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彭全斌1 王凌燕2 金岗生3.针刺胃肠俞募穴治疗脑卒中后便秘的临床疗效[J].中国现代医生,2021,59(27):143-146
针刺胃肠俞募穴治疗脑卒中后便秘的临床疗效
Clinical efficacy of acupuncture at gastrointestinal Shu Mu point in the treatment of post-stroke constipation
  
DOI:
中文关键词:  脑卒中  便秘  背俞穴  腹募穴
英文关键词:Stroke  Constipation  Back Shu point  Abdomen Mu point
基金项目:浙江省基础公益研究计划项目(GF20H170007)
作者单位
彭全斌1 王凌燕2 金岗生3 1.浙江省金华市中医医院外二科浙江金华 3210002.浙江省金华市中医医院康复科浙江金华 3210003.浙江省金华市中医医院神经内科浙江金华 321000 
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中文摘要:
      目的 探讨胃肠俞募配穴治疗对脑卒中后便秘的疗效。方法 选取2018 年1 月至2020 年12 月于浙江省金华市中医医院神经内科收治的100例脑卒中后便秘患者,将其均匀分为试验组和对照组,每组各50例。其中试验组采取胃肠俞募配穴治疗,对照组采取常规穴位治疗。比较两组患者治疗前后排便有效率、布里斯托粪便分级以及评估肛门括约肌的RMS、iEMG。结果 试验组患者排便有效率为96.0%,明显高于对照组的84.0%,差异有统计学意义(P<0.05);治疗后试验组患者粪便分级优于对照组,差异有统计学意义(P<0.05);治疗前两组患者排便RMS、iEMG 比较,差异无统计学意义(P>0.05);治疗后28 d,试验组RMS 明显高于对照组,差异有统计学意义(P<0.05);治疗后7 d 和28 d,试验组肛门括约肌的iEMG 明显高于对照组,差异有统计学意义(P<0.05)。结论 胃肠俞募配穴医治能够较大改善脑卒中后便秘,治疗效果满意。
英文摘要:
      Objective To investigate the effect of gastrointestinal Shu Mu point therapy on post-stroke constipation.Methods A total of 100 patients with post-stroke constipation who came to the Department of Neurology in Jinhua Hospital of Traditional Chinese Medicine of Zhejiang Province from January 2018 to December 2020 were selected and equally divided into the experimental group (n=50) and the control group (n=50).Among them,the experimental group was treated with gastrointestinal Shu Mu point treatment,and the control group was treated with conventional acupoint therapy.Subsequently,patients were compared before and after treatment for defecation efficiency,Bristol stool grade,and assessment of RMS and iEMG of the anal sphincter.Results The effective rate of defecation in the experimental group was 96.0%,which was higher than that of 84.0% in the control group,the difference was statistically significant(P<0.05).After treatment,the fecal grade in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the RMS and iEMG of defecation before treatment between the two groups (P>0.05).28 days after treatment,the RMS in the experimental group was significantly higher than that in the control group,and the difference was statistically significant (P<0.05).7 days and 28 days after treatment,the iEMG of the anal sphincter in the experimental group was higher than that in the control group,and the difference was statistically significant (P<0.05).Conclusion The treatment of gastrointestinal Shu Mu points can significantly improve post-stroke constipation and has a satisfactory therapeutic effect.
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