摘要
【目的】观察脐针治疗脑卒中后便秘的临床疗效。【方法】将68例脑卒中后便秘患者随机分为观察组和对照组,每组各34例,2组患者均给予中风病内科常规治疗及中风常规康复训练。对照组在常规处理的基础上,给予传统针刺疗法治疗。观察组在常规处理的基础上,给予脐针治疗。治疗6 d为1个疗程,每个疗程相隔1 d,共治疗2个疗程,治疗2周后,评价2组临床疗效,观察2组患者治疗前后便秘症状积分的变化情况,并比较2组患者治疗前后球囊逼出试验评分的变化情况。【结果】(1)治疗后,2组患者的便秘症状评分明显改善(P<0.05),且观察组在改善便秘症状评分方面明显优于对照组,差异有统计学意义(P<0.05)。2组患者便秘症状评分治疗前后差值比较,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的球囊逼出试验评分明显改善(P<0.05),且观察组在改善球囊逼出试验评分方面明显优于对照组,差异有统计学意义(P<0.05)。2组患者球囊逼出试验评分治疗前后差值比较,差异有统计学意义(P<0.05)。(3)观察组总有效率为91.18%(31/34),对照组为82.35%(28/34)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】脐针治疗脑卒中后便秘,能明显改善患者排便障碍的临床症状,可以有效地改善肛门直肠的运动功能,且疗效优于传统针刺,脐针用针少、操作简便,疗效显著。
Objective To observe the clinical efficacy of umbilical needling in treating post-stroke constipation.Methods A total of 68 patients with post-stroke constipation were randomly divided into the observation group and the control group,with 34 cases in each group.Patients in both groups were given conventional medical treatment and routine rehabilitation training of stroke,and additionally,the control group was treated with traditional acupuncture therapy while the observation group was treated with umbilical needling on the basis of routine treatment.The 6-day treatment was one course of treatment,with an interval of one day between each course of treatment,and the treatment lasted for 2 courses.After 2 weeks of treatment,the clinical efficacy of the two groups was evaluated.The changes of constipation symptom scores were observed before and after treatment,and the changes of balloon expulsion test scores were compared between the two groups before and after treatment.Results(1)After treatment,the constipation symptom score of patients in the two groups was significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the constipation symptom score,the difference being statistically significant(P<0.05).The difference values of constipation symptom score before and after treatment between the two groups were statistically significantly different(P<0.05).(2)After treatment,the balloon expulsion test score of the two groups was significantly improved(P<0.05),and the improvement of the balloon expulsion test score of the observation group was significantly superior to that of the control group,the difference being statistically significant(P<0.05).The difference values of balloon expulsion test score before and after treatment between the two groups were statistically significantly different(P<0.05).(3)The total effective rate was 91.18%(31/34)in the observation group and82.35%(28/34)in the control group.The efficacy of the observation group was superior to that
作者
卢霞
纪一平
赵婧秀
陈天龙
黄凡
LU Xia;JI Yi-Ping;ZHAO Jing-Xiu;CHEN Tian-Long;HUANG Fan(Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Dept.of Acupuncture,Moxibustion and Rehabilitation,Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2022年第11期2564-2569,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
脐针
脑卒中
便秘
球囊逼出试验
临床观察
umbilical needling
stroke
constipation
balloon expulsion test
clinical observation
