Abstract: Objective To conduct clinical observation on the treatment of constipation after lumbar vertebral fracture operation by low frequency impulse electrotherapy on acupuncture points combined with manipulation massage. Methods 160 cases of constipation after lumbar vertebral fracture surgery in department of orthopedics in Wuhan No.1 Hospital from January 2015 to January 2018 were selected，the patients were divided into A，B，C，D four groups，40 cases in each group. The A group as the control group underwent routine nursing education，the B，C，D group as the observation groups accepted low frequency impulse electrotherapy on acupucture points，manipulation massage and low frequency impulse electrotherapy on acupuncture points combined with manipulation massage，respectively. The apparent rate and total effective rate of constipation relief after lumbar vertebral fracture operation in the three observation groups were observed. Results Compared with the control group，the apparent rate and total effective rate of the three observation groups were higher than those in the control group. The apparent rate and total effective rate of low frequency impulse electrotherapy on acupuncture points combined with manipulation massage group were higher than those of low frequency impulse electrotherapy on acupuncture points group and manipulation massage group. The differences were statistically significant（P < 0. 05）. Conclusion On the basis of high fiber food intake and routine rehabilitation training，the low frequency impulse electrotherapy on acupuncture points and manipulation massage can significantly improve the symptoms of constipation after lumbar vertebral fracture surgery，and the effect of the combination is better.

Key words: low frequency impulse electrotherapy on acupuncture points, manipulation massage, fracture of lumbar vertebra, constipation