耳穴贴压、艾盐包热熨联合排便训练治疗脑卒中后慢传输型便秘临床研究
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R259;R743.3

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Clinical Study on Auricular Point Sticking Therapy and Hot Compress with Aiyan Bag Combined with Defecation Training for Post-Stroke Slow Transit Constipation
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    摘要:

    目的:观察耳穴贴压、艾盐包热熨联合排便训练治疗脑卒中后慢传输型便秘的临床效果。方法:将92 例脑卒中后慢传输型便秘患者按随机数字表法分为对照组和观察组各46 例。对照组给予排便训练,观察组在对照组基础上给予耳穴贴压、艾盐包热熨。比较2 组临床效果、便秘评分,检测胃肠激素水平。结果:观察组总有效率为91.30%,高于对照组73.91%,差异有统计学意义(P<0.05)。治疗前,2 组腹胀,下坠、不尽、胀感,粪便性状,排便时间,排便频度,排便困难程度等便秘症状评分比较,差异无统计学意义(P>0.05)。治疗后,2 组腹胀,下坠、不尽、胀感,粪便性状,排便时间,排便频度,排便困难程度等便秘症状评分较治疗前降低,且观察组各项便秘症状评分低于对照组,差异均有统计学意义(P<0.05)。治疗前,2 组生长抑素(SS)、胃动素(MTL) 水平比较,差异无统计学意义(P>0.05)。治疗后,2 组SS 水平较治疗前降低,MTL 水平较治疗前升高;且观察组SS 水平低于对照组,MTL 水平高于对照组;差异均有统计学意义(P<0.05)。结论:耳穴贴压、艾盐包热熨联合排便训练有利于缓解脑卒中后慢传输型便秘患者的便秘症状,调节胃肠激素水平。

    Abstract:

    Abstract:Objective:To observe the clinical effect of auricular point sticking therapy and hot compress with Aiyan bag combined with defecation training for post- stroke slow transit constipation. Methods: A total of 92 cases of patients with post-stroke slow transit constipation were divided into the control group and the observation group according to the random number table method,46 cases in each group. The control group was given defecation training,and the observation group was additionally given auricular point sticking therapy and hot compress with Aiyan bag based on the treatment of the control group. The clinical effect and constipation scores were compared between the two groups; levels of gastrointestinal hormones were detected. Results:The total effective rate was 91.30% in the observation group,higher than that of 73.91% in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of symptom scores of constipation including abdominal distension,straining sensation,incomplete defecation, distending sensation, fecal character, defecation time, defecation frequency and the degree of difficult defecation between the two groups(P>0.05);after treatment,the eight symptom scores of constipation in the two groups were decreased when compared with those before treatment, and the scores in the observation group were lower than those in the control group, differences being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of levels of somatostatin(SS) and motilin(MTL) between the two groups(P>0.05). After treatment,when compared with those before treatment,the levels of SS in the two groups were decreased,and the levels of MTL were increased;the level of SS in the observation group was lower than that in the control group,and the level of MTL was higher; differences were significant(P<0.05). Conclusion: The application of auricular point sticking therapy and hot compress with Aiyan bag combined with defecation training conduces to relieving constipation symptoms of patients with post-stroke slow transit constipation,and regulating levels of gastrointestinal hormones.

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李美川.耳穴贴压、艾盐包热熨联合排便训练治疗脑卒中后慢传输型便秘临床研究[J].新中医,2020,52(18):79-82

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  • 在线发布日期: 2020-09-20
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