百会穴埋线配合认知行为干预对卒中后便秘患者的影响

Effect of Baihui Acupoint Catgut Embedding Combined with Cognitive Behavior Intervention on the Post-Stroke Constipation Patients

目的:探讨百会穴埋线配合认知行为干预对卒中后便秘患者的影响,为减轻临床脑卒中患者便秘症状提供思路。方法:选取黑龙江省某三级甲等医院针灸三科住院的脑卒中便秘患者120例,随机分为四组,对照组给予常规护理,其他组均在常规护理的基础上予以相应的干预措施,试验组1给予认知行为干预,试验组2给予百会穴埋线,试验组3给予百会穴埋线加认知行为干预。比较干预前、干预后7天、干预后14天的四组便秘临床症状积分、便秘治疗效果。结果:干预14天后,四组便秘症状积分均显著低于干预前(P<0.05),且试验组1、试验组2和试验组3便秘症状积分均低于对照组,试验组3便秘症状积分最低(P<0.05),试验组3的便秘治疗总有效率为92.86%,显著高于其他三组(P<0.05)。结论:与常规治疗、常规治疗联合百会穴埋线或认知行为干预相比,百会穴埋线配合认知行为干预可显著提高脑卒中患者便秘的临床效果。

Objective： To explore the influence of Baihui cave embedding combined with cognitive behavior intervention on the patients with constipation after stroke, and provide references for reducing constipation symptoms in clinical stroke patients. Methods： A total of 120 cases of stroke constipation patients were enrolled and randomly divided into four groups. The control group was given routine nursing care. The other groups were given interventions based on routine care. Test group 1 was given cognitive behavioral intervention, test group 2 was given Baixue embedding, and test group 3 was given Bahui acupoint embedding and cognitive behavioral intervention. The clinical symptom scores and constipation treatment effects of the four groups were compared at 7, 14 days after intervention. Results： After 14 days of intervention, the scores of constipation symptoms of four groups were significantly lower than those before the intervention（P〈0.05）, and the scores of constipation symptoms of test group 1, test group 2 and the test group 3 were lower than that of the control group, and the score of constipation symptoms of test group 3 was the lowest（P〈0.05）, the total effective rate of constipation treatment in test group 3 was 92.86%, which was significantly higher than that of the other three groups（P〈0.05）.Conclusions： Compared with routine treatment, conventional treatment combined with Baihui Point embedding or cognitive behavioral intervention, Baihui Point Embedding with cognitive behavioral intervention can significantly improve the clinical effect of constipation in stroke patients.