热敏灸与艾盐包热熨治疗脑卒中后便秘的差异性研究  

Study on the difference between heat sensitive moxibustion and hot pressingwith moxa salt in treating constipation after stroke

作　　者：欧阳桂兰 潘火英[1] 汪玲红 黄坚[1] 朱海兵[1] OUYANG Gui-lan;PAN Huo-ying;WANG Ling-hong;HUANG Jian;ZHU Hai-bing(Department of Neurology,The First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医学院第一附属医院神经内科,江西赣州341000

出　　处：《赣南医学院学报》2023年第11期1107-1110,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江西省中医药管理局科技计划课题(2021B232)。

摘　　要：目的:观察热敏灸与艾盐包热熨治疗脑卒中后便秘的临床疗效。方法:纳入96例脑卒中后便秘的患者,随机分为艾盐包热熨组(48例)与热敏灸组(48例),对两组患者治疗后不同时间段的总有效率、便秘症状积分进行对比分析。结果:治疗后1周时艾盐包热熨组总有效率为87.5%,热敏灸组为93.8%;治疗后2周时艾盐包热熨组总有效率为83.3%,热敏灸组为89.6%;两组在两个时期的总有效率比较,差异无统计学意义(P>0.05)。两组治疗后两个时期便秘症状积分均低于治疗前,但热敏灸组均低于艾盐包热熨组,差异均有统计学意义(P<0.05)。热敏灸组不良反应发生率为2.1%,艾盐包热熨组不良反应发生率为14.6%,差异有统计学意义(χ^(2)=4.909,P=0.027)。结论:两种方法均能有效治疗脑卒中后便秘,以热敏灸治疗更优,便秘症状积分改善更明显,不良反应发生率更低。Objective:To observe the difference of clinical efficacy between heat sensitive moxibustion and hot pressing with moxa salt in treating constipation after stroke.Methods:A total of 96 patients with constipation after stroke were randomly divided into heat sensitive moxibustion group(48 cases)and moxa salt hot pressing group(48 cases).The total effective rate and constipation symptom score of the two groups in different time periods after treatment were compared and analyzed.Results:One week after treatment,the total effective rate was 93.8%in the heat sensitive moxibustion group and 87.5%in the moxa salt hot pressing group.Two weeks after treatment,the total effective rate was 89.6%in the heat sensitive moxibustion group and 83.3%in moxa salt hot pressing group.There was no statistically significant difference in the total effective rate between the two groups in the two periods(P>0.05).The constipation symptom scores of the two groups after treatment were lower compared with those before treatment.The constipation symptom scores of the heat sensitive moxibustion group after treatment were lower than those of the moxa salt packet hot ironing group at two time periods after treatment,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the heat sensitive moxibustion group was 2.1%;The incidence of adverse reactions in moxa salt hot pressing group was 14.6%,and the differences were statistically significant(χ^(2)=4.909,P=0.027).Conclusion:Both methods can effectively treat constipation after stroke,and heat sensitive moxibustion is more effective,with more obvious improvement in constipation symptom score and lower incidence of adverse reactions.

关 键 词：热敏灸 艾盐包热熨 脑卒中 便秘 

分 类 号：R743[医药卫生—神经病学与精神病学]