神阙穴贴敷大黄防治中风偏瘫合并便秘临床研究

Clinical Study on Radix et Rhizoma Rhei Application at Shenque Acupoint in Prevention and Treatment for Stroke-induced Hemiplegia Complicated with Constipation

目的:观察大黄神阙穴贴敷对中风后偏瘫患者合并便秘的预防效果。方法:选取中风后偏瘫合并便秘的患者共102例作为研究对象,随机分成观察组与对照组各51例;对照组患者采取常规护理方式,观察组患者在对照组干预的基础之上采用大黄神阙穴贴敷,疗程均为7天;观察2组治疗后便秘临床疗效,患者7天内排便情况及便秘发生情况。结果:便秘总有效率观察组为94.12%,对照组为64.71%,2组比较,差异有统计学意义(P <0.05)。治疗干预后,观察组出现大便干结、需要缓泻剂、排便费时、排便有残留感等症状的病例均少于对照组,差异有统计学意义(P <0.05)。护理干预后第1～7天,观察组便秘发生率均低于对照组,差异有统计学意义(P <0.05)。结论:大黄神阙穴贴敷对中风偏瘫后便秘患者有较好的防治效果,临床上可根据实际情况合理应用。

Objective: To observe the preventive effect of Radix et Rhizoma Rhei(Dahuang) application at Shenque acupoint for patients with stroke-induced hemiplegia complicated with constipation. Methods: Selected 102 cases of patients with stroke-induced hemiplegia complicated with constipation as the study subjects, and randomly divided them into the observation group(51 cases) and the control group(51 cases). The control group received routine nursing methods, and the observation group was additionally given Radix et Rhizoma Rhei(Dahuang) application at Shenque acupoint for intervention. The course for both groups lasted for 7 days. Observed the clinical effect on constipation after 72 hours of intervention, defecation within 7 days and incidence of constipation in the two groups. Results: The total effective rate of constipation was 94.12% in the observation group and 64.71% in the control group,compared the two groups, difference being significant(P < 0.05).After the treatment of intervention, the cases that showed symptoms of dry stool, need for laxatives,time-consuming defecation, and a sense of residual defecation in the observation group were fewer than those in the control group,difference being significant(P < 0.05). On the 1st to 7th day after the nursing intervention,the incidence of constipation in the observation group was lower than that in the control group, difference being significant(P < 0.05). Conclusion: The application of Radix et Rhizoma Rhei(Dahuang) application at Shenque acupoint has good effect in preventing and treating patients with stroke-induced hemiplegia complicated with constipation. It can be applied reasonably to patients according to their actual situation.