电针深刺八髎穴联合腹部推拿治疗脑卒中后便秘临床研究
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R743.3

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金华市公益性技术应用研究项目(2023-4-205)


Clinical Study on Deep Electroacupuncture at Baliao Points Combined with Abdominal Massage for Post-Stroke Constipation
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    摘要:

    目的:观察电针深刺八髎穴联合腹部推拿治疗脑卒中后便秘的临床疗效。方法:选取2023年6月— 2024年10月于兰溪市中医院康复科住院部治疗的80例脑卒中后便秘患者,根据随机数字表法分为电针深刺组 和常规针刺组各40例。常规针刺组采用常规针刺联合腹部推拿治疗,电针深刺组采用电针深刺八髎穴联合腹 部推拿治疗。2组疗程均为2周。治疗前后评定并比较2组患者的便秘主要症状总分、慢性便秘严重度评分量 表 (CSS) 评分及便秘患者生活质量量表 (PAC-QOL) 评分,记录治疗期间2组患者不良反应的发生情况。 比较2 组的临床疗效。结果:治疗后,电针深刺组总有效率高于常规针刺组 (P<0.05)。随着治疗时间的 延长,2组便秘主要症状总分、CSS评分均呈下降趋势(P<0.05)。治疗1周,2组便秘主要症状总分、CSS评 分均较治疗前下降 (P<0.05);电针深刺组便秘主要症状总分、CSS评分均低于常规针刺组 (P<0.05)。治 疗2周,2组便秘主要症状总分、CSS评分均较治疗1周下降(P<0.05);电针深刺组便秘主要症状总分、CSS评 分均低于常规针刺组 (P<0.05)。2组PAC-QOL生理、社会和心理、忧虑、满意度评分及总分均较治疗前下 降(P<0.05);电针深刺组PAC-QOL各维度评分及总分均低于常规针刺组(P<0.05)。2组均无严重不良反应 发生。结论:采用电针深刺八髎穴联合腹部推拿的治疗方案能有效改善脑卒中后便秘症状、减轻病情严重程 度、提高患者的生活质量,临床疗效优于常规针刺联合腹部推拿治疗,且安全性较好。

    Abstract:

    Abstract:Objective:To observe the clinical effect of deep electroacupuncture at Baliao points combined with abdominal massage on post-stroke constipation. Methods:A total of 80 cases of patients with post-stroke constipation treated at the Inpatient Department of Rehabilitation of Lanxi Hospital of Traditional Chinese Medicine from June 2023 to October 2024 were selected and divided into the deep electroacupuncture group and the conventional acupuncture group according to the random number table method,with 40 cases in each group. The conventional acupuncture group was treated with conventional acupuncture combined with abdominal massage,and the deep electroacupuncture group was treated with deep electroacupuncture at Baliao points combined with abdominal massage. Both groups were treated for two weeks. The main symptoms of constipation, the Chronic Constipation Severity Scale(CSS), and the Patient Assessment of Constipation-Quality of Life(PAC-QOL)scores in the two groups were evaluated and compared before and after treatment. Adverse reactions in the two groups during the treatment period were recorded. The clinical effects were compared between the two groups. Results: After treatment, the total effective rate in the deep electroacupuncture group was higher than that in the conventional acupuncture group(P<0.05). Over time,the main symptoms of constipation and CSS scores in the two groups showed a decreasing trend(P<0.05). After one week of treatment,the main symptoms of constipation and CSS scores in the two groups were decreased when compared with those before treatment (P<0.05); the deep electroacupuncture group had lower scores than the conventional acupuncture group(P<0.05). After two weeks of treatment,the main symptoms of constipation and CSS scores in the two groups were decreased when compared with those after one week of treatment (P<0.05); the deep electroacupuncture group had lower scores than the conventional acupuncture group(P<0.05). The PAC-QOL scores in the physical discomfort, social and psychological discomfort, worries and concerns, and treatment satisfaction dimensions as well as the total scores in the two groups were decreased when compared with those before treatment(P< 0.05); the deep electroacupuncture group had lower PAC-QOL scores in all dimensions and total score than the conventional acupuncture group(P<0.05). No serious adverse reactions occurred in either group. Conclusion:The treatment regimen of deep electroacupuncture at Baliao points combined with abdominal massage can effectively improve post-stroke constipation symptoms,reduce the severity of the condition,and enhance the quality of life of patients. Its clinicalefficacy is superior to thatofconventionalacupuncture combined with abdominalmassage,and ithas good safety.

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洪倩,章连新,陈慧卿,魏学玲.电针深刺八髎穴联合腹部推拿治疗脑卒中后便秘临床研究[J].新中医,2025,57(16):83-87

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  • 在线发布日期: 2025-08-26
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