胃肠多功能治疗仪联合复方聚乙二醇电解质散对老年功能性便秘患者的治疗效果

Efficacy of gastrointestinal multifunctional therapeutic instrument combined with powder compound of polyethylene glycol electrolytes in the elderly patients with functional constipation

摘要:

目的 研究胃肠多功能治疗仪联合复方聚乙二醇电解质散对老年功能性便秘患者的疗效。方法 选择2018年1月至2018年12月住院的功能性便秘患者150例,采用随机数表法分为实验组和对照组,每组各75例。对照组给予复方聚乙二醇电解质散治疗；实验组在对照组基础上同时给与数字化电胃肠音乐治疗仪治疗。比较2组患者粪便性状评分、首次排便时间以及每次排便时间、Wexner便秘评分、生活质量自评量表、心理状态的差异。采用SPSS 22.0统计软件对数据进行分析。结果 实验组患者大便的Bristol分型Ⅳ和Ⅴ型的比例分别为33.3%和28.0%,明显优于对照组。治疗后,实验组首次排便时间、每次排便所耗时间以及每周排便次数均优于对照组。治疗后,对照组和实验组的Wexner便秘评分较治疗前均明显下降,分别为(9.12±1.68)分和(7.75±1.53)分, 2组比较差异有统计学意义(P＜0.05)。与对照组相比,实验组的抑郁患者人数较少,且抑郁程度轻,2组差异有统计学意义(P＜0.05)。结论 数字化电胃肠音乐治疗仪联合复方聚乙二醇电解质散治疗老年功能性便秘效果优于单药治疗,有利于老年功能性便秘患者的恢复。

Abstract:

Objective To investigate the efficacy of gastrointestinal multifunctional therapeutic instrument combined with powder compound of polyethylene glycol electrolytes in elderly patients with functional constipation. Methods A total of 150 patients with functional constipation hospitalized from January 2018 to December 2018 were randomly divided into study and control groups, with 75 in each group. The control group was treated with powder compound of polyethylene glycol electrolytes, and the study group received additional treatment by Digital Music Electric Gastrointestinal Multi-functional Therapeutic Instrument. The two groups were compared in fecal trait scores, time to first bowel movement and each defecation duration, Wexner constipation score, self-assessment scale for quality of life, and mental status. SPSS statistics 22.0 was used for data analysis. Results With a Bristol type Ⅳ of 33.3% and type Ⅴ of 28.0 %, the study group presented significantly better stool status than control group. After treatment, the study group had better results than the control group in the respects of time to first bowel movement, each defecation duration and weekly bowel movements. Wexner′s constipation score obtained after the treatment was significantly lower in both groups than before the treatment, (7.75±1.53) for the study group and (9.12±1.68) for the control group, and the two groups differed significantly (P<0.05). Patients with depression were fewer, and the degree of depression was lower in the study group than in the control group, the differences being statistically significant (P<0.05). Conclusion Medication combined with Digital Music Electric Gastrointestinal Multi-functional Therapeutic Instrument is superior to medication only, contributing to the alleviation of functional constipation in the elderly patients.