摘要
目的探究针刺辅助西药治疗脑卒中后阳虚型便秘患者的疗效及对其生活质量的影响.方法选取2020年1月—2021年1月该院收治的72例脑卒中后阳虚型便秘患者作为研究对象,将入组患者随机分为对照组和研究组,各36例.对照组患者采用常规西药治疗,研究组患者在对照组治疗方案基础上联用针刺治疗.对比并分析两组患者的临床疗效及中医证候积分,准确记录两组患者接受治疗后首次排便时间、每次排便持续时间及两次排便间隔时间,采用便秘患者生活质量量表(PAC-QOL)对两组患者的便秘症状对日常生活质量的影响进行评价,统计两组患者不良反应发生情况.结果治疗后,研究组患者的临床总有效率91.67%显著高于对照组的72.22%,差异有统计学意义(P<0.05).治疗后,两组患者的中医证候积分均较治疗前明显降低,且与对照组患者相比,研究组患者的中医证候积分明显更低,组间差异有统计学意义(P<0.05).研究组患者首次排便时间、两次排便间隔时间及每次排便持续时间均短于对照组,组间差异有统计学意义(P<0.05).治疗后,与对照组相比,研究组患者PAC-QOL各项评分及总分均明显降低,组间差异有统计学意义(P<0.05).两组患者均未发生明显不良反应.结论针刺辅助西药治疗脑卒中后阳虚型便秘患者的疗效显著,能够有效改善患者的临床症状及体征,提高其生活质量,且临床安全性较高.
Objective To explore the efficacy of acupuncture assisted western medicine in the treatment of patients with constipation of yang deficiency type after stroke and its influence on the quality of life.Methods 72 patients with constipation of yang deficiency type after stroke treated in this hospital from January 2020 to January 2021 were selected as the research objects,and the enrolled patients were randomly divided into a control group and a study group,with 36 cases in each group.The patients in the control group were treated with conventional western medicine,and the patients in the study group were treated with acupuncture on the basis of the treatment plan of the control group.The clinical efficacy and TCM syndrome scores of the two groups of patients were compared and analyzed,and the time of the first defecation,the duration of each defecation and the interval between two defecations of the two groups of patients after receiving treatment were accurately recorded,and the patient-assessment of constipation quality of life(PAC-QOL)was used to evaluate the effect of constipation symptoms on the quality of daily life in the two groups of patients,the incidence of adverse reactions in the two groups of patients was counted.Results After treatment,the total clinical effective rate of the patients in the study group was 91.67%,which was significantly higher than 72.22%in the control group,and the difference was statistically significant(P<0.05).After treatment,the TCM syndrome scores of the two groups of patients were significantly lower than those before treatment,and compared with the control group,the TCM syndrome scores of the study group were significantly lower,and the differences between the groups were statistically significant(P<0.05).The first defecation time,the interval between two defecations and the duration of each defecation in the study group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,compared with the
作者
刘斌
王鹏琴
LIU Bin;WANG Pengqin(Department of Emergency,Shenyang Second Hospital of Traditional Chinese Medicine,Shenyang Liaoning,110101,China;Encephalopathy Rehabilitation Area 2,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang Liaoning,110032,China)
出处
《反射疗法与康复医学》
2022年第14期57-61,共5页
Reflexology And Rehabilitation Medicine
关键词
脑卒中后便秘
阳虚型
针刺
西药
临床疗效
生活质量
Constipation after stroke
Yang deficiency type
Acupuncture
Western medicine
Clinical efficacy
Quality of life
