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[针刺调理腑气法治疗脑卒中后便秘]

[Post-stroke constipation treated with acupuncture therapy of regulating qi circulation of fu-organ].

作者信息

Ren Zhen, Wu Qing-Ming, Li Dan-Dan, Liu Wei-Ai, Li Xiang-Rong, Lin Xu-Ming

机构信息

Department of Acupuncture-Moxibustion and Encephalopathy, Second Affiliated Hospital of Hunan University of CM, Changsha 410005, China.

出版信息

Zhongguo Zhen Jiu. 2013 Oct;33(10):893-6.

Abstract

OBJECTIVE

To compare the difference in the efficacy on post-stroke constipation between acupuncture therapy of regulating qi circulation of fe-organ and Shengxue Tongbian Capsules.

METHODS

Seventy-five patients of post-stroke constipation were randomized into an acupuncture group (39 cases) and a Chinese medicine group (36 cases). The unit mode comprehensive therapy of stroke was adopted as basic treatment in the two groups. In the acupuncture group, acupuncture therapy of regulating qi circulation of fu-organ was added at Tianshu (ST 25), Zhigou (TE 6), Qihai (CV 6) and Zusanli (ST 36), once every day. In the Chinese medicine group, Shengrue Tongbian Capsules were supplemented for oral administration, once every day, 10 g each time. The clinical symptom score of constipation was observed before treatment, after 1 and 2 weeks treatment in the two groups, respectively. The efficacy in 1 week and 2 weeks of treatment and the adverse reaction were observed.

RESULTS

In 1 and 2 weeks of treatment, the clinical symptom score of constipation was reduced significantly as compared with that before treatment in the two groups (all P < 0.05). The improvements in the acupuncture group were significant than those in the Chinese medicine group in 2 weeks of treatment (8.03 +/- 2.38 vs 9.20 +/- 2.45, P < 0.05). Concerning to the occurrence of adverse reaction, there was 1 case of local bruises in needling local site in the acupuncture group; and there were 1 case of abdominal pain, 3 cases of diarrhea and 2 cases of nausea and vomiting in the Chinese medicine group.

CONCLUSION

Both the acupuncture therapy of regulating qi circulation of fu-organ and Shengxue Tongbian Capsules achieve the significant efficacy on post-stroke constipation. The efficacy of the acupuncture therapy of regulating qi circulation of fe-organ is better and the adverse reaction is less after long-term persistent treatment.

摘要

目的

比较腑气通调针法与升血通便胶囊治疗中风后便秘的疗效差异。

方法

将75例中风后便秘患者随机分为针刺组(39例)和中药组(36例)。两组均采用脑卒中单元模式综合治疗作为基础治疗。针刺组在基础治疗上,加用腑气通调针法针刺天枢(ST25)、支沟(TE6)、气海(CV6)、足三里(ST36),每日1次。中药组在基础治疗上,加用升血通便胶囊口服,每日1次,每次10g。分别观察两组治疗前、治疗1周及2周后的便秘临床症状评分,观察两组治疗1周及2周时的疗效及不良反应。

结果

两组治疗1周及2周时,便秘临床症状评分均较治疗前明显降低(均P<0.05)。治疗2周时,针刺组改善情况明显优于中药组(8.03±2.38 vs 9.20±2.45,P<0.05)。不良反应发生情况,针刺组有1例针刺局部出现皮下瘀斑;中药组有1例出现腹痛,3例出现腹泻,2例出现恶心呕吐。

结论

腑气通调针法与升血通便胶囊治疗中风后便秘均有显著疗效。腑气通调针法长期持续治疗后疗效更佳,不良反应更少。

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