探讨腹部按摩联合辨证施膳治疗肺癌患者化疗后便秘的效果。

将240例肺癌化疗后便秘的患者随机分为腹部按摩、辨证施膳、联合干预及对照组，每组60例。在常规护理的基础上，腹部按摩组给予腹部按摩，辨证施膳给予辨证施膳、联合干预组给予腹部按摩联合辨证施膳，对照组予口服酚酞片0.2 g/d，观察四组总有效率及联合干预组、对照组治疗第3天、1周后便秘相关症状的评分情况。

总有效率腹部按摩组31.7%，辨证施膳组65%，联合干预组88.3%，对照组68.3%，联合干预组优于其他三组；联合干预组治疗第3天及1周后便秘总积分较同期对照组降低(P<0.05)；且联合干预组治疗1周后在排便困难、排便时间和下坠、不尽、胀感评分方面与同期对照组比较差异有统计学意义(P<0.05)。

腹部按摩联合辨证施膳治疗肺癌患者化疗后便秘效果明显，值得临床进一步推广应用。

To observe the effect of abdominal massage combined with dialectic meal on treating constipation in patients of lung carcinoma after chemotherapy.

All 240 patients of lung carcinoma suffering from constipation caused by chemotherapy were divided into four groups, 60 in each. Besides the routine nursing care, the group of abdominal massage received abdominal massage, the group of dialectic meal received dialectic meal, the combined group received abdominal massage and dialectic meal and the control group was treated with phenolphthalein tablets(0.2 g qd). The overall therapeutic effect in the four groups and the scores of constipation in the combined group and the control group were estimated at three different times(before treatment, the 3th day and 7th day of treatment).

①The overall therapeutic effect was 31.7% in the group of abdominal massage, 65% in the group of dialectic meal, 88.3% in the combined group and 68.3% in the control group. The combined group has a significant therapeutic effect. ②In the 3th day and 7th day of treatment, the total score of constipation-related syndrome in the, combined group was significant declined than the same period of control group(P<0.05 or 0.01). ③On the 7th day of treatment, the scores of constipation in the combined group in terms of difficult defecation, defecation time, tenesmus, endless, bilge feeling was better than the same period of control group(P<0.05 or P<0.01).

Abdominal massage combined with dialectic meal has a good effect on treating constipation caused by chemotherapy of patients diagnosed with lung carcinoma. It should be used widely in the clinic.