合募配穴法针刺治疗中风后便秘的疗效观察
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摘要
目的观察合募配穴法针刺治疗中风后便秘患者的疗效及其对肠敏感度的影响。方法将98例中风后便秘患者随机分为治疗组和对照组,每组49例。治疗组给予合募配穴法针刺治疗,对照组给予口服西沙比利治疗。治疗4周后,观察两组治疗前后肠道敏感度症状评分及其不良反应的发生情况,并比较两组临床疗效。结果治疗组总有效率为91.8%,对照组为75.5%,两组比较差异具有统计学意义(P<0.05)。两组治疗后肠道敏感性各项评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后肠道敏感性各项评分与对照组比较,差异具有统计学意义(P<0.05)。治疗组治疗后不良反应发生率为2.0%,对照组为10.2%,两组比较差异无统计学意义(P>0.05)。结论合募配穴法针刺是一种治疗中风后便秘的有效方法。
Objective To investigate the efficacy of He-Sea-Front-Mu point combination acupuncture for poststroke constipation and its effect on intestinal sensitivity. Method Ninety-eight patients with post-stroke constipation were randomized to treatment and control groups, 49 cases each. The treatment group received He-Sea-Front-Mu point combination acupuncture and the control group, oral administration of Cisapride. In the two groups, intestinal sensitivity-related symptoms were scored before and after four weeks of treatment and adverse reactions were observed after four weeks of treatment. The clinical therapeutic effects were compared between the two groups. Result The total efficacy rate was 91.8% in the treatment group and 75.5% in the control group with a statistically significant difference between the two groups(P<0.05). There were statistically significant pre-/post-treatment differences in intestinal sensitivity item scores in the two groups(P<0.05). There were statistically significant post-treatment differences in intestinal sensitivity item scores between the treatment and control groups(P<0.05). Post-treatment adverse reaction rate was 2% in the treatment group and 10.2% in the control group with no statistically significant difference between the two groups(P>0.05). Conclusion He-Sea-Front-Mu point combination acupuncture is an effective way to treat post-stroke constipation.
Objective To investigate the efficacy of He-Sea-Front-Mu point combination acupuncture for poststroke constipation and its effect on intestinal sensitivity. Method Ninety-eight patients with post-stroke constipation were randomized to treatment and control groups, 49 cases each. The treatment group received He-Sea-Front-Mu point combination acupuncture and the control group, oral administration of Cisapride. In the two groups, intestinal sensitivity-related symptoms were scored before and after four weeks of treatment and adverse reactions were observed after four weeks of treatment. The clinical therapeutic effects were compared between the two groups. Result The total efficacy rate was 91.8% in the treatment group and 75.5% in the control group with a statistically significant difference between the two groups(P<0.05). There were statistically significant pre-/post-treatment differences in intestinal sensitivity item scores in the two groups(P<0.05). There were statistically significant post-treatment differences in intestinal sensitivity item scores between the treatment and control groups(P<0.05). Post-treatment adverse reaction rate was 2% in the treatment group and 10.2% in the control group with no statistically significant difference between the two groups(P>0.05). Conclusion He-Sea-Front-Mu point combination acupuncture is an effective way to treat post-stroke constipation.
引文
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[14]Zhai J,Mu W,Si J,et al.Acupuncture for constipation in patients with stroke:protocol of a systematic review and meta-analysis[J].BMJ Open,2018,8(3):e020400.
[15]马哲河,林广华.速刺次髎配合常规针刺治疗中风后便秘的临床研究[J].针灸临床杂志,2013,29(9):7-9,10.
[16]凌惠菊,颜雨虹,汪俐娜.穴位贴敷配合艾盐包热熨治疗急性脑卒中后便秘疗效观察[J].上海针灸杂志,2017,36(9):1061-1064.
[17]黄毅玲,梁红兰,陈广焕.耳穴压豆联合腹部穴位按摩治疗中风后便秘的效果观察[J].护理实践与研究,2016,(3):147-148.
[18]高鹤,李会娟,郭家奎,等.针刺结合三仁汤治疗中风后湿热中阻型便秘临床疗效观察[J].内蒙古中医药,2018,37(12):64-66.
[19]冷孟桐,王剑,刘韬,等.针刺胃肠俞募穴对卒中后便秘的随机对照研究[J].上海针灸杂志,2019,38(2):178-182.
[20]王晓萍,周明旺,康开彪,等.小承气汤配合中药穴位贴敷治疗中风后便秘的临床观察[J].西部中医药,2012,25(5):10-12.
[21]范敏,陈楚玲,陈新兰,等.中药穴位贴敷对中风后便秘的预防效果研究[J].广州中医药大学学报,2016,33(5):661-665.
