• 성인간호학회지
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• 제20권4호
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• pp.664-673
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• 2008

Purpose: The purpose of this study was to identify the effect of meridian acupressure on constipation in bed-ridden aged inpatients. Methods: The research design was a non-synchronized non-equivalent control group pretest-posttest design. The subjects consisted of 28 bed-ridden aged inpatients. Meridian acupressure was administered to the experimental group at 30 minutes before breakfast every morning for two weeks. Each meridian was pressured for 10 seconds, 10 times. The frequency of defecation and stool form were examined every day. The data was analyzed by the $x^2$-test, Fisher's exact test, t-test and repeated measures ANOVA. Results: The experimental group given Meridian Acupressure had a higher frequency of defecation(F = 59.372, p = .000) and normal stool(F = 46.046, p = .000) than the control group. Conclusion: The results suggest that Meridian Acupressure was an effective method for the relief of constipation for bed-ridden aged inpatients. A follow -up research is needed to validate that other patients with constipation can use the Meridian Acupressure as a non-invasive nursing intervention instead of a laxative or enema.

• 대한간호학회지
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• 제43권2호
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• pp.247-255
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• 2013

Purpose: This study was done to evaluate the effects of 3 times/week and 5 times/week abdominal meridian massage with aroma oils (AMMAO) on the relief of constipation among hospitalized children with disabilities involving the brain lesions (cerebral palsy, epilepsy, and others). Methods: The participants were 33 hospitalized children with a disability involving the brain (15 were in the 5 times/week of AMMAO group and 18 were in the 3 times/week of AMMAO group). Data were collected from March 21 to May 1, 2011. Chi-square test, t-test, and repeated measures ANOVA with SPSS 18.0 were used to evaluate the effects of AMMAO. Results: While there was no significant difference between the two groups, there was a significant difference within groups between baseline and the end of the intervention period for the following, frequency of suppository use or enemas, amount of stool, and number of bowel movements. Conclusion: The results of this study indicate that AMMAO is an effective nursing intervention in relief of constipation for hospitalized children with a disability involving the brain. Therefore it is recommended that AMMAO be used in clinical practice as an effective nursing intervention for relief of constipation to these children.

• The Korean Journal of Pain
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• 제7권2호
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• pp.254-257
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• 1994

본 통증치료실에서는 제 1흉추이하의 척추손상을 받은 33세 여자 환자 및 제 10흉추이하의 척수손상을 받은 43세 여자 환자의 심한 변비증상을 치료하고자 현재까지 성상신경절 차단을 주 4회 이상 각각 47회 및 29회를 시행한 바 9회 및 10회째부터는 변비약재의 투여없이 3일 내지 5일에 한번정도의 자발적인 배변을 보고 있으며, 복부의 불편함, 발열감, 긴장감 및 어깨의 통증 등이 소실되는 우수한 효과를 보았다. 이러한 결과는 관리가 어려운 척수손상 환자의 변비증상에 있어서 성상신경절 차단을 반복적으로 시행하는 것은 변비증상 및 이와 관련된 증상들을 치료하는데 우수한 효과를 얻을 수 있으리라고 기대되기에 보고하는 바이다.

• 한국생활과학회지
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• 제12권2호
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• pp.265-273
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• 2003

The aim of this study was to investigate the effect d concentrated fermented milk on the improvement of defecation in female students with constipation. This yogurt was fermented with Bifidobacterium, L. acidophilus, and S. thermophilus and supplemented with oligosaccharides, dietary fiber, and yeast and mushroom extracts. 44 female students with constipation were sampled as subjects and fed 150ml fermented milk per day for 2 weeks period. After each defecation, the subjects were examined for the status of stool evacuation by questionnaires. The frequency of stool evacuation, fecal amount, time spending for evacuation, fecal color and shape, and refreshing feeling after evacuation were remarkably improved after ingestion of fermented milk for 2 weeks. These effects were greater in the heavy constipation group than in the mild group. The fecal odor did rot decrease significantly after 2 weeks of intake of fermented milk, but the odor thended to decrease after the intake of fermented milk These results indicated that the ingestion of concentrated fermented milk is effective to improve the constipation.

