加味四子散神阙穴贴敷对老年髋部骨折术后胃肠功能影响的临床研究

发布时间：2018-06-25 08:56

本文选题：加味四子散神阙穴贴敷 + 髋部骨折　；参考：《当代护士(上旬刊)》2017年05期

【摘要】：目的研究加味四子散神阙穴位敷贴疗法对促进老年髋部骨折术后胃肠动力恢复的临床疗效。方法选取2013年11月~2016年2月髋部骨折手术的老年患者共90例,按照随机数字表将患者分为空白组(30例)、西药组(30例)、穴位贴敷组(30例)。空白对照组予髋部术后常规处理;西药组在空白组的基础上予维生素B1100 mg肌内注射,1次/d,至术后首次排便;穴位贴敷组在空白组的基础上术后30 min内予加味四子散贴敷神阙穴位,每6 h更换药物1次,至术后首次排便。结果空白对照组患者有效率为66.67%,西药组患者有效率为73.33%,穴位贴敷组患者有效率为93.33%,三组比较,差异有统计学意义(P=0.0360.05)。结论加味四子散神阙穴位敷贴疗法能有效促进老年髋部骨折术后胃肠动力恢复,对改善老年髋部骨折术后胃肠功能有积极作用。
[Abstract]:Objective to study the clinical effect of modified Sizi San Shenque acupoint application on gastrointestinal motility after hip fracture in elderly patients. Methods from November 2013 to February 2016, 90 elderly patients with hip fracture were randomly divided into three groups: blank group (30 cases), western medicine group (30 cases) and acupoint application group (30 cases). The control group was given routine treatment after hip operation, and the western medicine group was given vitamin B1 100 mg intramuscular injection once a day to the first postoperative defecation on the basis of the blank group. On the basis of the blank group, the acupoint application group was treated with modified Sizi powder at Shenque point 30 min after operation, and the drugs were changed once every 6 hours, until the first postoperative defecation. Results the effective rate was 66.67 in the blank control group, 73.33 in the western medicine group and 93.33 in the acupoint application group. The difference among the three groups was statistically significant (P0. 036. 05). Conclusion the application of modified Sizi San at the point of Shenque can effectively promote the recovery of gastrointestinal motility after hip fracture in the elderly and has a positive effect on the improvement of gastrointestinal function after hip fracture in the elderly.
【作者单位】：广东省深圳市平乐骨伤科医院;
【基金】：深圳市卫计委课题;项目编号:201402154
【分类号】：R248.2

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