雷火灸治疗中风后遗症期气虚型便秘的临床观察

Clinical Observation to Thunder-Fire Moxibustion Therapy for Stroke Sequela Period Constipation Type of Qi Deficiency

目的探索雷火灸治疗中风后遗症期气虚型便秘的临床疗效。方法采用随机对照试验研究方法,将2013年6月—2014年9月在广东省中医院综合一科住院患者80例,随机分为对照组(40例)和试验组(40例),对照组患者给予口服乳果糖溶液(起始量为15ml bid,症状无改善可逐渐增量至30ml bid,起效后改为10ml bid;试验组患者赵氏雷火灸治疗(气海、关元、神阙、双侧天枢、双侧足三里,每个穴位以补法悬起灸20分钟)。于治疗前、治疗后第4周、治疗后第9周评价患者的便秘临床症状。结果治疗前、治疗后第4周两组临床症状评分相当,且无统计学差异(P>0.05)。治疗后第8周,试验组临床症状评分低于对照组,且差异有统计学意义(P<0.05)。试验组治疗后第4周、治疗后第8周临床症状评分低于治疗前,且差异有统计学意义(P<0.05)。对照组治疗后第4周、治疗后第8周临床症状评分低于治疗前,且无统计学差异(P>0.05)。根据疗效评价标准,两组治疗后第4周疗效相当,且无统计学差异(P>0.05)。治疗后第8周,试验组总有效率高于对照组,且差异有统计学意义(P<0.05)。结论本研究提示,相对乳果糖,雷火灸在改善中风后遗症期患者的便秘具有较好短期和长期疗效。

Objective To explore the clinical curative effect to thunder-fire moxibustion therapy for constipation type of qi deficiency in stroke sequela period. Methods By the method of randomized controlled trials,80 patients in comprehensive department of Guangdong hospital on 2013 June-September 2014 were randomly divided into control group（40 cases） and the experimental group（40 cases）,control group patients were given oral lactulose solution,（initial amount of 15 ml, bid,no improvement can be gradually incremental to 30 ml,bid, After work to 10 ml,bid,） Experimental group patients with Thunder-fire moxibustion（Qihai RN6, guanyuan RN4, Shenque RN8, double Tianshu ST25, double Zusanli ST36, each points to make up for suspended moxibustion for 20 minutes）. Before and after treatment 4 weeks, after 9 weeks, clinical symptom scores of constipation is evaluated in patients. Results Before and 4 weeks after treatment in the two groups clinical symptom scores, and no statistical difference（ P〉0.05）. 8 weeks after treatment, the patients clinical symptoms score lower than the control group, and the difference was statistically significant（ P〈0.05）. Control group after treatment clinical symptom scores less than 8 weeks after treatment of 4 weeks before the treatment, and no statistical difference（ P〉0.05）. Experimental group 4 weeks after treatment, 8 weeks after treatment, the clinical symptom scores lower than before treatment, and the difference was statistically significant（ P〈0.05） According to the curative effect evaluation standard, the two groups after treatment of 4 weeks treatment, and no statistical difference（P〉0.05）. 8 weeks after treatment, treatment group total effective rate was higher than the control group, and the difference was statistically significant（ P〈0.05）. Conclusion This study suggests that relatively lactulose, thunder fire moxibustion in improving stroke sequela period has a good short-term and long-term efficacy in patients with constipation.