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Evidence-Based Supplement Research
Evidence-Based Supplement Research

Clinical Efficacy of Abdominal Massage Combined With Moxibustion for Treatment of Chronic Constipation in Elderly Patients.

  • 2025-11-15
  • Neurogastroenterology and motility 38(1)
    • Yanan Li
    • Xiaowei Li
    • Jingpeng Zang
    • Lili Hao
    • Yawei Gao
    • Ying Liao

Study Design

Type
Randomized Controlled Trial (RCT)
Sample size
n = 74
Population
74 elderly patients with constipation who visited Shijiazhuang People's Hospital between October 2022 and January 2024
Methods
randomly assigned into two groups: the abdominal massage + moxibustion (AM + M) group and the control group; control group received usual bowel care (UBC), AM + M group received abdominal massage and moxibustion in addition to UBC, with five sessions per week for 4 weeks
Blinding
Open-label
Duration
4 weeks
Funding
Unclear

Objective

To observe the clinical efficacy of abdominal massage combined with moxibustion in alleviating chronic constipation in elderly patients.

Methods

A total of 74 elderly patients with constipation who visited Shijiazhuang People's Hospital between October 2022 and January 2024 were selected and randomly assigned into two groups: the abdominal massage + moxibustion (AM + M) group and the control group. The control group received usual bowel care (UBC), whereas the AM + M group received abdominal massage and moxibustion in addition to UBC, with five sessions per week for 4 weeks. Clinical efficacy was compared between the two groups following treatment. Statistical analysis was performed using GraphPad Prism, with p < 0.05 considered statistically significant.

Results

The total effective rate in the AM + M group (71.05%) was significantly higher than that in the control group (36.11%) (p < 0.05). Following treatment, both groups showed improvements in constipation symptoms (stool frequency and consistency), Constipation Severity Instrument (CSI) score, Patient Assessment of Constipation-Quality of Life (PAC-QOL) score and levels of nitric oxide (NO) and vasoactive intestinal peptide (VIP), with greater improvements in the AM + M group (CSI: p < 0.001; PAC-QOL: p < 0.001; NO: p < 0.01; VIP: p < 0.01). Additionally, the level of substance P increased significantly in the AM + M group compared with the control group (p < 0.01).

Conclusion

Four weeks of abdominal massage combined with moxibustion significantly improved stool characteristics, reduced defecation interval and duration, regulated intestinal neurotransmitter levels and enhanced quality of life in elderly patients with chronic constipation.

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