穴位埋线联合西药治疗脑卒中后便秘随机平行对照研究  

Clinical Observation of Curing Constipation After Apoplexy by Acupoint Catgut Embeding

作　　者：王珊 范梦男[2] 

机构地区：[1]辽宁中医药大学针灸推拿学院,沈阳110847 [2]辽宁中医药大学附属第二医院康复科,沈阳110847

出　　处：《实用中医内科杂志》2017年第7期32-35,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省中医药临床学(专)科能力建设项目(No:2012-lnzyxzk-06)

摘　　要：[目的]观察穴位埋线联合西药治疗脑卒中后便秘疗效。[方法]使用随机平行对照方法,将60例住院/门诊患者按抽签就诊顺序编号方法简单随机分为两组,常规西药治疗。对照组30例针刺天枢、大肠俞、上巨虚、支沟、照海,热秘加合谷、曲池,气秘加中脘、太冲,冷秘加关元,虚秘加脾俞、气海;背部穴位俯卧位,腹部及下肢穴位仰卧位,1.0~2.0寸一次性针灸针,常规针刺,留针30min,1次/d,连续治疗5d,间隔2d,继续治疗。治疗组30例穴位埋线:天枢(双)、足三里(双)、上巨虚(双)、肾俞(双)、大肠俞(双),背部穴位俯卧位,腹部及下肢穴位仰卧位,2-0号可吸收外科缝线(2cm),置入一次性埋线针前端,后接针芯,用一手拇指和食指固定拟进针穴位,另一只手持针刺入穴位,达到所需深度,边推针芯,边退针管,将羊肠线埋植在穴位肌层或皮下组织;拔针后无菌干棉球(签)按压针孔止血,医用透气胶贴贴敷针孔,保留24h;2周1次,治疗2次(4周)。连续治疗4周为1疗程。观察临床症状、便秘症状积分、不良反应。治疗1疗程(4周),判定疗效。[结果]治疗组痊愈3例,显效13例,有效9例,无效5例,总有效率83.33%;对照组痊愈1例,显效4例,有效15例,无效10例,总有效率66.67%;临床疗效两组无显著差异(P>0.05)。便秘症状积分治疗组改善优于对照组(P<0.05)。[结论]穴位埋线联合西药治疗脑卒中后便秘,疗效满意,无严重不良反应,值得推广。[Objective] This research aimed to observe the clinical curative effect of curing constipation after apoplexy by acupoint catgut embedding combined with western medicine. [Methods] With the method of random parallel control, 60 patients who were in hospital or in the outpatient clinic with conventional western medicine, were randomly divided into two groups, according to the clinic serial number. During the whole research, both of the two groups were applied the routine western medicine （WM） as a basic treatment. The 30 patients of one group called ＂the control group＂, were treated by conventional acupuncture at the main points of Tianshu, Dachangshu, Shangjuxu, Zhaohai, Hegu and Quchi. And if the symptom was caused by pathogenic heat, we used the points of Hegu and Quchi to cooperate with the main points. Likewise, if the symptom was caused by Qi sickness, the points of Zhongwan and Taichong were used; if the symptom was caused by cold- evil, Guan yuan point was used; if the symptom was caused by deficient pathogen, the points of Pishu and Qihai were used. Prone position was chose when we did acupuncture at the points of the back; Lateral position was chose when we did acupuncture at the points of the abdomen and the lower limb. By 1.0＂-2.0＂ disposable aecupuncture needles, we did the conventional acupuncture 30 minites once time a day for 4 weeks during the treatment. We had two days off after doing the treatment consecutively for 5 days. The 30 patients of another group called ＂the treatment group＂, were treated by acupoint catgut embedding at the points of Tianshu（bilateral）, Zusanli（bilateral）, Shangjuxu（bilateral）, Shenshu （bilateral）, Dachangshu（bilateral）. Prone position was chose when we did the treatment at the points of the back; Lateral position was chose when we did the treatment at the points of the abdomen and the lower limb.We chose No.2-0 absorbable surgical suture and then put it into the front of the disposable needle for acupoint catgut embedding, and the ne

关 键 词：脑卒中后便秘 穴位埋线 羊肠线 针刺 便秘症状积分 随机平行对照研究 

分 类 号：R259.872[医药卫生—中西医结合]