摘要
目的:探究腕踝针联合滋肝补肾通便汤对脑卒中后肝肾亏虚型便秘患者的排便情况及直肠最大耐受阈值的影响。方法:将温州市第七人民医院2022年1月—2024年1月收治的脑卒中后肝肾亏虚型便秘患者80例,按随机数字表法分为单药组、针药联合组各40例。单药组采用滋肝补肾通便汤治疗,针药联合组采用腕踝针联合滋肝补肾通便汤治疗。比较2组临床疗效、中医证候评分、排便情况、直肠最大耐受阈值和便秘患者生活质量评估量表(PACQOL)评分。结果:针药联合组总有效率为97.50%(39/40),单药组为72.50%(29/40),2组比较,差异有统计学意义(P<0.05)。治疗后,2组中医证候评分均较治疗前降低(P<0.05),且针药联合组评分低于单药组(P<0.05)。治疗后,2组排便频率、排便时间、粪便性状评分均较治疗前降低(P<0.05),且针药联合组上述3项评分均低于单药组(P<0.05)。治疗后,2组直肠肛管最大耐受阈值均较治疗前降低(P<0.05),且针药联合组直肠肛管最大耐受阈值低于单药组(P<0.05)。治疗后,2组PACQOL评分均较治疗前降低(P<0.05),且针药联合组PACQOL评分低于单药组(P<0.05)。结论:腕踝针联合滋肝补肾通便汤能够有效改善脑卒中后肝肾亏虚型便秘患者排便情况,降低直肠最大耐受阈值。
Objective:To investigate the effect of wrist-ankle acupuncture combined with Zigan Bushen Tongbian Decoction on the defecation status and maximum tolerance threshold of the rectum in patients with post-stroke constipation of the liver-kidney deficiency type.Methods:A total of 80 patients with post-stroke constipation of the liver-kidney deficiency type admitted to the Seventh People's Hospital of Wenzhou from January 2022 to January 2024 were randomly divided into a single medicine group and an acupuncture-medicine group,with 40 patients in each group.The single medicine group was treated with Zigan Bushen Tongbian Decoction,and the acupuncture-medicine group was given wrist-ankle acupuncture combined with Zigan Bushen Tongbian Decoction.Clinical efficacy,traditional Chinese medicine(TCM)syndrome scores,defecation status,maximum tolerance threshold of rectum,and the Patient Assessment of Constipation Quality of Life(PACQOL)scores of constipation patients were compared between the two groups.Results:The total effective rate in the acupuncture-medicine group was 97.50%(39/40),while that in the single medicine group was 72.50%(29/40);the difference was significant(P<0.05).After treatment,the TCM syndrome scores in the two groups were declined compared to those before treatment(P<0.05),and the scores in the acupuncture-medicine group was lower than that in the single medicine group(P<0.05).After treatment,the scores of defecation frequency,defecation time,and fecal from in the two groups were decreased compared to those before treatment(P<0.05),and the above three scores in the acupuncture-medicine group were lower than those in the single medicine group(P<0.05).After treatment,the maximum tolerance threshold of the rectum and anus in both groups was decreased compared to that before treatment(P<0.05),and the maximum tolerance threshold of the rectum and anus in the acupuncture-medicine group was lower than that in the single medicine group(P<0.05).After treatment,the PACQOL scores in both groups were declined compared to those before treatment(P<0.05),and the PACQOL scores in the acupuncture-medicine group were lower than those in the single medicine group(P<0.05).Conclusion:The combination of wrist-ankle acupuncture and Zigan Bushen Tongbian Decoction can effectively improve the defecation situation of patients with post-stroke constipation of the liver-kidney deficiency type,and reduce their maximum tolerance threshold of the rectum.
作者
吕双燕
徐毅
LYU Shuangyan;XU Yi(Rehabilitation Medicine Department,the Seventh People's Hospital of Wenzhou,Wenzhou Zhejiang 325000,China;Department of Chinese Medicine Surgery,Wenzhou Hospital of Traditional Chinese Medicine,Wenzhou Zhejiang 325200,China)
出处
《新中医》
2025年第6期71-75,共5页
New Chinese Medicine
基金
2022年温州市基础性科研项目(Y20220230)。
关键词
脑卒中
便秘
肝肾亏虚型
腕踝针
滋肝补肾通便汤
便秘患者生活质量评估量表
Stroke
Constipation
Liver-kidney deficiency type
Wrist-ankle acupuncture
Zigan Bushen Tongbian Decoction
Patient Assessment of Constipation Quality of Life
