目的：观察生大黄敷脐加穴位按摩治疗血液透析患者功能性便秘的临床疗效。方法将入选患者40例随机分为观察组及对照组，每组20例。观察组给予中药敷脐，对照组口服大黄苏打片。结果观察组痊愈16例，痊愈率为80.0%；对照组痊愈15例，痊愈率为75.0%，两组痊愈率比较差异无统计学意义(P＞0.05)。结论生大黄敷脐加穴位按摩治疗血液透析患者便秘，与对照组服用缓泻剂治疗便秘的疗效相当，生大黄敷脐加穴位按摩治疗避免了血液透析患者经口服给药摄入过多水分、口苦等情况，也避免了服用中药有可能引起尿毒症患者高钾血症的危险。%Objective To observe the clinical efficacy of application with raw Da Huang (Radix et Rhizoma Rhei) to umbilicus plus acupoint massage in treating functional constipation in patients who were receiving hemodialysis. Method Forty patients were recruited and randomized into an observation group and a control group, 20 in each group. The observation group was intervened by application to umbilicus with Chinese medication, while the control group was by oral administration of Rhubarb and Sodium Bicarbonate tablets. Result In the observation group, 16 were cured and the recovery rate was 80.0%;in the control group, 15 were cured and the recovery rate was 75.0%. There was no significant difference in comparing the recovery rate between the two groups (P>0.05). Conclusion Application with raw Da Huang (Radix et Rhizoma Rhei) plus acupoint massage can produce equal effect in treating constipation compared with laxatives, while application plus acupoint massage avoids the intake of too much water and the bitter taste brought by oral administration of drugs, and also avoids the risk of hyperkalemia induced by intake of Chinese medication.
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