摘要
便秘是中风后常见的并发症之一,国外研究表明,中风后卧床患者中出现便秘症状的比例约为30%~60%。另有研究发现,中老年人在脑中风中所占的人数比例较大,高达15%~30%,危险性较高,而因便秘致残人数占脑血管疾病患者的10%左右。临床上,患者因各种原因发生中风后,身体各功能出现减退,引起胃肠道功能紊乱,导致排便困难、排便次数减少、粪质坚硬等临床症状的发生,严重影响中风患者的预后及转归情况,使患者生活质量严重降低,阻碍患者康复。临床常选用口服西药或开塞露栓剂治疗,虽可快速发挥药效,助患者排便,但长期服用或使用易产生一定的依赖性及耐受性,未能从根本治愈中风后便秘,且引发反射性便秘等不良反应。故临床上寻求一种安全有效、无不良反应且患者接受度高的治疗方案,对临床治疗中风后便秘显得尤为重要。中风后便秘属中医学中"中风""便秘""大便难"等范畴,其基本病机为大肠传导失司。针灸作为中医传统疗法,具有疏经通络、调畅气血的作用,且操作简便、无不良反应。本研究基于"肝与大肠相通"理论,从肝与大肠生理、病理、脏腑、经络等研究分析,探讨调节肝的疏泄功能对大肠传导功能的影响,从而进一步探究从肝论治针灸对于治疗中风后便秘的影响。
Constipation is one of the common complications after stroke.Foreign studies show that the proportion of constipation in patients in bed after stroke is about 30% ~ 60%.Another study has found that middle-aged and elderly people accounts for a larger proportion of the number of stroke,up to 15% ~ 30%,with higher risk,and the number of disabled due to constipation accounts for about 10% of patients with cerebrovascular disease.Clinically,after patients suffer from stroke for various reasons,their body functions decline,resulting in gastrointestinal dysfunction,which leads to theclinical symptoms such as difficulty in defecation,reduction of defecation frequencyand hardness of fecal material,seriously affecting the prognosis and prognosis of stroke patients,seriously reducing the quality of life of patients and hinderating their recovery.In clinical practice,patients are often treated with oral western medicine or suppository of corklub.Although it can give full play to the efficacy quickly and help patients defecate,long-term use or use of it will easily produce a certain degree of dependence and tolerance,which fails to cure the constipation after stroke and causes side effects such as reflex constipation.Therefore,it is particularly important to seek a safe,effective,non-toxic,with less side effect and highly acceptable treatment for post-stroke constipation.Post-stroke constipation belongs to " stroke", " constipation" and " difficulty in defecating" in traditional Chinese medicine.As a traditional therapy of traditional Chinese medicine,acupuncturehas the functions of dredging meridians,regulating Qi and blood circulation,and it is easy to operate and has no toxic side effects.Based on the theory of " the connection betweenliver andlarge intestine",this study analyzed the physiology,pathology,Zang-Fu organs,meridians and other aspects of the liver and the large intestine,and discussed the influence of regulating the function of liveron the conduction function of the large intestine,so as to further explore the
作者
郭宝全
王鹏琴
GUO Baoquan;WANG Pengqin(Liaoning University of Traditional Chinese Medieine,Shenyang 110847,Liaoning,China;The ffiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)
出处
《实用中医内科杂志》
2020年第10期21-24,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
国家中医药管理局中医学术流派传承工作室建设项目——辽宁彭氏眼针学术流派传承工作室(LPGZS2012-09)。
关键词
肝与大肠
针刺
中风
便秘
经络
脑-肠轴
发病机制
脏腑
liver and large intestine
acupuncture
stroke
constipation
meridian
brain-gut axis
pathogenesis
Zang-Fu organs
