四川中医2024，Vol.42Issue(3)：155-159,5.
郑氏提顶理筋手法结合润肠通便方治疗臀坐式骶尾椎骨折源性便秘临床观察
The clinical study of Zheng's lifting and tendons manipulation combined with moistening intestines and relieving constipation in the treatment of hip-sitting sacrococcygeal fracture with constipation
摘要
Abstract
Objective:To investigate the clinical effect of Zheng's lifting the top and regulating tendons manipulation com-bined with Runchang Tongbian Formula in the treatment of hip sitting sacrococcygeal fracture with constipation.Methods:126 patients with hip sitting sacrococcygeal fracture and constipation admitted to Sichuan Provincial Orthopedic Hospital,Chengdu Tianfu New Area People's Hospital and Chengdu First Orthopedic Hospital were randomly divided into experimental group and control group according to the random number table method,with 63 patients in each group.The control group was treated with ex-ternal application of erhuang new wound pain-relieving ointment plus oral ibuprofen sustained-release capsule,The experimental group was treated with Zheng's lifting and regulating tendon manipulation combined with oral Runchang Tongbian Fang and exter-nal application of Erhuang Xinshang Zhitong Ointment.The course of treatment for both groups was 4weeks.The VAS,BFI and ODI scores of the two groups were compared before and after treatment to determine the clinical efficacy.Results:A total of 120patients in the two groups had complete data and were followed up.There were 60cases in the experimental group and 60cases in the control group.① In terms of VAS score,there was no significant difference between the two groups before treatment(P＞0.05).After 1,2,3,and 4weeks of treatment,the VAS score of the experimental group was significantly lower than that of the control group at all time points,with a statistically significant difference(P＜0.05).② In terms of BFI,after one week of treat-ment,there were statistically significant differences between the experimental group and the control group in terms of defecation exertion,fecal uncleanness and overall satisfaction with defecation(P＜0.05).The scores of defecation exertion and uncleanness in the experimental group were significantly lower than those in the control group,while the overall satisfaction with defecation in the experimental group was higher.③ In terms of functional recovery after fracture,there was no significant difference in ODI scores between the two groups before treatment(P＞0.05).After treatment,the ODI scores of the two groups were significantly lower than those before treatment,and the functional recovery after fracture in the experimental group was better than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion:Zheng's method of lifting the top and regula-ting tendons combined with the method of moistening the intestines and relieving constipation can improve the intestinal function and constipation of patients with hip sitting sacrococcygeal fracture,relieve pain,and promote the recovery of fracture function.关键词
骶尾椎骨折/便秘/郑氏提顶理筋手法/润肠通便方/骨折疼痛Key words
Sacrococcygeal fracture/Constipation/Zheng's technique of lifting the top and regulating tendons/Runchang Tongbian Fang/Fracture pain分类
医药卫生引用本文复制引用
袁荣霞,陈子锴,谢正虎,李玮琳,王晗松,田孟喆,虞亚明..郑氏提顶理筋手法结合润肠通便方治疗臀坐式骶尾椎骨折源性便秘临床观察[J].四川中医,2024,42(3):155-159,5.基金项目
四川省中医药管理局科学技术研究专项课题(编号:2020LC0179). （编号:2020LC0179）
