中药内服外敷治疗中风患者便秘的临床研究

A study on treating constipation in patients with stroke in TCM

目的:观察中药内服外敷治疗中风患者便秘的临床研究。方法:选择住院治疗的中风便秘患者64例,按就诊先后顺序分成观察组和对照组,各32例。对照组口服乳果糖,观察组口服自拟中药方通腑顺气汤,同时自制中药包外敷神阙穴。对比观察两组患者干预后第1次排便时间,干预前及干预后7天患者便秘证候积分。结果:干预后观察组总有效率高于对照组,差异有统计学意义(P <0.05);治疗后,两组患者排便困难程度、粪便性状、排便时间、下坠不尽、排便频度和腹胀程度的证候积分均有明显下降,与治疗前相比差异均有统计学意义(P <0.05);治疗后两组组间对比,观察组的各项证候积分均低于对照组,差异均有统计学意义(P <0.05)。结论:中药内服外敷治疗中风患者便秘疗效优异,优于乳果糖口服治疗,值得临床推广应用。

Objective: To observe clinical efficacy of TCM on constipation in patients with stroke. Methods: 64 cases were divided into 2 groups, 32 cases in each. The control group was given lactulose;and the observation group was given the Tongfu Shunqi decoction (通腑顺气汤) plus TCM medicine external applying on Shenque point (神阙穴). Results: After treatment, the total efficiency in the observation group was higher ( P <0.05). The symptoms of difficulty in defecation, fecal traits, defecation time, incomplete fall, frequency of bowel movement and degree of bloating were significantly decreased in both groups ( P <0.05). The scores of the symptoms in the observation group were lower ( P < 0.05). Conclusion: TCM on constipation in patients with stroke show a good effect, and is worthy of promotion.