Objective： To observe the differences in therapeutic effects of acupuncture and lactulose oral solution on constipation after stroke. Method： Sixty patients with constipation after stroke were divided into an acupun...Objective： To observe the differences in therapeutic effects of acupuncture and lactulose oral solution on constipation after stroke. Method： Sixty patients with constipation after stroke were divided into an acupuncture group and a western medicine group by a random number method, with 30 cases in each group. Based on the the conventional treatment and rehabilitation for function recovery, the acupuncture group was treated at the selected the bilateral acupoints： Daheng （SP15）, Fujie （SP14）, Zhigou （TE6）, Zhaohai （KI6）, Yingxiang （LI20）, and Shaoshang （LU11） while the western medicine group was treated with 30 ml of lactulose oral solution. The clinical symptoms score and clinical efficacy of the treatment provided for constipation in both groups were recorded pre-treatment, at one week of treatment, after treatment for two weeks, and one month after discharge respectively. Results： The clinical symptom scores of constipation in the two groups after one week of treatment, two weeks of treatment, and one month of treatment were significantly lower than those before treatment （P 〈 0.001）. The treatment efficacy in the acupuncture group showed significant improvement when compared with the western medicine group, at one week, two weeks and one month （1.03 ± 1.19 vs 1.43 ± 1.19, P 〉 0.05 ; 0.73 ± 1.01 vs 1.33 ± 1.18, P 〈 0.05; 0.53 ± 0.82 vs 1.27 ± 1.14, P 〈 0.05, respectively）. The efficacy rate was statistically significant at two weeks after treatment and one month after follow-up （86.67% vs 70%,P 〈 0.05; 93.33% vs 73.33%, P 〈 0.05, respectively）. Conclusion： The short-term and long-term efficacy of acupuncture on constipation after stroke is better thanthat of treatment with lactulose oral solution. This method is safe, free of side effects, durable, has high feasibility, and is suitable for clinical application.展开更多
文摘Objective： To observe the differences in therapeutic effects of acupuncture and lactulose oral solution on constipation after stroke. Method： Sixty patients with constipation after stroke were divided into an acupuncture group and a western medicine group by a random number method, with 30 cases in each group. Based on the the conventional treatment and rehabilitation for function recovery, the acupuncture group was treated at the selected the bilateral acupoints： Daheng （SP15）, Fujie （SP14）, Zhigou （TE6）, Zhaohai （KI6）, Yingxiang （LI20）, and Shaoshang （LU11） while the western medicine group was treated with 30 ml of lactulose oral solution. The clinical symptoms score and clinical efficacy of the treatment provided for constipation in both groups were recorded pre-treatment, at one week of treatment, after treatment for two weeks, and one month after discharge respectively. Results： The clinical symptom scores of constipation in the two groups after one week of treatment, two weeks of treatment, and one month of treatment were significantly lower than those before treatment （P 〈 0.001）. The treatment efficacy in the acupuncture group showed significant improvement when compared with the western medicine group, at one week, two weeks and one month （1.03 ± 1.19 vs 1.43 ± 1.19, P 〉 0.05 ; 0.73 ± 1.01 vs 1.33 ± 1.18, P 〈 0.05; 0.53 ± 0.82 vs 1.27 ± 1.14, P 〈 0.05, respectively）. The efficacy rate was statistically significant at two weeks after treatment and one month after follow-up （86.67% vs 70%,P 〈 0.05; 93.33% vs 73.33%, P 〈 0.05, respectively）. Conclusion： The short-term and long-term efficacy of acupuncture on constipation after stroke is better thanthat of treatment with lactulose oral solution. This method is safe, free of side effects, durable, has high feasibility, and is suitable for clinical application.
