子午流注择时蜜煎导法在卒中后便秘的应用疗效  

Therapeutic efficacy of honey suppository with midnight-noon ebb-flow timing theory in treating post-stroke constipation

作　　者：张丽娟[1,2] 程洁[2] 张轶俊[2] 刘艳丽 马茜 汪群娟 史秀丽 李惠玲 ZHANG Li-juan;CHENG Jie;ZHANG Yi-jun;LIU Yan-li;MA Qian;WANG Qun-juan;SHI Xiu-li;LI Hui-ling(Suzhou Medical College of Soochow University,Suzhou 215031,China;Suzhou Hospital of Traditional Chinese Medicine Afiliated to Nanjing University of Chinese Medicine,Suzhou 215009,China;Changshu Hospital of Traditional Chinese Medicine,Suzhou 215500,China;Suzhou Hospital of Integrated Traditional Chinese and Western Medicine,Suzhou 215101,China;Suzhou Key Laboratory of Geriatric Intelligent Nursing and Health Preservation,Suzhou 215031,China)

机构地区：[1]苏州大学苏州医学院,江苏苏州215031 [2]南京中医药大学附属苏州市中医医院,江苏苏州215009 [3]常熟市中医院,江苏苏州215500 [4]苏州市中西医结合医院,江苏苏州1215101 [5]苏州市老年智慧护理与康养重点实验室,江苏苏州215031

出　　处：《时珍国医国药》2025年第6期1098-1102,共5页Lishizhen Medicine and Materia Medica Research

基　　金：国家自然科学基金(72074164);苏州市2024年度第十八批科技发展计划(市重点实验室建设)项目(SZS2024009)。

摘　　要：目的探讨子午流注择时蜜煎导法对卒中后便秘的干预效果及患者体验。方法选取卒中后便秘患者作为研究对象,采用随机数字表法分为对照组(n=52),试验组(n=54),比较两组患者便秘临床评分、生活质量评分、临床疗效、便秘复发率。同期,以目的取样法选取10例接受蜜煎导法干预的患者进行半结构访谈,了解患者的用药体验。结果试验组便秘临床评分、生活质量评分、便秘复发率均低于对照组(P<0.01),疗效优于对照组(P<0.01)。半结构访谈结果显示蜜煎导法安全性、舒适度高,绿色柔软。结论子午流注择时蜜煎导法应用于卒中后便秘患者疗效优于开塞露,能够增加排便次数,减轻便秘相关症状,降低复发率,且患者体验佳。Objective To investigate the intervening effect of honey suppository with midnight-noon ebb-flow timing theory on post-stroke constipation patients and their experiences.Methods Patients with post-stroke constipation were selected as the study subjects and divided into the control group(n=52)and the experimental group(n=54),using a random number table.Clinical constipation scores,quality of life scores,clinical efficacy,and constipation recurrence rates were compared between the two groups.Concurrently,10 patients receiving honey suppository intervention were selected through purposive sampling for semi-structured interviews to explore their medication experiences.Results The clinical constipation scores,quality of life scores,and recurrence rate of constipation in the experimental group were lower than those in the control group(P<0.01),with superior clinical efficacy(P<0.01).Semi-structured interviews revealed that honey suppository was safe,comfortable,and characterized by its natural and gentle properties.Conclusion Honey suppository with midnight-noon ebb-flow timing theory demonstrates better efficacy than glycerin enemas in treating post-stroke constipation,effectively increasing bowel movement frequency,alleviating constipation-related symptoms,reducing recurrence rates,and providing a positive patient experience.

关 键 词：子午流注 蜜煎导法 便秘 脑卒中 患者体验 

分 类 号：R277.7[医药卫生—中医学]