[1]叶航,张姝媛.健脾补肾方联合穴位电刺激治疗缺血性脑卒中恢复期便秘临床观察[J].西部中医药,2026,39(04):167-171.[doi:10.12174/j.issn.2096-9600.2026.04.36]
　YE Hang,ZHANG Shuyuan.Clinical Observation on Spleen-invigorating Kidney-tonifying Prescription and Acupoint Electrical Stimulation in the Treatment of Constipation in the Recovery Phase of Ischemic Stroke[J].Western Journal of Traditional Chinese Medicine,2026,39(04):167-171.[doi:10.12174/j.issn.2096-9600.2026.04.36]
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健脾补肾方联合穴位电刺激治疗缺血性脑卒中恢复期便秘临床观察()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年04期
页码:
167-171
栏目:
特色医疗
出版日期:
2026-04-15

文章信息/Info

Title:
Clinical Observation on Spleen-invigorating Kidney-tonifying Prescription and Acupoint Electrical Stimulation in the Treatment of Constipation in the Recovery Phase of Ischemic Stroke
作者:
叶航1, 张姝媛2
1.首都医科大学附属北京地坛医院，北京 100015
2.北京市东城区安定门社区卫生服务中心，北京 100009
Author(s):
YE Hang1, ZHANG Shuyuan2
1.Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
2.Andingmen Community Health Service Center, Dongcheng District, Beijing 100009, China
关键词:
脑卒中; 缺血性; 健脾补肾方; 便秘; 穴位电刺激; 胃肠功能
Keywords:
stroke;  ischemic; spleen-invigorating kidney-tonifying prescription; constipation; acupoint electrical stimulation; gastrointestinal function
分类号:
R255.2
DOI:
10.12174/j.issn.2096-9600.2026.04.36
文献标志码:
B
摘要:
目的分析健脾补肾方联合穴位电刺激疗法在缺血性脑卒中恢复期便秘患者中的应用效果。 方法选取490例缺血性脑卒中恢复期便秘患者，采用随机数字表法将患者分为对照组及观察组，每组245例。对照组接受西医常规疗法，观察组在对照组基础上加用健脾补肾方联合穴位电刺激疗法。比较两组的便秘症状评分、便秘生活质量问卷（patient assessment of constipation quality of life questionnaire，PAC-QoL）评分分级、胃泌素水平、胃动素水平及治疗安全性。 结果治疗1个月后，观察组的便秘症状各项评分均低于对照组（P＜0.05）；两组PAC-QoL中身体不适、心理社会不适、担忧和关注、满意度各维度评分分级比较，差异均具有统计学意义（P＜0.05），且观察组各个维度中“好”“极好”的占比高于对照组（P＜0.05）。治疗7天、1个月后，观察组的胃泌素、胃动素水平均高于对照组（P＜0.05）。两组治疗方法的安全性评估分级比较无统计学差异（P＞0.05）。 结论健脾补肾方联合穴位电刺激疗法能够有效改善缺血性脑卒中恢复期便秘患者的临床症状，促进胃肠功能恢复，改善患者预后，且安全性较高。
Abstract:
ObjectiveTo analyze the application effects of spleen-invigorating kidney-tonifying prescription and acupoint electrical stimulation in the treatment of post-stroke constipation in the recovery phase of ischemic stroke. MethodsA total of 490 patients with constipation in the recovery phase of ischemic stroke were selected and divided into a control group and an observation group using a random number table, with 245 cases in each group. The control group received conventional Western medical treatment, while the observation group was additionally treated with spleen-invigorating kidney-tonifying prescription combined with acupoint electrical stimulation on the basis of the control group. The two groups were compared in terms of constipation symptom score, PAC-QoL score, the levels of gastrin, and motilin, and treatment safety. ResultsAfter one month of treatment, the scores for various constipation symptoms in the observation group were lower than those in the control group (P<0.05). Comparisons of the grading of scores across dimensions of the PAC-QoL, including physical discomfort, psychosocial discomfort, worries and concerns, and satisfaction, showed statistically significant differences between the two groups (P<0.05). Furthermore, the proportion of patients rated as "good" or "very good" in each dimension was higher in the observation group compared to the control group (P<0.05). After seven days and one month of treatment, the levels of gastrin and motilin in the observation group were higher than those in the control group (P<0.05). There was no statistically significant difference in the safety assessment grading between the two treatment methods (P>0.05). ConclusionSpleen-invigorating kidney-tonifying prescription and acupoint electrical stimulation could effectively improve clinical symptoms of constipation in patients recovering from ischemic stroke, promote the recovery of gastrointestinal function, enhance patient prognosis, and has a relatively high safety profile.

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备注/Memo

备注/Memo:
北京市自然科学基金（7202113）。叶航（1984—），男，硕士学位，主治医师。研究方向：内科疾病的中医诊治及研究。Email：yeh1984@163.com。
更新日期/Last Update: 2026-04-15