• 대한의생명과학회지
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• 제25권4호
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• pp.339-347
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• 2019

Saururus chinensis (SC) belongs to the dicotyledonous plants, and its roots, leaves and flowers are white, so it is named three hundred and seconds. It is mainly distributed in Korea, China and Japan. In Korea, it is a native plant distributed in Jejudo and Jirisan areas. It has been known to improve blood circulation, anticarcinogenic effects and purge. However, studies of the efficacy on digestive system is few. This study was conducted to evaluate the effects of oral administered-SC extract in loperimide-induced constipation rats. The amount, weight and water content of the stools were measured. The number and type of stools in the large intestines were measured, and the amount of intestinal mucus was analyzed by serological analysis and histologic special staining. The severity of constipation in SC groups was significantly less than that in control group (non-SC rats). Digital Image processing also showed weaker inflammation on the large intestines of SC groups than that of control group (non-SC group). Especially, with increased dose dependent manner of SC extract, the amount and integrity of intestinal mucus increased. These results suggest that SC extract may prevent the symptoms of constipation.

• 대한중풍순환신경학회지
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• 제18권1호
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• pp.31-35
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• 2017

Case series of 3 post stroke bed-ridden patients with constipation is presented. They were treated with dietary herbal medicine - 六君子湯(Yukgunja-tang, Liujunzi-tang, Rikkunshi-to) After Yukgunja-tang treatment, there was notable improvement in constipation. Yukgunja-tang treatment may be effective in treating post stroke bed-ridden patients with constipation.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제26권2호
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• pp.127-133
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• 2023

Purpose: Dyssynergic defecation (DSD) is one of the important causes of chronic constipation in children. We aimed to analyze the clinical features, diagnostic test results, and treatments for DSD in children. Methods: Children diagnosed with DSD using fluoroscopic defecography were enrolled in this study. Clinical data, including the results of colon transit time (CTT) test and biofeedback (BF) therapy, were collected from medical records retrospectively. Results: Nineteen children were enrolled. The median age was 9 years (6-18 years), the median frequency of bowel movement was 1/7 days (1-10 days), the median duration of constipation was 7.0 years (2-18 years), the median age of onset of constipation was 2.5 years (1-11 years). In the CTT test, outlet obstruction type was noted in 10/18 (55.6%), slow transit type in 5/18 (27.8%), and normal transit in 1/18 (5.6%). The median CTT was 52 hours (40-142 hours). Initial medical therapy was performed with the polyethylene glycol 4000, and the response was good in 9/19 (47.4%), fair in 9/19 (47.4%), and poor in 1/19 (5.0%). BF was performed in 8/19, with good results in 6/8 (75.0%) children and failure in 2/8 (25.0%) children. After long-term medical therapy (11/19), 3/5 showed good response with medication alone, 6/8 showed good response with BF and medication combined. Conclusion: DSD should be considered as a cause of chronic constipation in children, especially in those with abnormal CTT test results. BF combined with medical therapy is effective even with age-limited cooperation.

• 사상체질의학회지
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• 제35권4호
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• pp.72-85
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• 2023

Objectives This study was aimed to report a significant improvement of a CKD patient's constipation, diagnosed as 'Soyang type yin depletion pattern' based on Sasang constitutional medicine. Methods The patient had treatment with Sasang constitutional medicine. The treatment was executed three times everyday from January 6th to February 21st of 2023. Clinical improvement was evaluated with Bristol Stool Form Scale, the number of defecation per week, average stool weight per day, the degree of abdominal discomfort and abdomen x-ray. Results The symptoms of constipation, abdominal discomfort, appetite and delirium were improved. Conclusion After the treatment with Sasang constitutional medicine, constipation, abdominal discomfort, appetite, delirium and the general condition of the patient also had improved.

• 한국축산식품학회지
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• 제44권1호
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• pp.119-131
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• 2024

BIOVITA 3 bacterial species (BIOVITA 3), a probiotic blend powder containing Clostridium butyricum IDCC 1301, Weizmannia coagulans IDCC 1201, and Bacillus subtilis IDCC 1101, has been used as a food ingredient for gut health. However, its efficacy in improving constipation has not been reported. Therefore, we aimed to investigate the functional effects of oral administration of BIOVITA 3 as well as its component strains alone (at 1.0×10⁹ CFU/day) in Sprague-Dawley (SD) rats with loperamide-induced constipation. The study included fecal analysis, gastrointestinal transit ratio, histopathological analysis, short chain fatty acids (SCFAs), and metagenome analysis. As results, the BIOVITA 3 group showed significant improvements in fecal number, water content, gastrointestinal transit ratio, and thickening of the mucosal layer. In the SCFAs analysis, all probiotic-treated groups showed an increase in total SCFAs compared to the loperamide-constipated group. Changes in microbial abundance and the diversity index of three groups (normal, constipated, and BIOVITA 3) were also defined. Of these, the BIOVITA 3 showed a significant improvement in loperamide-constipated SD-rats. This study suggests the possibility that BIOVITA 3 can be applied as an ingredient in functional foods to relieve constipation.

