[1]赵鸿雁,张玉,吴自云,等.中药穴位贴敷联合腹部推拿对脑出血后便秘患者的干预效果[J].西部中医药,2024,37(08):157-160.[doi:10.12174/j.issn.2096-9600.2024.08.36]
　ZHAO Hongyan,ZHANG Yu,WU Ziyun,et al.Intervention Effects of Herbal Acupoint Application and Abdominal Massage on the Constipation after Cerebral Hemorrhage[J].Western Journal of Traditional Chinese Medicine,2024,37(08):157-160.[doi:10.12174/j.issn.2096-9600.2024.08.36]
点击复制

中药穴位贴敷联合腹部推拿对脑出血后便秘患者的干预效果
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年08期
页码:
157-160
栏目:
特色医疗
出版日期:
2024-08-15

文章信息/Info

Title:
Intervention Effects of Herbal Acupoint Application and Abdominal Massage on the Constipation after Cerebral Hemorrhage
作者:
赵鸿雁, 张玉, 吴自云, 杜向阳
六安市中医院神经外科，安徽 六安 237006
Author(s):
ZHAO Hongyan, ZHANG Yu, WU Ziyun, DU Xiangyang
Department of Neurosurgery, Lu'an Hospital of Traditional Chinese Medicine, Lu'an 237006, China
关键词:
脑出血; 穴位贴敷; 腹部推拿; 便秘; 胃肠激素
Keywords:
cerebral hemorrhage; acupoint application; abdominal massage; constipation; gastrointestinal hormone
分类号:
R247.9
DOI:
10.12174/j.issn.2096-9600.2024.08.36
文献标志码:
B
摘要:
目的观察中药穴位贴敷联合腹部推拿对脑出血（cerebral hemorrhage sequelae，CHS）后便秘的疗效。 方法选取CHS后便秘患者80例，随机分为对照组和观察组各40例。两组均予CHS后遗症期常规干预措施，对照组予开塞露干预，观察组予中药穴贴敷联合腹部推拿，两组均干预4周。比较两组干预前后便秘相关症状评分、便秘患者症状自评量表（constipation symptoms self evaluation scale，PAC-SYM）评分、国家神经功能缺损量表（national institute of health stroke scale，NIHSS）评分、血清胃动素和胃泌素水平，观察两组临床疗效。 结果干预后两组便秘主要症状评分、PAC-SYM评分、NIHSS评分均明显降低，且观察组降低幅度大于对照组（P＜0.05）；两组血清胃动素和胃泌素水平均明显升高，且观察组升高幅度大于对照组（P＜0.05）；观察组总有效率［92.50%（37/40）］高于对照组［72.50%（29/40）］（P＜0.05）。 结论中药穴位贴敷加腹部推拿治疗CHS后便秘疗效明显，有利于减轻便秘相关症状与神经功能缺损，可促进胃肠激素的分泌。
Abstract:
ObjectiveTo observe clinical effects of herbal acupoint application and abdominal massage in the treatment of cerebral hemorrhage sequelae (CHS). MethodsAll 80 patients were selected and randomized into the control group and the observation group with 40 cases in each group. Conventional interventions for CHS were given to both groups, the control group accepted suppositories glycerol, and the observation group received herbal acupoint application and abdominal massage, both groups were intervened for four weeks. To compare constipa-tion-related symptom scores, constipation symptoms self evaluation scale (PAC-SYM) scores, national institute of health stroke scale (NIHSS) scores, the levels of serum motilin and gastrin in the two groups before and after the intervention, and to observe clinical effects of the two groups. ResultsAfter the intervention, main symptom scores of constipation, PAC-SYM scores and NIHSS scores of both groups were lowered obviously, and the decrease of the observation group was greater than that of the control group (P<0.05); the levels of serum motilin and gastrin were increased remarkably, the increase of the observation group was greater than that of the control group (P<0.05); total effective rate of the observation group was [92.50%(37/40)], higher than [72.50%(29/40)] of the control group (P<0.05). ConclusionHerbal acupoint application combined with abdominal massage in the treatment of CHS could help alleviate constipation-related symptoms and neurologic deficit, and promote the secretion of gastrointestinal hormone with noticeable clinical effects.

相似文献/References:

[1]王晓萍,周明旺,康开彪,等.小承气汤配合中药穴位贴敷治疗中风后便秘的临床观察[J].西部中医药,2012,25(05):10.
　WANG Xiao-ping,ZHOU Ming-wang,KANG Kai-biao,et al.Clinical Observation on XiaoChengQiTang Combined with External Application Therapy in Treating Constipation of Stroke Patients[J].Western Journal of Traditional Chinese Medicine,2012,25(08):10.
[2]张丽君,赵江花,赵海红,等.心脉疏膏穴位贴敷结合西药治疗冠心病心绞痛 40 例[J].西部中医药,2014,27(09):128.
[3]侯晓峰.醒脑静联合纳洛酮治疗急性脑出血40例[J].西部中医药,2015,28(08):99.
[4]李学文.中西医结合治疗高血压脑出血术后患者35例[J].西部中医药,2015,28(08):101.
[5]胡斌,郑典宝,荆志涛,等.中药穴位贴敷治疗女性急迫性尿失禁30例[J].西部中医药,2015,28(12):109.
[6]王燕,石来军△.中医综合护理干预对冬病夏治穴位贴敷治疗哮喘缓解期患儿的增效作用[J].西部中医药,2015,28(12):126.
[7]李西利.循证护理对脑出血患者生活质量的影响[J].西部中医药,2012,25(09):92.
　LI Xi-li.Effect of Evidence-Based Nursing on Life Quality of Patients with Cerebral Hemorrhage[J].Western Journal of Traditional Chinese Medicine,2012,25(08):92.
[8]李兆蒲.早期适量放血疗法治疗高血压中小量脑出血38例[J].西部中医药,2012,25(08):92.
　LI Zhao-pu.Blood Letting Therapy in the Treatment for 38 Cases of Moderate or Small Amount of Hypertensive Intracerebral Hemorrhage at Early Stage[J].Western Journal of Traditional Chinese Medicine,2012,25(08):92.
[9]袁魁珍,刘志娟,童守义,等.血栓通对超早期中小量脑出血患者血肿扩大的影响[J].西部中医药,2013,26(12):79.
　YUAN Kuizhen,LIU Zhijuan,TONG Shouyi,et al.Effects of XueShuanTong on Hematoma Enlargement of the Patients Suffering from Cerebral Hemorrhage with Moderate Amount of Bleeding at Super Early Stage[J].Western Journal of Traditional Chinese Medicine,2013,26(08):79.
[10]李国达,贾平叶,史鹏程,等.水蛭粉合微创术治疗高血压性脑出血40例[J].西部中医药,2014,27(06):74.
　LI Guoda,JIA Pingye,SHI Pengcheng,et al.Leech and Minimally Invasive Surgery in Treating 40 Cases of Hypertensive cerebral Hemorrhage[J].Western Journal of Traditional Chinese Medicine,2014,27(08):74.

备注/Memo

备注/Memo:
赵鸿雁（1986—），女，主管护师。研究方向：神经外科疾病的临床护理。六安市科技局项目（2019xkj209）。
更新日期/Last Update: 2024-08-15