脉综合征经皮冠状动脉介入术后患者外周血CD40、NF-κB表达的影响[J]. 中华中医药学刊, 40(7): 71-73.
[2] Zukhri, S., Hastuti, R.Y. and Setyaningsih, I. (2020) Risk Factors Analysis of Constipation in Patients with Acute Coronary Syndrome. Journal of Physics: Conference Series, 1517, Article 012048. [Google Scholar] [CrossRef] 
[3] 汪群芳. 腹部推拿合清宁丸治疗老年冠心病便秘患者的疗效作用[J]. 世界华人消化杂志, 2018, 26(13): 816-820.
[4] Leppert, W. and Woron, J. (2016) The role of Naloxegol in the Management of Opioid-Induced Bowel Dysfunction. Therapeutic Advances in Gastroenterology, 9, 736-746. [Google Scholar] [CrossRef] 
[5] LoCasale, R.J., Datto, C.J., Margolis, M.K., et al. (2015) The Impact of Opioid-Induced Constipation among Chronic Pain Patients with Sufficient Laxative Use. The International Journal of Clinical Practice, 69, 1448-1456. [Google Scholar] [CrossRef] [PubMed]
[6] 中华医学会消化病学分会胃肠动力学组, 外科学分会结直肠肛门外科学组. 中国慢性便秘的诊治指南(2007, 扬州) [J]. 中华消化杂志, 2007, 27(9): 619-622.
[7] 中华医学会消化病学分会胃肠动力学组, 中华医学会外科学分会结直肠肛门外科学组. 中国慢性便秘诊治指南(2013年, 武汉) [J]. 中华消化杂志, 2013, 33(5): 291-297.
[8] 国家中医药管理局. 中医病证诊断疗效标准[M]. 南京: 南京大学出版社, 1994: 11.
[9] 高学芳. 急性心肌梗死患者便秘的原因分析及护理对策分析[J]. 中国医药指南, 2019, 17(19): 291-292.
[10] 夏晨曦, 周玲, 秦珂馨, 丁媛, 于靖文, 李萌, 王少丽, 刘震. 基于肠道菌群探讨中医药治疗老年便秘[J]. 中国老年学杂志, 2022, 42(1): 251-254.
[11] 吴雅竹. 急性心肌梗死便秘患者中西医护理研究进展[J]. 现代医学与健康研究电子杂志, 2018, 2(7): 101-102.
[12] 王卫岩. 老年功能性便秘患者精神心理状态评分现况调查[J]. 中国实用医药, 2021, 16(31): 168-170.
[13] 何艳英, 招忠满, 郑培秋, 周毓娟. 中频透热配合中药贴敷预防急性冠脉综合征便秘的效果[J]. 内科, 2013, 8(4): 392+394. http://dx.doi.org/10.16121/j.cnki.cn45-1347/r.2013.04.002 [Google Scholar] [CrossRef] 
[14] 吴晓博, 李军. 中医外治法治疗心力衰竭合并便秘的研究进展[J]. 北京中医药, 2022, 41(1): 99-102.
[15] 袁少铎. 吴茱萸研究概括[J]. 时珍国医国药, 2000, 11(3): 281-282.
[16] 魏舒婷, 刘元乾, 黄坚, 盛云华, 唐黎明. 吴茱萸化学成分、药效及肝毒性的研究进展[J]. 世界中医药, 2020, 15(23): 3580-3585+3592.