太极八卦揉腹联合畲药食凉茶精油治疗气阴两虚型慢性心力衰竭合并便秘临床研究
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R256.35

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浙江省中医药科技计划项目(2024ZL1279);丽水市医学重点学科建设(3601017)


Clinical Study on Taiji Bagua Abdominal Massage Combined with Traditional She Medicine of Shiliangcha Essential Oil for Chronic Heart Failure of Dual Deficiency of Qi and Yin Type Complicated with Constipation
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    摘要:

    目的:观察太极八卦揉腹联合畲药食凉茶精油治疗气阴两虚型慢性心力衰竭(CHF) 合并便秘患 者的临床疗效。方法:选取2020年1月—2024年5月于丽水市中医院就诊的210例CHF伴便秘患者作为研究对 象,按随机数字表法分为常规治疗组、太极八卦揉腹组、联合治疗组,每组70例。常规治疗组参考指南进行 药物治疗,太极八卦揉腹组在常规治疗组基础上接受太极八卦揉腹疗法,联合治疗组在太极八卦揉腹组基础上 加畲药食凉茶精油进行治疗,7 d为1个疗程,共治疗8个疗程。比较3组治疗前后便秘临床评分量表(CCS) 评分、便秘患者生活质量问卷(PAC-QOL) 评分、首次排便时间,检测低密度脂蛋白胆固醇(LDL-C)、总胆 固(TC) 水平。结果:治疗后,联合治疗组首次排便时间短于常规治疗组和太极八卦揉腹组,差异有统计学 意义(P<0.05)。治疗后,3组CCS评分、PAC-QOL评分较治疗前降低(P<0.05),且联合治疗组CCS评分、 PAC-QOL 评分低于常规治疗组和太极八卦揉腹组(P<0.05)。治疗后,3 组TC、LDL-C 水平较治疗前降 低(P<0.05),且联合治疗组TC、LDL-C水平低于常规治疗组和太极八卦揉腹组(P<0.05)。结论:太极八 卦揉腹法联合畲药食凉茶精油可改善CHF伴便秘患者的便秘症状,提高患者生活质量,改善血脂水平。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the combination use of Taiji Bagua abdominal massage and traditional She medicine of Shiliangcha Essential Oil on chronic heart failure (CHF) of dual deficiency of qi and yin type complicated with constipation. Methods:A total of 210 CHF patients complicated with constipation who were treated in Lishui Hospital of Traditional Chinese Medicine from January 2020 to May 2024 were selected as the study subjects. According to the random number table method, they were divided into the conventional group, the Taiji Bagua abdominal massage group and the combination group,with 70 cases in each group. The conventional group was treated with medicines according to the guidelines. The Taiji Bagua abdominal massage group additionally received Taiji Bagua abdominal massage based on treatment of the conventional group. The combination group was additionally treated with traditional She medicine of Shiliangcha Essential Oil in addition to Taiji Bagua abdominal massage. With seven days being a course of treatment,there was a total of eight courses. The scores of Clinical Constipation Scale (CCS),Patient Assessment of Constipation Quality of Life (PAC-QOL) and the first defecation time were compared before and after treatment among the three groups;the levels of low-density lipoprotein cholesterol (LDL-C) and total cholesterol (TC) were detected. Results:After treatment,the first defecation time of the combination group was shorter than that of the conventional group and the Taiji Bagua abdominal massage group,with a statistically significant difference (P<0.05). After treatment,the scores of CCS and PAC-QOL in the three groups were reduced when compared with those before treatment (P<0.05), and the above two scores in the combination group were lower than those in the conventional group and the Taiji Bagua abdominal massage group (P<0.05). After treatment, the levels of TC and LDL-C in the three groups were dwindled when compared with those before treatment (P<0.05), and the above two levels in the combination group were lower than those in the conventional group and the Taiji Bagua abdominal massage group (P< 0.05). Conclusion: The combination use of Taiji Bagua abdominal massage and traditional She medicine of Shiliangcha Essential Oil can improve the constipation symptoms of CHF patients complicated with constipation, the quality of life and the level of blood lipid.

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戈子怡,程晶晶.太极八卦揉腹联合畲药食凉茶精油治疗气阴两虚型慢性心力衰竭合并便秘临床研究[J].新中医,2025,57(11):145-149

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  • 在线发布日期: 2025-06-13
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