电针结合直肠功能训练治疗卒中后便秘疗效观察  

Curative Effect Observation of Electroacupuncture Combined with Rectal Function Training on Post-stroke Constipation

作　　者：曹星星 尹正录[1] 黄灵慧 王娜 孟兆祥[1] CAO Xingxing;YIN Zhenglu;HUANG Linghui(Northern Jiangsu People’s Hospital,Yangzhou 225000,China)

机构地区：[1]苏北人民医院,江苏扬州225000

出　　处：《浙江中医药大学学报》2024年第10期1274-1278,共5页Journal of Zhejiang Chinese Medical University

基　　金：苏北人民医院科研基金项目(SBKY21020)。

摘　　要：[目的]观察电针结合直肠功能训练治疗卒中后便秘(post-stroke constipation,PSC)的临床疗效。[方法]选择2021年12月至2023年3月苏北人民医院康复科收治的PSC患者60例,采用随机数字表法分为治疗组(29例,1例脱落)和对照组(29例,1例脱落)。对照组给予综合性、个体化的直肠功能训练,治疗组在对照组的基础上给予电针治疗,两组均治疗4周。观察两组治疗前后的便秘临床症状评分量表(Cleveland Clinic Score,CCS)评分、盆底表面肌电评估及疗效情况。[结果]两组患者治疗前比较差异无统计学意义(P>0.05)。治疗4周后,两组治疗后的CCS评分均显著降低(P<0.001),且治疗组CCS评分低于对照组(P<0.01)。两组治疗后快速收缩、紧张收缩、耐力收缩阶段肌电值均显著升高(P<0.001),且治疗组上述阶段的肌电值均高于对照组(P<0.05)。治疗组的总有效率(93.10%)高于对照组(72.41%),差异有统计学意义(P<0.05)。[结论]电针结合直肠功能训练治疗PSC,可改善患者排便频率及伴随症状,提高盆底快慢肌的肌力和慢肌的耐力,提升治疗效果。[Objective]To evaluate the clinical outcomes of combining electroacupuncture with rectal function training for treating post-stroke constipation(PSC).[Methods]A total of sixty patients of PSC were enrolled in the study at the Rehabilitation Department of Northern Jiangsu People’s Hospital from December 2021 to March 2023.They were randomly assigned using a random number table method to enter the treatment group(29 cases,with 1 case dropped out)or the control group(29 cases,with 1 case dropped out).The control group received comprehensive and individualized rectal function training,and the treatment group received electroacupuncture therapy on the basis of the control group,all of which were treated for 4 weeks.The study involved assessing the Cleveland Clinic Score(CCS),pelvic floor surface electromyography,and therapeutic outcomes before and after treatment.[Results]No statistically significant difference was observed between the two groups prior to treatment(P>0.05).Following 4 weeks of treatment,both groups experienced a significant decrease in CCS scores(P<0.001),with the treatment group displaying a lower CCS score compared with the control group(P<0.01).After treatment,the electromyographic values significantly increased in both groups during the rapid contraction,tension contraction,and endurance contraction stages(P<0.001),and the electromyographic values of the above stages in the treatment group were higher than those in the control group(P<0.05).The total effective rate of the treatment group(93.10%)was higher than that of the control group(72.41%),and the difference was statistically significant(P<0.05).[Conclusion]Electroacupuncture combined with rectal function training in the treatment of PSC can improve the defecation frequency and accompanying symptoms of patients,improve the muscle strength of pelvic floor fast and slow muscles and the endurance of slow muscles,and improve the therapeutic effect.

关 键 词：卒中后便秘 电针 直肠功能训练 疗效观察 便秘临床症状评分量表 盆底表面肌电评估 盆底肌 俞募配穴 

分 类 号：R245[医药卫生—针灸推拿学]