俞募配穴埋线治疗脑卒中便秘临床观察  

Clinical Observation on Acupoints Embedding Therapy at the Front-mu and Back-shu Acupoints in the Treatment of Post-stroke Constipation

作　　者：郑昊[1] 刘延菊 姜丽丽[2] 郇靖[2] ZHENG Hao;LIU Yanju;JIANG Lili;HUAN Jing(Department of Rehabilitation,Linyi People’s Hospital,Shandong Province,Linyi 276000,China;Department of Acupuncture and Moxibustion,Linyi People’s Hospital,Shandong Province,Linyi 276000,China)

机构地区：[1]临沂市人民医院康复科,山东临沂276000 [2]临沂市人民医院针灸科,山东临沂276000

出　　处：《中国中医药现代远程教育》2022年第11期105-107,共3页Chinese Medicine Modern Distance Education of China

基　　金：山东省卫生健康委员会中医药科技发展计划项目【No.2017-469,2019-0861,2019-0851】。

摘　　要：目的评价俞募配穴埋线治疗脑卒中便秘的临床疗效。方法选取2019年2月—2020年3月临沂市人民医院康复科门诊及病房住院的脑卒中后便秘患者175例,随机分为埋线组、电针组和药物组,分别采用穴位埋线、电针和药物治疗。研究周期共8周,包括基线期2周,治疗期4周,随访期2周,每2周评估1次。主要疗效指标:治疗期4周内,平均每周CSBMs≥3次,且与基线相比增长1次的比例。次要疗效指标:随访期2周内,平均每周CSBMs≥3次,且与基线相比增长1次的比例。结果满足主要疗效指标要求的比例:埋线组21.56%(11/51),电针组16.67%(9/54),药物组16.00%(8/50)(х^(2)=0.64,P=0.727)。满足次要疗效指标要求比例:埋线组37.25%(19/51),电针组22.22%(12/54),药物组18.00%(9/50)(х^(2)=5.66,P=0.059)。结论俞募配穴埋线可改善脑卒中患者便秘临床症状,有较好的临床疗效。Objective To explore the effect of acupoints embedding therapy at the front-mu and back-shu acupoints in the treatment of post-stroke constipation.Methods A total of 175 patients with post-stroke constipation in outpatient and rehabilitation ward of Linyi People’s Hospital were selected from February 2019 to March 2020.They were randomly divided into acupoints embedding group,electroacupuncture group and drug group,which were treated with acupoints embedding,electroacupuncture and drug respectively.The study lasted for 8 weeks,including baseline period of 2 weeks,treatment period of 4 weeks,and follow-up period of 2 weeks,and was evaluated every 2 weeks.Primary outcome measures:mean CSBMs≥3 times per week within 4 weeks of treatment,with an increase of one time from baseline.Secondary outcome measures:mean CSBMs≥3 times per week during the 2-week follow-up period,with an increase of one time from baseline.Results The embedding group 21.56%(11/51),the electroacupuncture group 16.67%(9/54),the drug group 16.00%(8/50)(х^(2)=0.64,P=0.727)got the main efficacy indicators,while 37.25%(19/51)in the embedding group,22.22%(12/54)in the electroacupuncture group and 18.00%(9/50)in the drug group(х^(2)=5.66,P=0.059)got the secondary outcome measures.Conclusion The acupoints embedding therapy at the front-mu and back-shu acupoints can improve the clinical symptoms of constipation in patients with stroke and has good clinical effect.

关 键 词：中风 脑卒中 便秘 俞募配穴 埋线疗法 

分 类 号：R246.1[医药卫生—针灸推拿学]