张媛媛

[摘要] 目的 探讨添加膳食纤维制剂对老年便秘患者便秘的改善情况。 方法 选择我院2014年1月～2016年3月收治的142例老年便秘患者，随机分为对照组与观察组，各71例。对照组患者采用安慰剂治疗，观察组患者采用膳食纤维制剂治疗，比较两组患者的临床症状、治疗效果及生活质量。 结果 治疗前两组患者的症状积分比较差异无统计学意义（P>0.05），治疗后观察组的症状积分明显优于治疗前及对照组治疗后（P<0.05）。观察组治疗有效率为94.37%，明显高于对照组的73.24%（P<0.05）。治疗前两组患者生活质量评分比较差异无统计学意义（P>0.05），治疗后观察组生活质量评分明显高于对照组（P<0.05）。 结论 添加膳食纤维制剂能够有效改善便秘患者的临床症状，提高治疗效果及患者的生活质量，值得临床推广。

[关键词] 膳食纤维；便秘；症状积分；生活质量

[中图分类号] R248 [文献标识码] B [文章编号] 1673-9701（2016）23-0059-03

[Abstract] Objective To analyze and explore the effects of dietary fiber preparations on the improvement of constipation for patients. Methods 142 patients with elderly constipation who were admitted to our hospital from January 2014 to March 2016 were randomly assigned to the control group and the observation group. 71 patients in the control group were given placebo， and 71 patients in the observation group were further given dietary fiber. Clinical symptoms， curative effects and life quality were compared between the two groups. Results The symptom scores before the treatment in both groups were not significantly different（P>0.05）. The symptom scores in the observation group after the treatment were significantly better than those before the treatment and than those after the treatment in the control group（P<0.05）. The treatment effective rate in the observation group was 94.37%， significantly higher than that of 73.24% in the control group（P<0.05）. There was no significant difference of life quality scores before the treatment in both groups（P>0.05）， and the life quality score in the observation group after the treatment was significantly higher than that in the control group after the treatment （P<0.05）. Conclusion Adding dietary fiber preparations is able to effectively improve patients constipation， enhance curative effects， and promote patients health and life quality， which is worthy of clinical promotion and application.

[Key words] Dietary fiber； Constipation； Symptom score； Life quality

便秘为临床常见性胃肠道疾病，一般无代谢障碍、结构异常或器质性病变，但会给患者的身心健康及生活质量造成严重影响[1]。老年人是便秘高发人群，其发病率高达10%～20%[2]。引发便秘的因素较多，主要为水分不足、进食过多、体力劳动缺乏、饮食中膳食纤维不足等。如果便秘患者长期依赖用药排便，会引起一系列的不良反应。临床研究指出，膳食纤维是天然、无害的食物成分，经多项试验证明其具有通便的作用[3]。为了进一步探讨膳食纤维制剂对老年便秘患者的影响，我院对2014年1月～2016年3月收治的142例老年便秘患者进行随机对照研究，现报道如下。

1 资料与方法

1.1一般资料

选择我院2014年1月～2016年3月收治的142例老年便秘患者为研究对象。纳入标准：①年龄为60岁及以上；②1周排便不足3次；③粪便硬度增加且排便次数减少；④习惯性便秘；⑤知情同意。排除标准：①器质性便秘；②……