调气通腑针刺法治疗中风后便秘  

Post-stroke constipation treated with acupuncture therapy of regulating qi circulation of fu-organ

作　　者：任珍[1] 吴清明[1] 李丹丹[1] 刘未艾[1] 李向荣[1] 林旭明[1] 

机构地区：[1]湖南中医药大学第二附属医院针灸-脑病科,长沙410005

出　　处：《中国针灸》2013年第10期893-896,共4页Chinese Acupuncture & Moxibustion

基　　金：湖南省科技厅课题资助项目:2011FJ6013;长沙市科技计划重点项目:K1005020-31

摘　　要：目的:比较调气通腑针刺法与生血通便颗粒治疗中风后便秘的疗效差异。方法:将75例中风后便秘患者随机分为针刺组(39例)和中药组(36例)。在卒中单元模式综合治疗基础上,针刺组采用调气通腑针刺法治疗,穴取天枢、支沟、气海、足三里,每天1次;中药组口服生血通便颗粒,每天1次,每次10g。观察两组治疗前、治疗1周后、治疗2周后便秘临床症状积分;观察治疗1周后及治疗2周后的疗效以及不良反应发生情况。结果:治疗1周后、治疗2周后两组患者便秘临床症状积分均较前显著减少(均P<0.05),且治疗2周后针刺组较中药组改善显著(8.03±2.38vs 9.20±2.45,P<0.05)。不良反应发生情况:针刺组出现针刺部位局部淤青1例;中药组发生腹痛1例、腹泻3例、恶心呕吐2例。结论:调气通腑针刺法及生血通便颗粒治疗中风后便秘疗效显著,且坚持调气通腑针刺法治疗,其疗效更好,不良反应较少。Objective To compare the difference in the efficacy on post-stroke constipation between acupuncture therapy of regulating qi circulation of fu-organ and Shengxue Tongbian Capsules. Methods Seventy-five patients of post- stroke constipation were randomized into an acupuncture group （39 cases） and a Chinese medicine group （36 cases）. The unit mode comprehensive therapy of stroke was adopted as basic treatment in the two groups. In the acupuncture group, acupuncture therapy of regulating qi circulation of fu-organ was added at Tianshu （ST 25）, Zhigou （TE 6）, Qihai （CV 6） and Zusanli （ST 36）, once every day. In the Chinese medicine group, Shengxue Tongbian Capsules were supplemen- ted for oral administration, once every day, 10 g each time. The clinical symptom score of constipation was observed before treatment, after 1 and 2 weeks treatment in the two groups, respectively. The efficacy in 1 week and 2 weeks of treatment and the adverse reaction were observed. Results In 1 and 2 weeks of treatment, the clinical symptom score of constipation was reduced significantly as compared with that before treatment in the two groups （all P;0.05）. The improvements in the acupuncture group were significant than those in the Chinese medicine group in 2 weeks of treatment （8.03 ：k 2.38 vs 9.20 ± 2.45, P;0.05）. Concerning to the occurrence of adverse reaction, there was 1 case of local brui- ses in needling local site in the acupuncture group; and there were 1 case of abdominal pain, 3 cases of diarrhea and 2 cases of nausea and vomiting in the Chinese medicine group. Conclusion Both the acupuncture therapy of regulating qi circulation of fu-organ and Shengxue Tongbian Capsules achieve the significant efficacy on post-stroke constipation. The efficacy of the acupuncture therapy of regulating qi circulation of fu-organ is better and the adverse reaction is less after long-term persistent treatment.

关 键 词：中风后便秘 针刺疗法 生血通便颗粒 调气通腑 

分 类 号：R246.6[医药卫生—针灸推拿学]