指推大肠经结合腹部按摩治疗脑卒中急性期实证便秘的临床观察  

Clinical Observation on Therapy of Finger Pushing Large Intestine Meridian Combined with Abdominal Massage for Treating Constipation of Excess-pattern in Acute Phase of Stroke

作　　者：王志杰 刘朝晖 闫平慧[2] 杨敏 吴群强 WANG Zhi-Jie;LIU Zhao-Hui;YAN Ping-Hui;YANG Min;WU Qun-Qiang(Dept, of Rehabilitation, the Second Affiliated Hospital of Air Force Medical University , Xi'an 710038 Shaanxi, China;Shaanxi University of Traditional Chinese Medicine, Xianyang 712046 Shaanxi, China)

机构地区：[1]空军军医大学第二附属医院康复医学科,陕西西安710038 [2]陕西中医药大学,陕西咸阳712046

出　　处：《广州中医药大学学报》2019年第5期674-678,共5页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察指推大肠经结合腹部按摩治疗脑卒中急性期实证便秘患者的临床疗效。【方法】将80例脑卒中急性期便秘患者随机分为治疗组和对照组,每组各40例。2组均在常规治疗和护理的前提下进行,对照组采用腹部按摩治疗,治疗组在对照组的基础上结合指推大肠经治疗,治疗均在晚餐前1 h内进行,每日1次,连续治疗2周后评价疗效。【结果】(1)治疗后,2组患者Bristol大便性状分型正常例数均较治疗前明显增加(P<0.05),且治疗组明显优于对照组(P<0.05)。(2)经治疗,2组患者在Bristol大便性状分型、排便困难程度积分、便秘症状及疗效评估问卷积分等方面较干预前均有显著改善(P<0.05),且治疗组明显优于对照组(P<0.05)。(3)治疗2周后,治疗组的总有效率为80.0%,对照组为62.5%,治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】指推大肠经结合腹部按摩能有效改善脑卒中急性期实证便秘患者的临床症状。Objective To observe clinical effects of therapy of finger pushing large intestine meridian combined with abdominal massage in treating constipation of excess pattern in the acute phase of stroke. Methods A total of80 patients in acute phase of stroke with constipation of excess pattern were randomly divided into treatment group and control group,40 cases in each group. The patients in both groups were treated with routine treatment and nursing. Additionally,the patients in the control group were treated with abdominal massage,while the treatment group was treated with the manipulation of the large intestine meridian on the basis of treatment for the control group. Treatment intervention was carried out within one hour before dinner, once a day. After 2 weeks of continuous intervention,the curative effect was evaluated. Results(1)After treatment,the normal cases of Bristol stool character classification in both groups were significantly increased as compared with those before treatment(P < 0.05),and the effect in the treatment group was significantly better than that in the control group(P < 0.05).(2)After intervention,Bristol stool traits,score of defecation difficulty and score of constipation symptom and efficacy evaluation questionnaire were significantly improved as compared with those before intervention(P<0.05),and the improvement in the treatment group was significantly better than that in the control group(P<0.05).(3)After 2 weeks of treatment,the total effective rate of the treatment group was 80.0% and that of the control group was 62.5%. The curative effect of the treatment group was better than that of the control group(P <0.05). Conclusion The combination of finger pushing large intestine meridian and abdominal massage can effectively improve the clinical symptoms of patients with constipation of excess-pattern in acute stage of stroke.

关 键 词：脑卒中急性期 实证便秘 指推大肠经 腹部按摩 

分 类 号：R246.9[医药卫生—针灸推拿学]