电针足三里穴对卒中后胃肠功能紊乱的临床观察

Clinical Observation of Gastrointestinal Dysfunction after Stroke by Electroacupuncture at Zusanli

目的探讨电针足三里穴治疗对卒中后并发胃肠功能紊乱患者的临床效果,发挥中医优势,为中西医结合治疗卒中提供临床依据。方法选取2014年10月-2015年12月入住我院神经科并且病程超过2个月的卒中后并发胃肠功能紊乱的80例患者,随机将分为观察组和对照组,每组有40例。给对照组给予西医常规治疗及护理,而观察组在对照组治疗基础上给予双侧足三里穴电针治疗。结果对照组的总有效率75%,观察组的总有效率92.5%,比较差异有显著性(P<0.05)。观察组肠鸣音恢复时间,肛门排便、排气时间短于对照组(P<0.05)。经治疗后两组胃泌素、胃动素水平均较治疗前升高(P<0.05),且观察组水平明显高于对照组,比较差异有显著性(P<0.05)。结论常规治疗基础上加用足三里穴电针治疗可有效促进卒中患者胃肠功能恢复,改善胃肠动力,调节胃肠激素的分泌,临床疗效显著。

Objective To explore the clinical effect of electroacupuncture at Zusanli in patients with gastrointestinal dysfunction after stroke, so as to provide clinical evidence for stroke treated with combination of TCM and Western medicine by taking advantage of traditional Chinese medicine.Methods A total of 80 patients who were admitted in neurology department of our hospital during October 2014 and December 2015 and diagnosed as gastrointestinal dysfunction after stroke with more than 2 months were selected and randomly divided into observation group and control group, with 40 cases in each group. The control group was given conventional western medicine treatment and nursing, while the observation group was treated by Zusanli electroacupuncture on the basis of control treatment.Results The total effective rate was 92.5% in observation group, better than the 75% in control group（P〈0.05）. The recovery time for borborygmus, as well as time for anal evacuation and defecation in observation group were shorter than that in control group（P〈0.05）. After treatment, Blood gastrin and motilin levels in two groups were higher than that before treatment（P〈0.05）, and the blood gastrin and motilin levels of the observation group were obviously higher than the control group, which had statistically significant difference（P〈0.05）.Conclusion Conventional treatment combined with Zusanli electroacupuncture can effectively promote recovery of gastrointestinal function in patients with stroke, improve gastrointestinal motility and regulate the secretions of gastrointestinal hormones, which has significant the clinical effect.