会阴自我穴位按摩便秘？

StephenW

PerinealSelf-Acupressure for Constipation?

  

Allan S. Brett, MD Reviewing  Abbott   R et al., J Gen Intern Med 2015 Apr 30:434

A randomized trial demonstrated effectiveness of   this procedure.
                                                                                                                                  
Perineal Self-Acupressure for Constipation — Female and Male. Reprinted with permission from Abbott R  et al. Effect of perineal self-acupressure on constipation: A randomized controlled  trial. J Gen Intern Med 2015 Apr; 30:433 [Online Appendix 2]. Reprinted with kind permission from Springer Science and Business Media
   
   

Some people  have proposed that perineal massage can mitigate constipation, but this technique has not been validated in randomized trials. In this study, researchers randomized 100 patients who met Rome III criteria for functional constipation to receive either standard care alone or standard care plus instruction in perineal self-acupressure. In perineal self-acupressure, patients apply pressure with two fingers to the area between the anus and the scrotum or vagina (Figure) when they perceive an urge to defecate.   

   

At 1 month,   scores on a validated constipation quality-of-life questionnaire  improved more in the self-acupressure group than  in the control group (by 0.8 points vs. by 0.2 points on a 4-point  scale); this statistically significant difference also was considered to be clinically significant. Several secondary       outcomes, including hemorrhoid symptoms, also favored the self-acupressure   group.   

                              

Comment

            

A fairly simple, nonmedicinal intervention mitigated constipation in this randomized trial. However, whether most patients  would find this procedure to be acceptable is unclear.

会阴自我穴位按摩便秘？

艾伦·布雷特S.博士回顾雅培R等人，J根内科杂志2015年4月30日：434

一项随机试验证明了这一过程的有效性。

会阴自我穴位按摩便秘 - 女性及男性。
会阴自我穴位按摩便秘 - 女性及男性。对便秘“授权转载自会阴自我穴位按摩雅培R等人的影响：一个随机对照试验Ĵ根内科杂志2015年四月; 30：433 [在线附录2转载自施普林格科学与商业媒体许可。 “

有人提出，会阴按摩可以缓解便秘，但这种技术还没有随机试验得到证实。在这项研究中，研究人员随机谁见了罗马Ⅲ标准的功能性便秘100例接受要么独自照顾标准或标准治疗加指令会阴自我穴位按摩。在会阴自我穴位按摩，敷患者用两个手指肛门和阴囊或阴道（图）之间的区域压力时，他们感觉到了内急。

在1个月，对得分的生活质量的一个有效的便秘改善问卷更自我穴位按摩组比对照组（0.8分对0.2分，4分制）;此统计学显著差异也被认为是临床上显著。几个次要结局，包括痔疮的症状，也有利于自我穴位按摩组。

评论

一个相当简单的，非医学干预在这个随机试验缓解便秘。然而，大多数患者是否会发现这个程序是可以接受的还不清楚。