天枢穴按压联合便秘膏神阙穴贴敷对老年慢性心力衰竭患者功能性便秘的疗效研究

赖美丽　　刘盈盈　　林安妮

[关键词] 慢性心力衰竭;功能性便秘;神阙穴;天枢穴;贴敷

[中图分类号] R473.5;R541.6          [文献标识码] B          [文章编号] 1673-9701（2021）21-0130-05

Study on the curative effect of Tianshu acupoint pressing combined with Shenque acupoint patch with constipation cream on functional constipation in the elderly patients with chronic heart failure

LAI Meili   LIU Yingying   LIN Anni

Wenzhou Hospital of Chinese Medicine，Zhejiang Chinese Medical University，Wenzhou   325000，China

[Abstract] Objective To observe the effect of pressing Tianshu point and applying constipation ointment at Shenque point during defecation on functional constipation in elderly patients with chronic heart failure. Methods 64 elderly patients with chronic heart failure and functional constipation who were treated in our hospital from May 2019 to December 2019 were selected and randomly divided into observation group and control group with 32 cases in each group. The control group was applied constipation ointment at Shenque point， and the observation group was added with pressing Tianshu point during defecation on the basis of the control group. The clinical efficacy， symptom score， constipation score and anxiety score before and after treatment were observed. Results After 2 weeks of treatment， the total effective rate of the observation group was 93.75%， which was higher than that of the control group which was 75.00%（P<0.05）. Before intervention， there was no significant difference in symptom score， constipation score and anxiety score between the two groups （P>0.05）. After intervention， the symptom score， constipation score and anxiety score of the two groups were lower than those of the control group （P<0.05）. Conclusion Pressing Tianshu point and applying constipation ointment at Shenque point during defecation can improve the defecation status of elderly patients with chronic heart failure and functional constipation， and improve the bad mood， which is worthy of promotion.

[Key words] Chronic heart failure; Functional constipation; Shenque acupoint; Tianshu acupoint; Patch

慢性心力衰竭是一組临床综合征，是由多种原因导致的心肌结构和功能变化，终致心室泵血或充盈功能低下，发病率较高[1]。数据显示成人慢性心力衰竭发病率为l%～2%，并随年龄增加而增长，70岁以上的老年人甚至超过10%，我国慢性心力衰竭患约有450万，成年人群中患病率为0.9%[2-3]，随着人口老龄化的到来，发病率仍具有明显上升的趋势。

功能性便秘临床常见症状，患者以排便次数减少、粪便干结、排便费力等为主要表现，约占便秘发生率的47.1%[4]。随着生活习惯和饮食结构的改变，我国便秘发生率为3%～17%[5]，且呈现逐年上升趋势。Choung等[6]研究发现便秘的发病率与年龄呈正相关，老年冠心病患者便秘发生率高达40%～60%[7]，原因可能与年龄、饮食、活动、环境、精神心理、药物等诸多因素有关。