The efficacy of rhubarb poultices applied to the navel for abdominal distension and constipation following thoracolumbar fractures
Year: 2026
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: Background: Constipation is a prevalent complication following thoracolumbar fractures, affecting over 90% of patients and significantly hindering recovery. Current pharmacological treatments have limitations, highlighting the need for effective, non-invasive adjunctive nursing interventions. This study evaluates the efficacy and safety of rhubarb powder applied to the umbilicus (Shenque acupoint) for managing this condition. Methods: In this randomized controlled trial, 59 patients with post-fracture constipation were assigned to either a control group (routine nursing care plus oral lactulose) or an experimental group (routine care plus rhubarb umbilical application, changed twice daily until the first bowel movement). Outcomes included time to first defecation, duration of each defecation, and defecation difficulty score. Results: The experimental group (n = 29) showed significantly shorter time to first defecation (31.42 ± 6.58 vs. 47.85 ± 9.14 h, p < 0.001), shorter defecation duration (8.45 ± 2.12 vs. 13.67 ± 3.54 min, p < 0.001), and lower difficulty scores (1.14 ± 0.42 vs. 2.28 ± 0.65, p < 0.001) compared with the control group (n = 30). No adverse skin reactions were observed. Conclusions: Rhubarb umbilical application is a safe, effective, and low-cost nursing intervention that significantly alleviates constipation in patients with thoracolumbar fractures. It merits broader implementation in orthopedic settings and further investigation into its mechanisms and long-term effects.
Authors: Qingyu Wu, Yue Shi, Xianyang Chen, Shiqiong Zhang
Institution: Chongqing Medical University
Language: English
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7170161080