针灸与热敷腰骶部背腧穴治疗抗精神病药引起药源性便秘的临床研究.docVIP

精品论文 参考文献 针灸与热敷腰骶部背腧穴治疗抗精神病药引起药源性便秘的临床研究 张 虓 　　德阳市精神卫生中心 四川德阳 618000 　　【摘 要】目的：研究针灸与热敷腰骶部背腧穴治疗抗精神病药引起药源性便秘的临床效果。方法：选取2014年1月-2015年3月我院收治的140例抗精神病药引起的药源性便秘患者按照入院顺序分为对照组（n=70，采用常规治疗）和观察组（n=70，采用针灸与热敷腰骶部背腧穴治疗），对两组治疗效果进行比较。结果：观察组总有效率明显高于对照组，组间差异具有统计学意义（P＜0.05）；观察组不良反应发生率2.9%明显低于对照组14.3%，差异存在统计学意义（P＜0.05）。结论：针灸与热敷腰骶部背腧穴治疗抗精神病药引起药源性便秘疗效显著，安全可靠，值得临床积极使用和大力推广。 　　【关键词】腰骶部背腧穴；抗精神病药；针灸；药源性便秘 　　【中图分类号】R277.7 【文献标识码】B 【文章编号】1674-8999（2015）8-0034-02 　　Acupuncture and heat back lumbar di ministry acupoints in treatment of psychiatric drugs cause drug-induced constipation of clinical research 　　【Abstract】Objective:To study the acupuncture with hot compress back lumbar di ministry acupoints treatment the clinical effect of antipsychotics cause drug-induced constipation. Methods: January 2014 - March 2015 of our hospital,140 cases of antipsychotics cause drug-induced constipation patients according to admission order were divided into control group (n=70, the conventional treatment) and observation group (n = 70, the use of acupuncture and moxibustion and hot compress back acupoints in treatment of lumbar di ministry), to compare the effect of two groups. Results:Total effective observation group was obviously higher than that of control group, the differences between the groups with statistical significance (P lt; 0.05); Observation group 2.9% significantly lower than the control group 14.3% incidence of adverse reactions, there are statistically significant difference (P lt; 0.05). Conclusion:Acupuncture with hot compress back lumbar di ministry acupoints in treatment of psychiatric drugs cause drug-induced constipation curative effect is distinct, safe and reliable, worthy of clinical use and actively promoted. 　　【Key words】lumbar di ministry back acupoints; Antipsychotic drugs; Acupuncture; Drug-induced constipation 　　便秘主要是指粪便在结肠停留的时间同比正常排出时间，明显延长，最终导致大便发生干结，两天内无法排便的情况；或者患者主观感觉排便存在困难或始终有解不净的感觉[1]。应用抗精神病药物治疗后最常见的不良反应就是便秘，任何帮助患者缓解便秘痛苦，降低并发症发生率，是备受临床关注的研究课题[2]。本文选取我院收治的14