摘要
目的观察穴位贴敷配合艾盐包热熨治疗急性脑卒中后便秘的临床疗效。方法将80例脑卒中后便秘患者按就诊先后顺序采用查随机数字表法随机分为治疗组和对照组,每组40例。对照组采用生大黄脐部穴位贴敷,治疗组在对照组基础上加用艾盐包热熨联合治疗。每日1次,连续治疗3 d。观察两组首次排便时间、排便性状和排便感觉,并比较两组临床疗效。结果治疗组总有效率为90.0%,对照组为72.5%,两组比较差异有统计学意义(P<0.05)。两组治疗后首次排便时间比较,差异有统计学意义(P<O.05)。治疗组治疗后软便发生率和干硬便发生率分别为85.0%和15.0%,对照组分别为40.0%和60.0%,两组比较差异有统计学意义(P<O.05)。治疗组治疗后排便畅快感发生率和排便困难发生率分别为80.0%和20.0%,对照组分别为35.0%和65.0%,两组比较差异均具有统计学意义(P<O.05)。结论穴位贴敷配合艾盐包热熨是一种治疗急性脑卒中后便秘的有效方法。
Objective To observe the clinical efficacy of acupoint sticking plus hot compress by moxa-salt bag in treating constipation after acute cerebral stroke. Method Eighty patients with constipation after cerebral stroke were randomly allocated to a treatment group and a control group by using random number table method according to registration order, 40 cases each. The control group was intervened by acupoint sticking at umbilicus with raw Da Huang （Rheum Oyficinale）, and the treatment group was additionally given hot compress using moxa-salt bag. The treatment was given once a day, for consecutive 3 days in total. The first defecation time, stool shape and defecation sensation were observed in the two groups. The clinical efficacies were compared between the two groups. Result The total effective rate was 90.0% in the treatment group versus 72.5% in the control group, and the difference was statistically significant （P〈0.05）. After the treatment, there was statistically significant difference in comparing the first defecation time between the two groups （P〈0.05）. After the treatment, the incidence rate of soft stool was 85.0% and that of hard stool was 15.0% in the treatment group versus 40.0% and 60.0% in the control group, and the differences were statistically significant （P〈0.05）. The incidence rate of pleasant defecation sensation was 80.0% and that of difficult defecation was 20.0% in the treatment group versus 35.0% and 65.0% in the control group after the treatment, and the differences were statistically significant （P〈0.05）. Conclusion Acupoint sticking plus hot compress by moxa-salt bag is an effective method in treating constipation after acute cerebral stroke.
作者
凌惠菊
颜雨虹
汪俐娜
LING Hui-ju YAN Yu-hong WANG Li-na.(Tongxiang Chinese Medicine Hospital,Tongxiang 314500,China)
出处
《上海针灸杂志》
2017年第9期1061-1064,共4页
Shanghai Journal of Acupuncture and Moxibustion
关键词
穴位贴敷法
穴
神阙
热敷
便秘
中风并发症
大黄
脐疗
Acupoint sticking therapy
Point, Shenque （CV 8）
Hot compress
Constipation
Post-stroke syndrome
Da Huang （Rheum Officinale）
Umbilicus application
