穴位按摩联合耳穴贴压治疗老年人功能性便秘的的疗效观察.docVIP

穴位按摩联合耳穴贴压治疗老年人功能性便秘的的疗效观察 　　摘 要 目的：观察穴位按摩联合耳穴贴压治疗老年功能性便秘的疗效。方法：选取2015年3月至2017年2月就诊的老年功能性便秘患者70例，分为观察组和对照组各35例。对照组采用口服麻仁丸（12 g/d）治疗，观察组采用穴位按摩联合耳穴贴压治疗。两组均以4周为1个疗程，共3个疗程。结果：观察组总有效率为88.57%（31/35），对照组为71.42%（25/35），组间差异有统计学意义（P0.05）。结论：穴位按摩联合耳穴贴压治疗老年功能性便秘有效。 　　关键词 功能性便秘；穴位按摩；耳穴贴压；老年人 　　中图分类号：R256.35 文献标志码：A 文章编号：1006-1533（2018）12-0030-03 　　Observation of therapeutic effect of acupoint massage combined with auricular acupoint pressure in the treatment of functional constipation in the elderly people 　　LU Yeqin（Department of Traditional Chinese Medicine of Tianping Community Health Service Center of Xuhui District， Shanghai 200031， China） 　　ABSTRACT Objective： To observe the therapeutic effect of acupoint massage combined with auricular acupoint pressure in the treatment of functional constipation in the elderly people. Methods： From March 2015 to February 2017 70 patients with functional constipation were selected and divided into an observation group and a control group with 35 cases in each group. The control group was treated with oral Maren soft capsule（12g/d）， and the observation group was treated with acupoint massage combined with auricular acupoint pressing. Both groups took 4 weeks as a course of treatment for a total of 3 courses. Results： The total effective rate of the observation group was 88.57%（31/35）， the control group was 71.42%（25/35）， and the difference between the groups was statistically significant（P0.05）. Conclusion： Acupoint massage combined with auricular acupoint pressing is effective in the treatment of functional constipation in the elderly people. 　　KEY WORDS functional constipation； acupoint massage； auricular acupoint pressure； elderly people 　　?S着社会生活节奏加快和饮食习惯改变，功能性便秘已成为影响现代人生活质量的重要因素之一，也是最常见的消化系统疾病之一。流行病学资料显示，我国便秘发生率为10%～15%，西方国家为27%。发病人群以中老年人常见，女性常多于男性[1-2]。本文报道采用穴位按摩联合耳穴贴压治疗老年人功能型便秘的疗效。 　　1 资料与方法 　　1.1 一般资料 　　选取2015年3月至2017年2月在天平街道社区卫生服务中心中医全科就诊的老年功能性便秘患者70例，西医诊断符合罗马Ⅲ标准[3]：（1）必须满足以下2条或更多：①25%的排便费力。②25%的排便为块状或硬便。③25%有排便不尽感。④2