耳穴埋豆联合肢体功能锻炼对脑卒中便秘患者的临床疗效

Effectiveness of Auricular Points Embedding Beans and Limb Function Exercise in the Treatment of Constipation in Stroke Patients

目的探讨耳穴埋豆联合肢体功能锻炼对脑卒中患者便秘症状的临床疗效。方法选取2020年4月~2021年4月南通大学附属海安市人民医院收治的脑卒中伴便秘后遗症患者70例,依照治疗方法的不同分为对照组与观察组,各35例。对照组接受常规治疗联合肢体功能锻炼,观察组在此基础上加入耳穴埋豆治疗。分别选用便秘患者临床评分量表(CCS)、Fugl-Mayer肢体功能评定量表(FMA)、便秘患者特异性生活质量评定量表(PAC-QOL),比较两组治疗前后的临床症状、肢体功能及生活质量,同时比较治疗前后血清P物质(SP)、活性肠肽(VIP)水平。结果治疗前,两组CCS评分、FMA评分、PAC-QOL评分、SP水平及VIP水平比较,差异均无统计学意义(P>0.05);治疗后,两组CCS评分、PAC-QOL评分及VIP水平低于治疗前,且观察组低于对照组(P<0.05);治疗后,两组FMA评分、SP水平均高于治疗前,且观察组高于对照组(P<0.05)。观察组临床总有效率高于对照组(P<0.05)。结论耳穴埋豆联合肢体功能锻炼可有效改善脑卒中后便秘患者的便秘相关临床症状,提高肢体运动功能,同时调节胃肠功能,改善患者的生活质量,提高临床治疗效率。

Objective To investigate the clinical efficiency of auricular points embedding beans combined with limb function exercise on constipation in patients with stroke.Methods A total of 70 stroke patients with constipation who were admitted to Hai’an People’s Hospital from April 2020 to April 2021 were selected.According to the treatment methods,the patients were divided into the control group and the observation group,35 cases in each group.All Patients received routine treatment combined with limb function exercise.The patients in the observation group additionally received ear acupoint embedding beans treatment.Clevland constipation score(CCS),Fugl-Meyer assessment(FMA)and patient assessment of constipation quality of life scale(PAC-QOL)were used to evaluate the clinical symptoms,limb function and quality of life.The levels of substance P(SP)and vasoactive intestinal peptide(VIP)in serum of patients before and after treatment were compared between the two groups.Results Before treatment,there were no significant differences in CCS score,FMA score,PAC-QOL score,SP and VIP levels between the two groups(P>0.05).After treatment,CCS score,PAC-QOL score and VIP level in the two groups were lower than those before treatment,and those in the observation group were lower than those in the control group(P<0.05).After treatment,FMA score and SP level in the two groups were higher than those before treatment,and those in the observation group were higher than those in the control group(P<0.05).The response rate in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Auricular points embedding beans combined with limb function exercise may effectively improve the clinical symptoms and limb motor function of patients with constipation after stroke,regulate gastrointestinal function,improve the quality of life,and enhance the efficiency of treatment.