艾灸联合直肠指力刺激及卫生棉在脑梗死恢复期患者大便失禁中的应用效果

Application Effect of Moxibustion Combined with Rectal Finger Force Stimulation and Sanitary Napkins in the Treatment of Fecal Incontinence in Patients with Cerebral Infarction in the Recovery Period

目的:探讨艾灸联合直肠指力刺激及卫生棉在脑梗死恢复期患者大便失禁中的应用效果。方法:选取2020年12月-2021年9月赣南医学院第一附属医院与江西省中西医结合医院收治的90例脑梗死恢复期大便失禁患者,按照随机数字表法分为两组,各45例。对照组采用常规治疗,治疗组在对照组基础上采用艾灸+直肠指力刺激+卫生棉辅助治疗。比较两组治疗效果、肛门失禁程度评分(Vaizey失禁评分)、肛周皮肤破损发生率、大便失禁患者生活质量量表(FIQL)评分及安全性。结果:治疗组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组Vaizey失禁评分、各维度FIQL评分比较,差异均无统计学意义(P>0.05);治疗后,两组Vaizey失禁评分均低于治疗前,两组各维度FIQL评分均高于治疗前,且治疗组Vaizey失禁评分低于对照组,各维度FIQL评分均高于对照组,差异均有统计学意义(P<0.05)。治疗组肛周皮肤破损发生率低于对照组,差异有统计学意义(P<0.05)。两组治疗期间均未发生任何不良反应。结论:艾灸联合直肠指力刺激及卫生棉辅助治疗脑梗死恢复期患者大便失禁疗效确切,可有效改善患者肛门括约肌功能,减少肛周皮肤破损发生率,提升生活质量,且该治疗方案安全性高,在治疗脑梗死恢复期大便失禁患者临床治疗中具有重要价值。

Objective:To explore the application effect of moxibustion combined with rectal finger force stimulation and sanitary napkins in the treatment of fecal incontinence in patients with cerebral infarction in the recovery period.Method:A total of 90 patients with fecal incontinence and cerebral infarction in the recovery period admitted to the First Affiliated Hospital of Gannan Medical College and Jiangxi Hospital of Integrated Traditional Chinese and Western Medicine from December 2020 to September 2021 were selected,they were divided into two groups according to random number table method,with 45 cases in each group.The control group received conventional treatment,and the treatment group received moxibustion combined with rectal finger force stimulation and sanitary napkins on the basis of the control group.Treatment effect,anal incontinence score(Vaizey incontinence score),incidence of perianal skin damage,fecal incontinence quality-of-life(FIQL)scale score and safety were compared between the two groups.Result:The total effective rate in the treatment group was higher than that in the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in Vaizey incontinence scores and FIQL scores of all dimensions between the two groups(P>0.05);after treatment,Vaizey incontinence scores in both groups were lower than those before treatment,and FIQL scores of all dimensions in both groups were higher than those before treatment,and Vaizey incontinence score in the treatment group was lower than that in the control group,and FIQL scores of all dimensions in the treatment group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of perianal skin damage in the treatment group was lower than that in the control group,the difference was statistically significant(P<0.05).No adverse reactions occurred in the two groups during treatment.Conclusion:Moxibustion combined with rectal finger force stimulation and sanitary napkins is effective in the treatment of fecal incontinence in patients with cerebral infarction in the recovery period,it can effectively improve the anal sphincter function,reduce the incidence of perianal skin damage,and improve the quality of life,the treatment plan is safe,it is of great value in the clinical treatment of patients with fecal incontinence during the recovery period of cerebral infarction.