火龙罐联合手指点穴治疗脑卒中后便秘的疗效观察  

Observation on effect of Huolong pot combined with finger pointing in treating constipation after stroke

作　　者：吴玉琴[1] 黄华敏[1] 路楷[1] WU Yuqin;HUANG Huamin;LU Kai(Department of Critical Care Medicine,Jiangyin Municipal Hospital of Traditional Chinese Medicine,Jiangyin,Jiangsu 214400,China)

机构地区：[1]江苏省江阴市中医院重症医学科,214400

出　　处：《重庆医学》2022年第14期2441-2444,共4页Chongqing medicine

基　　金：无锡市科研计划项目(MS201706)。

摘　　要：目的探讨火龙罐联合手指点穴治疗脑卒中后便秘的临床效果。方法选择118例脑卒中后慢传输型便秘患者为研究对象,分为对照组和观察组,每组59例。两组患者均给予排便训练、摩腹,对照组患者给予手指点穴,观察组在对照组的基础上加用火龙罐。比较两组的治疗效果、大便性状、腹胀程度、排便难度评分量表(CCS)评分、首次排便时间、每次排便时间、排便时间间隔、生存质量量表(PAC-QOL)评分变化。结果观察组治疗有效率94.92%(54/60)明显高于对照组的76.27%(45/59),差异有统计学意义(χ2=8.316,P<0.05)。治疗后,观察组的大便性状、腹胀程度评分均明显低于对照组(t=-16.957、-28.986,P<0.05),首次排便时间、每次排便时间、排便时间间隔均较对照组明显缩短(t=-9.069、-18.233、-13.857,P<0.05)。两组患者CCS评分、PAC-QOL评分逐渐降低,观察组下降更明显(t=-5.344、-16.842、-12.819、-26.483,P<0.05)。结论火龙罐联合手指点穴改善脑卒中后便秘疗效确切。Objective To observe the clinical effect of Huolong pot combined with finger pointing in treating constipation after stroke.Methods A total of 118 patients with post-stroke slow transit constipation(STC)were selected as the study subjects and divided into the control group and observation group,59 cases in each group.Both groups were given the defecation training and abdominal massage.The control group was given the abdominal finger pointing,and on this basis the observation group was added with Huolong pot.The treatment effect,stool property,abdominal distension degree and other TCM syndrome score,defecation difficulty scale(CCS)score,first defecation time,each defecation time and defecation time interval were compared between the two groups,and the change of quality of life(PAC-QOL)scores were observed.Results The effective rate in the observation group was 94.92%(54/60),which was significantly higher than 76.27%(45/59)in the control group,and the difference was statistically significant(χ2=8.316,P<0.05).After treatment,the stool property and abdominal distension score of the observation group were significantly lower than those of the control group(t=-16.957,-28.986,P<0.05).The time of first defecation,time of each defecation and time interval of defecation in the observation group were significantly shortened compared with those in the control group(t=-9.069,-18.233,-13.857,P<0.05).The CCS score and PAC-QOL score in the two groups were gradually decreased,and the decrease of the observation group was more significant(t=-5.344,-16.842;12.819,26.483,P<0.05).Conclusion Huolong pot combined with finger pointing has the definite effect for improving constipation after stroke.

关 键 词：火龙罐 手指点穴 脑卒中 慢传输型便秘 

分 类 号：R248.9[医药卫生—中医临床基础]