Traditional Chinese Medicine-separated umbilical moxibustion combined with constipation massage for constipation of Qi deficiency in elderly patients with myocardial infarction

Objective To analyze the safety and effectiveness of umbilical moxibustion with Traditional Chinese Medicine plaster combined with massage for constipation in treating Qi-deficiency type constipation in elderly patients with myocardial infarction. Methods Ninety patients with Qi-deficiency constipation complicated by myocardial infarction were selected as the research subjects and divided into a control group and an observation group, with 45 patients in each group. The observation group received umbilical moxibustion with Traditional Chinese Medicine plaster combined with massage for constipation, while the control group received abdominal massage nursing for constipation. The improvement of constipation was evaluated by scoring the main and secondary symptoms, as well as using the Wexner Constipation Scoring Scale, etc. , and the occurrence of adverse events was observed. Results The total effective rate of the observation group (97. 78%) was significantly higher than that of the control group (82. 22%)( P＜0. 05). The scores of main symptoms, secondary symptoms and total symptom scores in the observation group were significantly lower than those in the control group (P＜0. 05). The Wexner constipation score of the observation group was significantly lower than that of the control group (P＜0. 05). No adverse reaction was reported in either group during intervention period. Conclusion Umbilical moxibustion with Traditional Chinese Medicine paster combined with massage for constipation can effectively relieve the symptoms of Qi-deficiency type constipation in elderly patients with myocardial infarction. (目的 探讨隔药脐灸联合便秘推拿在老年心肌梗死患者气虚型便秘治疗中的安全性和有效性。方法 选取2023年3月—2024年3月江苏省中西医结合医院心血管监护病房收治的90例气虚便秘合并心肌梗死患者作为研究对象, 随机分为对照组和观察组, 各45例。对照组在常规护理基础上采用推拿干预, 观察组在对照组基础上采用隔药脐灸干预。记录两组干预前后便秘中医证候积分、Wexner便秘评分, 观察两组临床疗效和不良反应发生情况。结果 干预后, 两组主症、次症、中医证候总积分均较干预前降低, 并且观察组低于对照组, 差异有统计学意义(P＜0. 05)。干预后, 两组Wexner评分均降低, 且观察组的Wexner评分明显低于对照组, 差异有统计学意义(P＜0. 05)。观察组总有效率97. 78%(44/45), 高于对照组的82. 22%(37/45), 差异有统计学意义(P＜0. 05)。干预期间, 两组患者均未发生不良反应。结论 隔药脐灸联合便秘推拿能够有效缓解老年心肌梗死患者气虚型便秘的症状, 且安全可靠, 可根据患者具体情况在临床上推广应用。)