火针针刺肠三针治疗卒中后阳虚便秘的疗效观察  

Curative Observation of Acupuncture at Intestine Three-Needle Points with Heated Needle for Treatment of Post-Stroke Yang-Deficiency Constipation

作　　者：梁家彬 刘通[2] 李佩泽[1] 陆彦青[2] 刘悦[2] LIANG Jia-Bin;LIU Tong;LI Pei-Ze;LU Yan-Qing;LIU Yue(Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Dept.of Acupuncture,Moxibustion and Rehabilitation,Guangdong Second Hospital of Traditional Chinese Medicine,Guangzhou 510095 Guangdong,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]广东省第二中医院针灸康复科,广东广州510095

出　　处：《广州中医药大学学报》2020年第12期2342-2348,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:81704179);广东省第二中医院名中医传承工作室资助项目(编号:粤二中医院【2017】46号)。

摘　　要：【目的】观察火针针刺肠三针治疗卒中后阳虚便秘的临床疗效。【方法】将90例卒中后阳虚型便秘患者随机分为肠三针组、非经非穴组和对照组,每组各30例。对照组给予卒中和便秘的基础治疗,肠三针组在对照组治疗的基础上给予火针针刺肠三针治疗,非经非穴组在对照组治疗的基础上给予火针针刺非经非穴治疗,隔日1次,连续治疗2周。治疗2周后,观察3组患者治疗前后便秘症状及疗效评分、中医证候评分以及日常生活能力评分的变化情况。比较3组患者治疗前后焦虑自评量表(SAS)和抑郁自评量表(SDS)的变化情况。并评价3组患者不良反应的发生情况。【结果】(1)治疗后,肠三针组和非经非穴组患者的便秘症状及疗效评分均明显改善(P<0.05),对照组患者的便秘症状及疗效评分无明显改善,差异无统计学意义(P>0.05);肠三针组在改善便秘症状及疗效评分方面均明显优于非经非穴组和对照组,差异有统计学意义(P<0.05)。(2)治疗后,肠三针组和非经非穴组患者的中医证候评分均明显改善(P<0.05),对照组患者的中医证候评分无明显改善,差异无统计学意义(P>0.05);肠三针组在改善中医证候评分方面均明显优于非经非穴组和对照组,差异有统计学意义(P<0.05)。(3)治疗后,3组患者的日常生活能力评分均稍有改善,但与治疗前比较,差异均无统计学意义(P>0.05);3组在改善日常生活能力评分方面均稍有改善,但组间比较,差异均无统计学意义(P>0.05)。(4)治疗后,肠三针组和非经非穴组患者的SAS和SDS精神状态评分均明显改善(P<0.05),对照组患者的SAS和SDS精神状态评分稍有改善,但差异无统计学意义(P>0.05);肠三针组在改善SAS和SDS精神状态评分方面均明显优于非经非穴组和对照组,差异有统计学意义(P<0.05)。(5)肠三针组总有效率为93.3%(28/30),非经非穴组组为70.0%(21/30),对照组为26.7%(8/30)。肠三针组�Objective To observe the clinical curative effect of acupuncture at intestine three-needle points with heated needle for treatment of post-stroke yang-deficiency constipation.Methods Ninety patients with post-stroke yang deficiency type of constipation were randomly divided into intestinal three-needle group,non-meridian nonacupoint group and control group,30 cases in each group.The three groups received basic treatment for stroke and constipation,additionally,the intestinal three-needle group received acupuncture at intestinal three-needle points with heated needle,and the non-meridian non-acupoint group received acupuncture at non-meridians nonacupoints with heated needle,once every other day for 2 continuous weeks.After 2 weeks of treatment,the changes in scores of constipation symptoms and therapeutic effect,traditional Chinese medicine(TCM)syndrome scores,and quality of life scores were observed in the 3 groups before and after treatment,the changes in scores of self-rating depression(SDS)and self-rating anxiety scale(SAS)were compared in the 3 groups before and after treatment,and adverse reactions were evaluated in the 3 groups.Results(1)After treatment,the scores of constipation symptoms and curative efficacy were improved in the intestinal three-needle group and non-meridian non-acupoint group(P<0.05),and were not obviously improved in the control group,the differences being insignificant(P>0.05).The improvement in scores of constipation symptoms and curative efficacy of the intestinal three-needle group was superior to that of the non-meridian non-acupoint group and control group(P<0.05).(2)After treatment,the TCM syndrome scores were improved in the intestinal three-needle group and non-meridian non-acupoint group(P<0.05),and were not obviously improved in the control group,the differences being insignificant(P>0.05).The improvement in TCM syndrome scores of the intestinal three-needle group was superior to that of the non-meridian non-acupoint group and control group(P<0.05).(3)After treatment,the qua

关 键 词：卒中后便秘 阳虚便秘 火针 肠三针 非经非穴 疗效观察 

分 类 号：R246.9[医药卫生—针灸推拿学]