“扶元通腑”腹部按摩法配合针灸治疗中风后便秘的效果观察

Effect of“Fuyuan Tongfu”abdominal massage and acupuncture on patients with constipation after stroke

目的观察“扶元通腑”腹部按摩法配合针灸治疗对中风后便秘患者的临床效果。方法选择本科2019年10月至2021年4月收治的中风后便秘患者98例作为研究对象,随机分为对照组和观察组各49例。对照组给予疏肝调气配穴针刺治疗,观察组在对照组基础上增加“扶元通腑”腹部按摩法,4周后,对比两组患者临床疗效、自主排便功能、便秘相关胃肠激素水平、不良反应发生率。结果治疗4周后,观察组患者排便频率、腹胀评分、首次排便时间、排便困难及便秘症状评分均低于对照组(P<0.05);观察组MTL、SP水平高于对照组,SS、VIP水平低于对照组(P<0.05);观察组治疗总有效率高于对照组(P<0.05);观察组发生头痛、腹痛、腹泻例数与对照组比较差异无统计学意义(P>0.05)。结论“扶元通腑”腹部按摩法配合针灸治疗中风后便秘患者效果显著,可明显减轻患者便秘症状,改善便秘相关胃肠道激素水平,提高治疗效果,且安全性高。

Objective To observe the effect of“Fuyuan Tongfu”abdominal massage and acupuncture on patients with constipation after stroke.Methods From October 2019 to April 2021,98 patients with post-stroke constipation in our department were selected as the research objects,and they were divided into control group and observation group randomly,with 49 cases in each group.The control group was treated with acupuncture for relieving liver stagnation and regulating qi,and the observation group were treated with“Fuyuan Tongfu”abdominal massage on the basis of the control group.After 4 weeks,the clinical efficacy,voluntary defecation function,and constipation-related gastrointestinal hormones,incidences of adverse reactions were compared between the two groups.Results After 4 weeks of treatment,the observation group's defecation frequency,abdominal distension score,first defecation time,dysuria and constipation scores were lower than those of the control group(P<0.05).The observation group's MTL and SP levels were higher than those of the control group,SS and VIP levels were lower than those of the control group(P<0.05).The total effective rate of treatment in the observation group was higher than that of the control group(P<0.05).The incidence of headache,abdominal pain,and diarrhea in the observation group was not statistically different from that of the control group(P>0.05).Conclusion“Fuyuan Tongfu”abdominal massage combined with acupuncture for relieving liver stagnation and regulating qi has a significant effect,which can significantly reduce the symptoms of constipation,improve the level of constipation related gastrointestinal hormones,improve the treatment effect,and high safety.