非急性期脑卒中患者应用薄氏腹针治疗的影响因素及患者肠道屏障功能改善情况分析  

Analysis of influence factors of patients with non acute stroke treated with Bo's Abdominal Acupuncture and the improvement of intestinal barrier function

作　　者：王叶青[1] 洪敏[1] 张凯娜[1] 幸冰峰[1] 范穗强 林岚 WANG Yeqing;HONG Min;ZHANG Kaina;XING Bingfeng;FAN Suiqiang;LIN Lan(Department of Traditional Chinese Medicine,the First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou 510080,China)

机构地区：[1]广东药科大学附属第一医院中医科,广东广州510080

出　　处：《中国医药科学》2018年第11期22-24,共3页China Medicine And Pharmacy

基　　金：广东省中医药局科研项目(20162082)

摘　　要：目的探讨非急性期脑卒中患者应用薄氏腹针治疗的影响因素及患者肠道屏障功能改善情况。方法选取2015年12月~2017年6月我院收治的非急性期脑卒中患者60例,按照入院的先后顺序简单随机分组分为治疗组和对照组两组各30例。对照组应用西医治疗,研究组应用薄氏腹针治疗,对比两组患者治疗前后临床指标变化情况及随访感染发生情况。结果治疗前两组患者的D-乳酸、细菌毒素及二胺氧化酶差异无统计学意义(P>0.05),治疗后研究组显著低于对照组,差异有统计学意义(P<0.05);感染发生情况方面,研究组患者感染发生率显著低于对照组,差异有统计学意义(P<0.05);临床因素的Logistic分析结果显示,≥60岁、合并高血压以及合并糖尿病是影响治疗效果的重要因素,差异有统计学意义(P<0.05)。结论非急性期脑卒中患者应用薄氏腹针治疗有利于改善患者肠道屏障功能,降低感染发生风险,临床上应当进一步推广应用。Objective To investigate the influence factors of patients with non acute stroke treated with Bo’s Abdominal Acupuncture and the improvement of intestinal barrier function.Methods Sixty patients with non-acute cerebral apoplexy in our hospital from December 2015 to June 2017 were selected,they were randomly divided into treatment group and control group according to the order of admission,with 30 cases in each group.The control group was treated with western medicine,while the study group was treated with Bo’s Abdominal Acupuncture.The clinical indicators of the two groups before and after treatment were compared and the incidence of infection was followed up.Results There was no significant difference in D-lactic acid,bacterial toxin and diamine oxidase in the two groups before treatment(P>0.05),and which in the study group was significantly lower than those in the control group after treatment(P<0.05);The incidence of infection in the study group was significantly lower than that in the control group(P<0.05);The results of Logistic analysis of clinical factors showed that more than 60 years old,combined hypertension and combined diabetes were important factors affecting the treatment effect,and the difference was statistically significant(P<0.05).Conclusion The use of Bo's Abdominal Acupuncture for non acute stroke patients is beneficial to improve the intestinal barrier function and reduce the risk of infection.It should be further applied in clinical practice.

关 键 词：非急性期脑卒中 薄氏腹针 影响因素 肠道屏障功能 感染 

分 类 号：R743.3[医药卫生—神经病学与精神病学]