沉香通便膏择时穴位贴敷联合耳穴压豆治疗脑卒中后便秘临床研究  

Clinical Study on Timed Point Application with Chenxiang Tongbian Ointment Combined with Auricular Point Seed-Pressing for Post-Stroke Constipation

作　　者：夏莉莉 孙海婷 宫双 XIA Lili;SUN Haiting;GONG Shuang(Neurorehabilitation Department of Ningbo Rehabilitation Hospital,Ningbo Zhejiang 315000,China)

机构地区：[1]宁波市康复医院神经康复科,浙江宁波315000

出　　处：《新中医》2025年第7期177-182,共6页New Chinese Medicine

摘　　要：目的:观察沉香通便膏择时穴位贴敷联合耳穴压豆治疗脑卒中后便秘的疗效。方法:选取2023年1月—12月宁波市康复医院收治的150例脑卒中后便秘患者,按随机数字表法分为对照组及联合组各75例。2组均接受常规护理,在此基础上对照组给予耳穴压豆干预,联合组在对照组基础上联合沉香通便膏择时穴位贴敷干预。干预4周后,比较2组临床疗效及安全性,比较2组干预前后排便情况评分、中医证候积分、Wexner便秘评分、Bristol粪便形态量表评分(BSFS)、生活质量评分的变化。结果:联合组临床疗效总有效率为92.00%(69/75),对照组为78.67%(59/75),2组比较,差异有统计学意义(P<0.05)。干预后,2组排便间隔时间、排便费力程度、便意评分均较干预前下降(P<0.05),联合组上述3项评分均低于对照组(P<0.05)。干预后,联合组肠鸣、腹胀、胸胁满闷、排便不畅中医证候积分均较治疗前下降(P<0.05),联合组上述4项中医证候积分均低于对照组(P<0.05)。干预后,联合组生理不适、心理不适、担忧度及满意度及总分均较干预前下降(P<0.05),联合组上述5项生活质量评分均低于对照组(P<0.05)。干预后,2组Wexner、BSFS评分均较干预前下降(P<0.05),联合组Wexner、BSFS评分均低于对照组(P<0.05)。联合组不良反应发生率为6.67%(5/75),对照组不良反应发生率为2.67%(2/75),2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:沉香通便膏择时穴位贴敷联合耳穴压豆对脑卒中后便秘有改善作用,能促进排便,提高患者生活质量,安全性高。Objective:To observe the curative effect of timed point application with Chenxiang Tongbian Ointment combined with auricular point seed-pressing on post-stroke constipation.Methods:A total of 150 poststroke constipation patients admitted to Ningbo Rehabilitation Hospital from January to December 2023 were randomly divided into the control group and the combination group,with 75 cases in each group,using a random number table method.Both groups received routine nursing.On this basis,the control group was given auricular point seed-pressing,and the combination group was given timed point application with Chenxiang Tongbian Ointment on the basis of the control group.After four weeks of intervention,the clinical efficacy and safety in the two groups were compared,and the changes in defecation scores,traditional Chinese medicine syndrome scores,Wexner constipation scores,Bristol Stool Form Scale(BSFS)scores,and quality of life scores before and after intervention were compared between the two groups.Results:The total effective rate of clinical efficacy was 92.00%(69/75)in the combination group and 78.67%(59/75)in the control group,the difference being significant(P<0.05).After intervention,the defecation interval time,defecation effort levels,and defecation intention scores in both groups were decreased when compared with those before intervention(P<0.05),and the combination group had lower scores in the above three items than the control group(P<0.05).After intervention,the traditional Chinese medicine syndrome scores of bowel sounds,abdominal distension,fullness and oppression in hypochondrium,and constipation in the combination group were decreased when compared with those before treatment(P<0.05),and the traditional Chinese medicine syndrome scores of the above four items in the combination group were lower than those in the control group(P<0.05).After intervention,the combination group showed a decrease in physiological discomfort,psychological discomfort,anxiety,satisfaction,and total score when compared with th

关 键 词：脑卒中 便秘 沉香通便膏 穴位贴敷 择时 耳穴压豆 

分 类 号：R244.1[医药卫生—针灸推拿学]