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专栏:民族医药研究 | 更新时间:2025-06-12
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耳部全息铜砭刮痧在气滞型功能性便秘患者中的应用研究
Study on the application of auricular holographic copper spatula scraping in functional constipation patients with qi stagnation-pattern

内科 页码:204-208

作者机构:1 广西中医药大学,南宁市 530022;2 广西中医药大学第一附属医院,南宁市 530023

DOI:10.16121/j.cnki.cn45-1347/r.2025.02.15

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目的 探究耳部全息铜砭刮痧在气滞型功能性便秘(FC)患者中的应用效果。方法 选择2023年6月至2024年2月广西中医药大学第一附属医院脾胃肝病科收治的60例气滞型FC患者作为研究对象,按随机数字表法将其分为观察组和对照组,每组30例。对照组仅接受便秘常规护理,观察组在对照组基础上增加耳部全息铜砭刮痧疗法,两组均干预15 d。比较两组的干预总有效率,以及干预前后的中医证候评分、便秘临床评分量表(CCS)评分、便秘患者生活质量自评量表(PAC-QOL)评分,记录两组干预期间的不良反应发生情况。结果 观察组干预总有效率高于对照组(P<0.05)。干预前,两组中医证候评分、CCS评分和PAC-QOL评分差异均无统计学意义(均P>0.05);干预15 d后,两组中医证候评分、CCS评分和PAC-QOL评分均较干预前降低,且观察组评分均低于对照组(均P<0.05)。干预期间,两组患者均未出现不良反应。结论 耳部全息铜砭刮痧能够有效改善气滞型FC患者的临床症状,提高其生活质量,且操作安全性较高。

Objective To explore the application effect of auricular holographic copper spatula scraping in functional constipation (FC) patients with qi stagnation-pattern. Methods A total of 60 FC patients with qi stagnation-pattern admitted to the Department of Spleen-Stomach and Liver Diseases in the First Affiliated Hospital of Guangxi University of Chinese Medicine from June 2023 to February 2024 were selected as the research subjects. They were divided into an observation group or a control group by the random number table method, with 30 cases in each group. The control group received only routine constipation nursing, based on which the observation group received auricular holographic copper spatula scraping therapy additionally, and both groups were intervened for 15 days. The total effective rate of intervention, as well as traditional Chinese medicine (TCM) syndrome scores, Cleveland Clinic Constipation Score (CCS) scores, and Patient Assessment of Constipation-Quality of Life (PAC-QOL) scores before and after intervention were compared between the two groups, and the occurrence of adverse reactions in the two groups during the intervention was recorded. Results The total effective rate of intervention in the observation group was higher than that in the control group (P<0.05). Before intervention, there was no statistically significant difference in the TCM syndrome score, CCS score, or PAC-QOL score between the two groups (all P>0.05). After 15 days of intervention, the TCM syndrome scores, CCS scores, and PAC-QOL scores in both groups were lower than those before intervention, and the scores in the observation group were lower than those in the control group (all P<0.05). No adverse reactions occurred in the two groups during the intervention. Conclusion Auricular holographic copper spatula scraping can effectively alleviate clinical symptoms in patients with qi stagnation-pattern, improve their quality of life, and demonstrate high operational safety.  

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