常规干预配合耳穴贴压干预缺血性卒中后便秘临床观察  

Clinical efficacy of routine intervention combined with auricular point sticking on constipation after ischemic stroke

作　　者：宋书香[1] 田伟[1] 何红[2] SONG Shuxiang;TIAN Wei;HE Hong(Department of Acupuncture,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010;Department of Nursing,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010)

机构地区：[1]首都医科大学附属北京中医医院针灸科,北京100010 [2]首都医科大学附属北京中医医院护理部,北京100010

出　　处：《河北中医》2023年第12期2045-2048,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：北京市医院管理中心重点医学专业发展计划(编号:ZYLX202140)。

摘　　要：目的观察常规干预配合耳穴贴压对缺血性卒中后便秘的临床疗效。方法将120例缺血性卒中后便秘患者按照随机数字表法分为2组,对照组60例予常规干预,观察组60例在对照组干预基础上配合耳穴贴压。2组均4天为1个疗程,干预4个疗程。比较2组疗效;比较2组干预前后主症积分变化;观察2组排便情况;比较2组干预前后Bristol大便分型量表(BSFS)评分、正性负性情绪量表(PANAS)评分、便秘患者生活质量量表(PAC-QOL)评分变化。结果观察组总有效率91.67%(55/60),对照组总有效率63.33%(38/60),观察组疗效优于对照组(P<0.05)。2组干预2、4个疗程主症积分均较本组干预前降低(P<0.05),干预2、4个疗程观察组主症积分均低于对照组(P<0.05)。观察组首次排便时间、排便间隔时间、每次排便时间均较对照组短(P<0.05)。2组干预后BSFS评分均较本组干预前升高(P<0.05),干预后观察组BSFS评分高于对照组(P<0.05)。2组干预后PA评分均较本组干预前升高(P<0.05),NA评分均较本组干预前降低(P<0.05);干预后观察组PA评分高于对照组(P<0.05),NA评分低于对照组(P<0.05)。2组干预后PAC-QOL各项评分均较本组干预前降低(P<0.05),干预后观察组PAC-QOL各项评分均低于对照组(P<0.05)。结论常规干预配合耳穴贴压干预缺血性卒中后便秘,有利于改善患者便秘症状、排便情况、大便性状、心理状态及生活质量。Objective To observe the clinical efficacy of routine intervention combined with auricular point sticking on constipation after ischemic stroke.Methods A total of 120 patients with constipation after ischemic stroke were randomly assigned into the observation group(n=60)and the control group(n=60).All patients were managed by routine intervention,and those in the observation group additionally received auricular point pressing.The intervention lasted 4 courses to compare main symptom scores,defecation,Bristol Stool Form Scale(BSFS),Positive and Negative Affect Scale(PANAS),Patient Assessment of Constipation Quality-of-Life(PAC-QOL).The curative effect was assessed.Results The overall effective rate in the observation group was better than that in the control group(91.67%[55/60]vs 63.33%[38/60],[P<0.05],respectively).After 2 and 4 weeks of intervention,the main symptom scores in the both groups were significantly decreased(P<0.05),which decreased notably in the observation group compared with the control group(P<0.05).The first defecation time,defecation interval time,each defecation time were significantly shorter in the observation group than in the control group(P<0.05).After intervention,BSFS score in the both groups were significantly increased(P<0.05),which in the observation group were more prevalent(P<0.05).Significantly increased positive affect(PA)scores,and decreased negative affect(NA)scores were detected in the both groups(all P<0.05),and the observation group was superior to the control group for PA and NA scores(all P<0.05).PAC-QOL scores in the both groups were significantly increased(P<0.05),which in the observation group were more common(P<0.05).Conclusion For patients with constipation after ischemic stroke,routine intervention combined with auricular point pressing is helpful to improve constipation symptoms,defecation conditions,stool properties,psychological state and quality of life.

关 键 词：卒中 便秘 穴位 耳针 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R256.35[医药卫生—临床医学] R245.323