A clinical study on the application of qi-meridian moxibustion combined with auricular acupressure for improving constipation symptoms in patients with abdominal aortic aneurysms
气交灸联合耳豆压穴对改善腹主动脉瘤患者便秘症状的临床应用研究

摘要

目的 探讨气交灸联合耳穴压豆对腹主动脉瘤（AAA）患者便秘的改善效果。方法 将2024年1月至2025年9月收治的92例AAA便秘患者随机分为对照组与观察组，各46例。对照组予常规护理，观察组在此基础上加用气交灸联合耳穴压豆干预，疗程2周。比较两组干预前后排便情况（频率、时间、便质）、临床总有效率、不良反应发生率，并采用便秘严重度量表（CSS）及便秘生活质量量表（PAC-QOL）进行评估。结果 干预后，观察组排便频率、时间及便质评分均显著低于对照组（均P<0.01）；观察组临床总有效率（95.65%）高于对照组（71.74%）（P<0.01），不良反应发生率（4.35%）低于对照组（19.57%）（P<0.05）；CSS与PAC-QOL评分亦显著优于对照组（均P<0.01）。结论 气交灸联合耳穴压豆能安全有效缓解AAA患者便秘症状，提升排便效率与生活质量，并可能通过减轻排便用力而降低动脉瘤破裂风险，值得临床推广。

Abstract

Objective To investigate the efficacy of combined qi-meridian moxibustion and ear-point acupressure in alleviating constipation in patients with abdominal aortic aneurysm (AAA).
Methods A total of 92 patients with AAA-related constipation admitted from January 2024 to September 2025 were randomly divided into a control group and an observation group, with 46 patients in each group. The control group received routine care, while the observation group received additional treatment with combined qi-meridian acupuncture and ear-point pressure therapy. The treatment course lasted 2 weeks. The changes in bowel movements (frequency, duration, stool consistency), clinical overall response rate, adverse reaction incidence, and the severity of constipation (CSS) and quality of life (PAC-QOL) were compared between the two groups.
Results After the intervention, the observation group showed significantly lower scores for bowel frequency, duration, and stool consistency compared to the control group (all P < 0.01). The clinical overall response rate in the observation group (95.65%) was higher than that in the control group (71.74%) (P < 0.01), and the adverse reaction incidence in the observation group (4.35%) was lower than that in the control group (19.57%) (P < 0.05). The CSS and PAC-QOL scores were also significantly better in the observation group than in the control group (both Ps < 0.01).
Conclusion   The combination of qi-meridian acupunture and ear-point pressure therapy is safe and effective in alleviating the symptoms of constipation in patients with AAA, improving bowel efficiency and quality of life, and potentially reducing the risk of aneurysm rupture by reducing the effort required for bowel movements. This treatment deserves wider clinical application.