摘要
目的观察调肠针法联合火龙罐治疗老年脑卒中后慢传输型便秘(slow transit constipation,STC)的疗效。方法选取2023年1月至2024年6月于杭州市中医院诊治的132例脑卒中后STC患者,根据随机数字表法将其分为对照组和观察组,每组66例。对照组患者进行排便训练,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,两组患者均连续治疗2周。比较两组患者的疗效、克利夫兰便秘评分(Cleveland clinic constipation score,CCS)、Bristol粪便性状量表(Bristol stool form scale,BSFS)评分和血清肠神经递质水平,统计复发率。结果观察组患者的临床有效率显著高于对照组(χ^(2)=5.893,P=0.015)。治疗2周后,两组患者的CCS、BSFS评分和血清血管活性肠肽(vasoactive intestinal peptide,VIP)水平均显著低于本组治疗前,5-羟色胺(5-hydroxytryptamine,5-HT)水平均显著高于本组治疗前(P<0.05),观察组患者的CCS、BSFS评分和血清VIP水平均显著低于对照组,5-HT水平显著高于对照组(P<0.05)。观察组患者的复发率显著低于对照组(χ^(2)=3.986,P<0.05)。结论调肠针法联合火龙罐治疗可有效减轻老年脑卒中后STC,其起效可能与调控肠神经递质有关。
Objective To observe the therapeutic effect of regulating intestinal acupuncture combined with fire-dragon cupping in the treatment of slow transit constipation(STC)after stroke in the elderly.Methods A total of 132 patients with STC after stroke who were diagnosed and treated in Hangzhou Hospital of Traditional Chinese Medicine from January 2023 to June 2024 were selected and divided into control group and observation group according to the random number table method,with 66 cases in each group.Patients in control group received defecation training,while patients in observation group were treated with regulating intestinal acupuncture combined with fire-dragon cupping on the basis of control group.Both groups of patients were treated continuously for 2 weeks.The therapeutic effects,Cleveland clinic constipation score(CCS),Bristol stool form scale(BSFS)scores and serum intestinal neurotransmitter levels of two groups of patients were compared,and the recurrence rate was statistically analyzed.Results The clinical effective rate of patients in observation group was significantly higher than that in control group(χ^(2)=5.893,P=0.015).After 2 weeks of treatment,the CCS,BSFS score and serum vasoactive intestinal peptide(VIP)level of two groups of patients were significantly lower than those before treatment in same group,and 5-hydroxytryptamine(5-HT)level was significantly higher than that before treatment in same group(P<0.05).The CCS,BSFS score and serum VIP level of patients in observation group were significantly lower than those in control group,and 5-HT level was significantly higher than that in control group(P<0.05).The recurrence rate of patients in observation group was significantly lower than that in control group(χ^(2)=3.986,P<0.05).Conclusion The treatment of regulating intestinal acupuncture combined with fire-dragon cupping can effectively alleviate the constipation degree of STC after stroke in the elderly,and its effectiveness may be related to the regulation of intestinal neurotransmitters.
作者
刘菲菲
陈顺喜
余静
LIU Feifei;CHEN Shunxi;YU Jing(Office of Health Care for Cadres,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310007,Zhejiang,China;Department of Acupuncture and Rehabilitation,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310007,Zhejiang,China)
出处
《中国现代医生》
2025年第22期54-57,共4页
China Modern Doctor
关键词
调肠针法
火龙罐
老年人
脑卒中后便秘
Regulating intestinal acupuncture
Fire-dragon cupping
Elderly
Constipation after stroke