• Journal of Nutrition and Health
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• 제42권8호
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• pp.702-713
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• 2009

대학생들의 변비유병률과 배변습관을 알아보고 영양소섭취 상태를 알아보고자 인천지역 대학교에서 건강관련 교양강의를 듣는 수강생들을 대상으로 (남자 166명, 여자 187명) 설문조사와 신체계측 및 3일간 식이섭취 조사를 실시한 결과는 다음과 같다. 조사 대상자의 평균 연령은 남학생 23.5세, 여학생 20.9세이었으며, 자택에서 거주하는 비율이 가장 많았으며 자취, 기숙사, 하숙이나 친척집에 거주하는 순이었다. 남학생의 63.9%, 여학생의 63.1%는 21~40만원의 용돈을 받고 있었고 지난 2개월 동안 남학생의 45.2%, 여학생의 47.1%는 체중을 유지하고 있었다. 로마기준 II를 이용하여 조사한 기능성 변비유병률은 남녀 각각 12.7%, 28.9%, 자의적 변비 유병률은 남녀 각각 12.0%, 36.9%로 여학생이 남학생에 비해 유의적으로 높았으며 일반사항에 따른 기능성 변비와 자의적 변비의 차이는 보이지 않았다. 자의적 변비 중 남학생의 35.0%, 여학생의 44.9%만이 기능성 변비의 진단기준에 부합하였고, 본인은 변비가 아니라고 응답했지만 기능성 변비의 진단기준에 부합한 경우는 11.4%이었다. 본인이 변비라고 인식하는 경우 남학생의 94.7%, 여학생의 91.0%는 의료기관을 방문한 경험이 없었고 남학생은 모두 변비약이나 건강기능식품을 이용하고 있지 않았으며 여학생은 변비 완화를 위해 10.3%가 변비약, 11.8%가 건강기능식품을 복용하고 있었다. 배변습관 조사 결과 남학생의 75.3%, 여학생의 40.1%는 주 5회 이상 배변을 하고 있었고, 변의 양은 2 cup 이상이라고 응답한 경우가 남학생은 93.4%, 여학생은 75.9%로 남학생이 많은 경향을 보였다. 남녀 모두 대상자의 70%정도가 배변 후 상쾌하다고 하였으며 남학생의 49.4%, 여학생의 24.6%만이 규칙적으로 배변을 하였다. 신체계측치와 영양소 섭취량 분석 결과 기능성 변비와 자의적 변비 유무에 따른 차이는 보이지 않았으나 단백질의 경우 성별이나 변비 유무와 상관없이 RI에서 UL 사이로 섭취하는 비율이 가장 높았고, 남학생은 여학생에 비해 EAR 보다 낮게 섭취하는 비율이 유의적으로 높았다. 비타민 C, Vit $B_2$, 엽산, 칼슘, 아연의 섭취는 EAR 이하로 섭취하는 비율이 모두 50%를 넘어 영양소의 섭취량이 매우 낮음을 알 수 있었고 특히 엽산은 남녀 모두 95% 이상이 EAR 이하로 섭취하고 있어 섭취 부족이 심각하였다. 변비와 관련이 있는 것으로 알려진 식이섬유 섭취량은 1,000 kcal당 섭취량으로 환산에 남학생은 8.5 g, 여학생은 8.9 g으로 한국인 영양섭취기준의 식이섬유 충분섭취량에 훨씬 못 미치는 수준이었다. 여학생의 경우 기능성 변비의 유병률은 28.9%, 자의적 변비의 유병률은 36.9%로 조사되었는데, 본인은 변비가 아니라고 응답했지만 기능성 변비의 진단기준에 부합한 경우도 13.6%이며 본인이 변비라고 응답한 경우의 대다수는 의료기관 방문이나 약물, 기능성 식품 섭취 같은 노력도 하지 않고 있어 만성적 변비로 인한 질병의 위험이 우려된다. 또한 식이섬유 섭취를 비롯한 각종 영양소들도 균형 있는 섭취를 하고 있지 않아 이후 다가올 임신기와 수유기의 영양문제로 이어질 것이므로 올바른 영양섭취를 비롯한 적절한 영양교육이 활성화 되어야겠다.