调肠针法联合火龙罐治疗老年脑卒中后便秘的疗效观察
目的：观察调肠针法、火龙罐治疗老年脑卒中后便秘的效果。方法：将132例脑卒中后便秘患者分成两组，其中对照组与观察组各66例。两组患者均给予卒中基础治疗，对照组在此基础上进行排便训练，观察组患者在对照组的基础上给予调肠针法联合火龙罐治疗，连续治疗2周。比较两组患者的排便情况、焦虑状态，检测血清肠神经递质含量，统计复发率。结果：从临床有效率比较来看，以观察组的临床有效率（92.42%）升高更明显（P＜0.05）；从排便情况来看，与对照组相比，观察组的排便时间间隔显著缩短，每次进行排便时所耗费的时间大幅减少，并且首次出现排便的时间也明显提前(P<0.05)；治疗后，观察组于排便难度CCS评分、粪便性状 Bristol 评分方面，皆显著低于对照组(P<0.05)；在治疗1周、治疗2周后，观察组的焦虑SAS评分均呈现出明显的下降态势（P<0.05）；观察组治疗后的血清肠神经递质VIP、NO含量明显低于对照组，5-HT含量明显高于对照组，差异有统计学意义（P＜0.05）；治疗后随访4周，观察组在控制复发率方面更低，仅为5.13%（P＜0.05）。结论：调肠针法、火龙罐改善老年脑卒中后便秘的效果确切，更利于缩短病程，减轻便秘程度，增强胃肠动力，缓解焦虑，其起效可能与调控肠神经递质含量有关。
Objective To observe the effect of regulating intestinal acupuncture and fire-dragon pot in treating constipation after stroke in the elderly. Methods: 132 patients with poststroke constipation were divided into two groups, 66 in control group and 66 in observation group. Both groups were given basic stroke treatment, the control group was given defecation training on the basis of this, the observation group was given regulating intestinal acupuncture combined with fire dragon jar treatment on the basis of the control group, and the treatment lasted for 2 weeks. The defecation and anxiety status of the two groups were compared, the content of serum enteric neurotransmitter was detected, and the recurrence rate was calculated. Results: From the comparison of clinical effective rate, the clinical effective rate of observation group (92.42%) increased more significantly (P<0.05); In terms of defecation, compared with the control group, the time interval of defecation in the observation group was significantly shortened, the time spent in each defecation was significantly reduced, and the time of first defecation was also significantly advanced (P<0.05). After treatment, the CCS score of defecation difficulty and Bristol score of fecal traits in the observation group were significantly lower than those in the control group (P<0.05). After 1 week and 2 weeks of treatment, the anxiety SAS score of the observation group showed a significant decline trend (P<0.05). After treatment, the contents of VIP and NO in serum enteric neurotransmitter in observation group were significantly lower than those in control group, and the content of 5-HT was significantly higher than that in control group, with statistical significance (P<0.05). After 4 weeks of follow-up after treatment, the recurrence rate in the observation group was lower, only 5.13% (P<0.05). Conclusion The regulating intestinal acupuncture and fire dragon jar on constipation after stroke in the elderly is accurate, and it is more conducive to shorten the course of disease, reduce the degree of constipation, enhance gastrointestinal motility, relieve anxiety, its effect may be related to the regulation of enteric neurotransmitters content.
刘菲菲
临床医学神经病学、精神病学中医学
调肠针法火龙罐老年脑卒中后便秘
刘菲菲.调肠针法联合火龙罐治疗老年脑卒中后便秘的疗效观察[EB/OL].(2024-11-27)[2025-08-23].https://www.biomedrxiv.org.cn/article/doi/bmr.202503.00075.点此复制
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