[22]刘海飞,宋丰军,叶必宏.合募配穴法针灸治疗中风后便秘疗效观察[J].上海针灸杂志,2016,35(2):160-161.
[23]任珍,吴清明,李丹丹,等.调气通腑针刺法治疗中风后便秘的临床研究[J].中医药学报,2013,41(5):103-105.
[24]耿丹,胡幼平,李晓亮,等.合募配穴治疗功能性消化不良临床观察[J].上海针灸杂志,2015,34(8):731-733.
[2]Costilla VC,Foxx-Orenstein AE.Constipation:understanding mechanisms and management[J].Clin Geriatr Med,2014,30(1):107-115.
[3]Vazquez Roque M,Bouras EP.Epidemiology and management of chronic constipation in elderly patients[J].Clin Interv Aging,2015,10:919-930.
[4]吴玉敏,吴雪梅,丁文涛,等.电针深刺配合离子导入天枢穴治疗中风后便秘临床观察[J].中国临床医生,2013,41(11):63-65,67.
[5]戴伟,章正祥,宣江雷,等.溶栓时间窗外脑卒中急性期证候要素分布与中风证型诊断标准的相关性研究[J].浙江中医杂志,2015,50(7):480-482.
[6]方秀才.罗马Ⅳ诊断标准在慢性便秘诊断中的应用[J].中华胃肠外科杂志,2016,19(12):1321-1323.
[7]魏玮,杨俭勤,史海霞.便秘型和混合型肠易激综合征中医药疗效评价策略[J].中医杂志,2016,57(2):122-125.
[8]Wen J,Zhuang Z,Zhao M,et al.Treatment of poststroke constipation with moxibustion:A case report[J].Medicine(Baltimore),2018,97(24):e11134.
[9]Marciniak C,Munin MC,Brashear A,et al.IncobotulinumtoxinA Efficacy and Safety in Adults with UpperLimb Spasticity Following Stroke:Results from the Open-Label Extension Period of a Phase 3 Study[J].Adv Ther,2019,36(1):187-199.
[10]Murray J,Scholten I,Doeltgen S.Factors Contributing to Hydration,Fluid Intake and Health Status of Inpatients With and Without Dysphagia Post Stroke[J].Dysphagia,2018,33(5):670-683.
[11]黄永军,刘国成.益胃散穴位贴敷预防中风后便秘疗效观察[J].上海针灸杂志,2013,32(10):817-818.
[12]Liu Z,Ge Y,Xu F,et al.Preventive effects of transcutaneous electrical acustimulation on ischemic stroke-induced constipation mediated via the autonomic pathway[J].Am J Physiol Gastrointest Liver Physiol2018,315(2):G293-G301.
[13]Zhang T,Wang G,Li B,et al.Effect of acupuncture for constipation after ischemic stroke:study protocol for a randomized controlled trial[J].Trials,2018,19(1):454.
[14]Zhai J,Mu W,Si J,et al.Acupuncture for constipation in patients with stroke:protocol of a systematic review and meta-analysis[J].BMJ Open,2018,8(3):e020400.
[15]马哲河,林广华.速刺次髎配合常规针刺治疗中风后便秘的临床研究[J].针灸临床杂志,2013,29(9):7-9,10.
[16]凌惠菊,颜雨虹,汪俐娜.穴位贴敷配合艾盐包热熨治疗急性脑卒中后便秘疗效观察[J].上海针灸杂志,2017,36(9):1061-1064.
[17]黄毅玲,梁红兰,陈广焕.耳穴压豆联合腹部穴位按摩治疗中风后便秘的效果观察[J].护理实践与研究,2016,(3):147-148.
[18]高鹤,李会娟,郭家奎,等.针刺结合三仁汤治疗中风后湿热中阻型便秘临床疗效观察[J].内蒙古中医药,2018,37(12):64-66.
[19]冷孟桐,王剑,刘韬,等.针刺胃肠俞募穴对卒中后便秘的随机对照研究[J].上海针灸杂志,2019,38(2):178-182.
[20]王晓萍,周明旺,康开彪,等.小承气汤配合中药穴位贴敷治疗中风后便秘的临床观察[J].西部中医药,2012,25(5):10-12.
[21]范敏,陈楚玲,陈新兰,等.中药穴位贴敷对中风后便秘的预防效果研究[J].广州中医药大学学报,2016,33(5):661-665.
[22]刘海飞,宋丰军,叶必宏.合募配穴法针灸治疗中风后便秘疗效观察[J].上海针灸杂志,2016,35(2):160-161.
[23]任珍,吴清明,李丹丹,等.调气通腑针刺法治疗中风后便秘的临床研究[J].中医药学报,2013,41(5):103-105.
[24]耿丹,胡幼平,李晓亮,等.合募配穴治疗功能性消化不良临床观察[J].上海针灸杂志,2015,34(8):731-733.