中药穴位敷贴联合常规疗法治疗缺血性脑卒中后便秘临床研究

Clinical Study on Point Application with Chinese Herbal Medicine Combined with Routine Treatment for Constipation after Ischemic Stroke

目的:观察中药穴位敷贴联合常规疗法治疗缺血性脑卒中后便秘的临床效果。方法:将108例缺血性脑卒中后便秘患者随机分为对照组和观察组各54例。2组均常规给予饮食护理、运动指导和心理护理,并口服枯草杆菌二联活菌肠溶胶囊,观察组给予中药穴位敷贴,2组均连续观察14天。比较2组的临床疗效,治疗前后评定便秘症状积分和使用便秘患者生活质量量表(PAC-QOL)评价生活质量,出院时评价护理满意度。结果:治疗后,观察组临床疗效优于对照组(P <0.05)。2组便秘症状积分和PAC-QOL评分均较治疗前下降(P <0.01)。观察组便秘症状积分和PAC-QOL评分均低于对照组(P <0.01)。观察组护理满意度高于对照组(P <0.05)。结论:在常规护理、治疗措施的基础上加用中药穴位敷贴能更有效地减轻缺血性脑卒中后便秘症状,提高患者的生活质量和临床疗效,患者对护理工作的满意度较高。

Objective:To observe the clinical effect of point application with Chinese herbal medicine combined with routine treatment for constipation after ischemic stroke.Methods:A total of 108 cases of patients with constipation after ischemic stroke were randomly divided into the control group and the observation group,54 cases in each group.Both groups were routinely given dietary nursing,exercise instruction,psychological nursing instruction and oral administration of live combined Bacillus subtilis and Enterococcus faecium enteric-coated capsules;the observation group was additionally treated with point application with Chinese herbal medicine.Both groups were observed for fourteen days continuously.The clinical effect in the two groups was compared.Before and after treatment,the symptom scores of constipation were evaluated,and the quality of life was assessed by the Patient Assessment of Constipation-Quality of Life scale(PAC-QOL).The nursing satisfaction was evaluated by patients when at discharge.Results:After treatment,the clinical effect in the observation group was superior to that in the control group(P<0.05).The scores of constipation and PAC-QOL in the two groups were decreased when compared with those before treatment(P<0.01);the above scores in the observation group were lower than those in the control group(P<0.01).The nursing satisfaction in the observation group was superior to that in the control group,the difference being significant(P<0.05).Conclusion:The therapy of point application with Chinese herbal medicine based on routine nursing and treatment measures can more effectively alleviate the symptom of constipation after ischemic stroke and improve quality of life and clinical effect of patients,with high nursing satisfaction.