不同干预方法治疗脑卒中后便秘临床研究

Clinical Research on Constipation After Cerebral Apoplexy Treated with Different Interventions

目的:观察不同干预方法治疗脑卒中后便秘的临床疗效。方法:选取本院收治的脑卒中后便秘患者60例,随机分为A组、B组和C组,每组20例。三组患者均给予饮食干预,A组在此基础上加用手法治疗,B组在此基础上加用药物治疗,C组在此基础上加用灌肠治疗。结果:A组治疗3个月、5个月临床疗效明显优于B组、C组(P<0.05);治疗1个月、3个月,A组费用高于B组、C组,但A组治疗5个月费用优于B组、C组(P<0.05)。结论:手法治疗对脑卒中后便秘远期疗效较好,操作简单,无任何副作用,费用低。

Objective： To observe the clinical effects of different interventions on constipation after cerebral apoplexy. Methods： 60 cases with constipation after cerebral apoplexy treated in this hospital were randomly divided into group A,group B and group C,with 20 cases in each group. Three groups were all given food intervention. Group A were added with manipulations,group B with drug treatment and group C with retention enema. Results： The clinical effect after 3 months and 5 months of treatment in group A were obviously better than that in group B and group C（ P 〈 0. 05）. After 1 month and 3 months of treatment,the cost of group A was higher than that of group B and group C,but the cost of group A after 5 months was better than that of group B and group C（ P 〈 0. 05）. Conclusion： Manipulation treatment has good long-term effects on constipation after cerebral apoplexy,which is simple and cheap and without side effect.