| 季红莉,谢瑞华,张翼,路琴,黄慧,陈明,张汾燕.生活方式指导对老年功能性便秘患者的疗效评价[J].中国临床保健杂志,2022,25(3):337-340. |
| 生活方式指导对老年功能性便秘患者的疗效评价 |
| Evaluation of the effect of lifestyle guidance on functional constipation in the elderly |
| 投稿时间：2022-03-10 |
| DOI：10.3969/J.issn.1672-6790.2022.03.010 |
| 中文关键词: 便秘 生活方式 运动疗法 生活质量 老年人 DOI:10.3969/J.issn.1672-6790.2022.03.010 Evaluation of the effect of lifestyle guidance on functional constipation in the elderly Ji Hongli,Xie Ruihua,Zhang Yi,Lu Qin,Huang Hui,Chen Ming,Zhang Fenyan |
| 英文关键词: Constipation Life style Exercise therapy Quality of life Aged 〖FL |
| 基金项目:北京市医院管理中心消化内科学科协同发展中心专项经费资助项目(XXT29) |
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| 中文摘要: |
| 目的 评价生活方式指导对老年功能性便秘患者的治疗效果。方法 纳入2019年1月至2020年12月在北京老年医院门诊就诊的年龄≥60岁的老年功能性便秘患者70例,按随机数字表法分为研究组(乳果糖+生活方式指导)和对照组(乳果糖)治疗。通过问卷调查了解患者一般资料以及饮食运动情况,并采用慢性便秘严重程度评分量表(CCS)和Bristol粪便性状量表进行评分；2组患者随访观察12周,再次进行便秘评估量表和Bristol粪便性状量表评分。结果 70例患者中5例失访,对纳入的65例功能性便秘患者进行分析,治疗前研究组(32例)和对照组(33例)CCS评分、Bristol评分、排便次数评分分别(15.96±1.46)、(3.37±0.61)、(2.71±0.68)分和(15.93±1.47)、(3.06±0.86)、(2.84±0.61)分,2组间差异无统计学意义；治疗后,研究组和对照组便秘评分(CCS)、Bristol评分、排便次数评分分别(11.34±1.94)、(1.34±0.65)、(1.09±0.53)分和(14.60±1.41)、(1.49±0.62)、(1.27±0.52)分,便秘评分研究组较对照组明显减少,差异有统计学意义(t=-7.756,P<0.001);研究组便秘治疗有效率78.1%,高于对照组有效率51.5%,差异有统计学意义(χ2=5.031,P=0.023)。结论 生活方式指导可提高老年人功能性便秘患者的疗效。 |
| 英文摘要: |
| Objective To evaluate the therapeutic effect of lifestyle guidance on functional constipation in the elderly.Methods Seventy patients aged 60 years or older who with functional constipation in outpatient clicnic of Beijing Geriatric Hospital from January 2019 to December 2020 were divided into study group[lifestyle with drugs (lactulose)]and control group with drugs (lactulose) by random number method.A questionnaire survey was conducted to find out the general data of patients and their diet and exercise,and the constipation assessment scale and Bristol fecal traits scale were used to score the patients.Both groups were followed up for 12 weeks.Constipation assessment scale and Bristol fecal traits scale were evaluated again.Results Five of the 70 patients lost their visit.65 patients with functional constipation were analyzed.Before treatment,constipation score,CCS,Bristol score and defecation frequency score in study group and control group,respectively were 15.96±1.46,3.37±0.61,2.71±0.68 and 15.93±1.47,3.06±0.86,2.84±0.61,P>0.05.After treatment,CCS,Bristol score and defecation frequency score of the study group and the control group respectively were 11.34±1.94,1.34±0.65,1.09±0.53 and 14.60±1.41,1.49±0.62,1.27±0.52,the study group with constipation score decreased significantly compared with the control group (t=-7.756,P<0.001).The effective rate of constipation treatment in the study group and control study was 78.1% and 51.5%(χ2=5.031,P=0.023).Conclusions Lifestyle guidance can effectively improve the symptoms of elderly patients with functional constipation. |
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