中药穴位贴敷法治疗气虚血瘀型中风后便秘临床疗效观察

Clinical Efficacy Observation of Using Acupoint Application of Chinese Medicine Methods in the Treatment of Constipation after Stroke of Qi Deficiency and Blood Stasis Type

目的:观察中药穴位贴敷法治疗气虚血瘀型中风后便秘患者的临床疗效及患者满意度评价。方法:将符合标准的100例中风后便秘患者随机分为观察组和对照组,每组各50例,对照组予常规护理,包括粗纤维膳食和每日水分摄入;观察组在对照组基础上,予中药穴位贴敷干预,贴于患者脾俞(双)、天枢(双)和上巨虚(双),每日更换1贴。治疗2周为1个疗程,共治疗1个疗程。研究以便秘患者症状自评量表(PAC-SYM)为观察指标,治疗前和治疗2周后进行评估,比较两组的临床疗效,并进行患者满意度评价。结果:研究表明观察组总有效率(94%)高对照组(86%),疗效对比P<0.01,差异有统计学意义,PAC-SYM积分经2周的干预后,2组患者均较治疗前降低(P<0.01),其中观察组积分降低程度明显优于对照组(P<0.01);且患者满意度观察组高于对照组,差异有统计学意义(P<0.01)。结论:中药穴位贴敷法治疗气虚血瘀型中风后便秘临床疗效显著,且操作简便、安全可靠,患者满意度高,更利于临床推广使用。

Objective: To observe the clinical efficacy and satisfaction of acupoint application of traditional Chinese medicine in the treatment of constipation after apoplexy with Qi deficiency and blood stasis. Methods: From January 2018 to February 2019, 100 patients withconstipation after stroke who were treated in rehabilitation center ward of our hospital were randomly divided into observation group (50 cases)and control group (50 cases). The one in control group were given conventional treatment, including crude fiber diet and daily water intake. The one in experiment group was given Chinese medicine acupoint application, which was applied to patients with spleen (double), Tianshu (double)and Shangjuxu (double), change one sticker daily. Two weeks of treatment is a course of treatment, a total of one course of treatment. The study used PAC-SYM as the observation index to evaluate the clinical efficacy of the two groups before and 2 weeks after treatment, and to evaluate the satisfaction of patients. Results: The total effective rate was 94% in the observation group and 86% in the control group. There was a significant difference between the two groups (P<0.01), suggesting that the overall curative effect of the observation group was better than that of the control group. After treat-ment, the PAC-SYM scores of the two groups were improved (P<0.01), and the improvement degree of PAC-SYM in the observation group was better than that of the control group (P<0.01). There was significant difference between the two groups (P<0.01). Conclusion: Acupoint application of traditional Chinese medicine for constipation after apoplexy of Qi deficiency and blood stasis type has remarkable clinical curative effect, and it is simple, safe and reliable to operate, with high patient satisfaction, which is more conducive to clinical application.