热敏灸联合针刺治疗脑卒中气阴两虚型便秘30例临床观察  

Clinical Study on Acupuncture Combined With Heat-sensitive Moxibustion for Constipation in Stroke Patients with Qi-Yin Deficiency Syndrome

作　　者：龚燕[1] 楚佳梅[1] 陈立群 

机构地区：[1]杭州市中医院 [2]杭州市下城区东新街道社区卫生服务中心

出　　处：《中医杂志》2014年第10期862-864,共3页Journal of Traditional Chinese Medicine

摘　　要：目的观察热敏灸联合针刺治疗脑卒中气阴两虚型便秘的临床疗效。方法选择脑卒中气阴两虚型便秘患者60例,随机分为治疗组和对照组各30例。对照组采用常规针刺治疗,主穴:支沟、天枢、上巨虚、足三里、合谷,行平补平泻法;配穴:气海、膻中、太溪、太冲、血海,采用补法;留针30min,每天1次。治疗组在对照组治疗基础上,采用艾灸热敏腧穴治疗,主穴:大肠俞、天枢、上巨虚,每天1次,每次30min。两组均治疗2周后及治疗结束后14天观察疗效。治疗前后评定患者便秘症状评分、Bristol大便性状分型,并记录不良反应。结果两组患者治疗后便秘症状积分与治疗前比较均明显下降(P<0.05),且治疗组显著低于对照组(P<0.05)。治疗后两组患者Bristol大便性状分型正常的例数与治疗前比较均明显增加(P<0.05),且治疗组正常例数与对照组比较明显增加(P<0.05)。治疗组的治疗2周后临床疗效总有效率为86.67%,明显优于对照组的73.33%(P<0.05);治疗组治疗结束后14天临床疗效总有效率为66.67%,明显优于治疗组的53.33%(P<0.05)。结论热敏灸联合针刺治疗卒中后气阴两虚型便秘能提高临床疗效,改善症状,优于单纯针刺治疗。Objective To observe the therapeutic effect of acupuncture combined with heat-sensitive moxibustion for constipation in stroke patients with qi-yin deficiency syndrome. Methods Totally 60 cases of constipation in stroke patients with qi-yin deficiency syndrome were selected and randomized into the treatment group and control group, with 30 in each. The control group was given acupuncture on Zhigou （TE6） , Tianshu （ST25） , Shangjuxu （ST37）, Zusanli （ST36） and Hegu （LI4） as the main points with even reinforcing-reducing method, and Qihai （ CV6）, Danzhong （ CV17）, Taixi （ KI3 ）, Taiehong （LR3） and Xuehai （SP10） as the combined points with reinforcing method with 30 min retention of needle once daily. The treatment group was added with heat-sensitive moxibustion on bilateral Dachangshu （ BL25 ） , Tianshu （ ST25 ） and Shangjuxu （ ST37 ） as the main points for 30 min once daily. Both groups were treated for 2 courses （2 weeks）. The efficacy and long-term efficacy were observed after treatment. The constipation scores and Bristol Stool Form Scale （BSFS） were evaluated before and after treatment. The adverse reaetions were recorded. Results The constipation scores were significantly decreased in both groups after treatment （ P 〈 0, 05）, especially in the treatment group （ P 〈 0.05 ）. The normal numbers of BSFS were significantly increased in both groups after treatment （P 〈 0.05 ）, especially in the treatment group （P 〈 0.05 ）. The total efficacy in the treatment group and control group was 86.67% and 73.33% respectively, with a significant difference between groups （ P 〈 0. 05 ）. The total long-term efficacy in the treatment group and control group was 66.67 % and 53.33% respectively, with a significant difference between groups （ P 〈 0. 05 ）. Conclusion The combo therapy of acupuncture and heat-sensitive moxibustion is effective, simple, safe and promotion-worthy for constipation in stroke patients with qi-yin deficiency syn

关 键 词：热敏灸 脑卒中 便秘 针刺 气阴两虚 

分 类 号：R246.6[医药卫生—针灸推拿学]