针刺调神方治疗卒中后便秘的临床观察

Clinical Observation of Mind-regulating Acupuncture in the Treatment of Post-stroke Constipation

【目的】观察针刺调神方(百会、四神聪、神庭等)治疗卒中后便秘的临床疗效。【方法】将60例卒中后便秘患者随机分为观察组和对照组,每组各30例。对照组给予乳果糖口服溶液口服,观察组给予针刺调神方治疗,共治疗4周。治疗4周后,评价2组临床疗效,治疗前,治疗4周后及治疗10周后随访时,分别观察2组患者慢性便秘严重度评分量表(CSS)的变化情况,以及汉密尔顿焦虑量表(HAMA)评分的变化情况,并评价2组不良反应的发生情况。【结果】(1)治疗4、10周后,2组患者的CSS评分均明显改善(P<0.05),且观察组在改善CSS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗4、10周后,2组患者的HAMA评分明显改善(P<0.05),且观察组在改善HAMA评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)观察组的总有效率为60.00%(18/30),对照组为13.33%(4/30),观察组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(4)观察组的不良反应发生率为6.67%(2/30),对照组为36.67%(11/30),观察组的不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。【结论】针刺调神方治疗卒中后便秘,能明显改善患者的便秘症状,缓解患者的焦虑情绪,不良反应少,临床疗效显著。

Objective To observe the clinical efficacy of mind-regulating acupuncture(including acupoints Baihui,sishencong,shenting,etc.)in treating post-stroke constipation.Methods Sixty patients with poststroke constipation were randomly divided into the observation group and the control group,with 30 cases in each group.The control group was given oral administration of lactulose oral solution,while the observation group was given mind-regulating acupuncture therapy.The treatment in both groups lasted for 4 weeks.After 4 weeks of treatment,the clinical efficacy of the two groups was evaluated.Before treatment,after 4 weeks of treatment and at the follow-up visit after 10 weeks of treatment,the changes in the chronic constipation severity scale(CSS)and the changes in the Hamilton anxiety scale(HAMA)scores were observed in the two groups,respectively.The incidence of adverse reactions in the two groups was also evaluated.Results(1)After 4 and 10 weeks of treatment,the CSS scores of patients in both groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving CSS scores,and the difference was statistically significant(P<0.05).(2)After 4 and 10 weeks of treatment,the HAMA scores of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the HAMA scores,and the difference was statistically significant(P<0.05).(3)The overall effective rate of the observation group was 60.00%(18/30)and that of the control group was 13.33%(4/30).The efficacy of the observation group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).(4)The incidence of adverse reactions in the observation group was 6.67%(2/30),while the control group was 36.67%(11/30).The incidence of adverse reactions in the observation group was significantly superior to that in the control group,and the difference was statistically significant(P<0.05).Conclusion Mindregulating acupuncture exerts certain effect in treating post-stroke constipation through alleviating patient’s constipation symptoms and relieving their anxiety,with few adverse reactions and significant clinical efficacy.