上海针灸杂志2019，Vol.38Issue(2)：178-182,5.DOI:10.13460/j.issn.1005-0957.2019.02.0178
针刺胃肠俞募穴对卒中后便秘的随机对照研究
Randomized Controlled Trial of Acupuncture at Gastrointestinal Back-Shu and Front-Mu Points for Post-stroke Constipation
摘要
Abstract
Objective To investigate the clinical efficacy of acupuncture at gastrointestinal Back-Shu and Front-Mu points for post-stroke functional constipation. Method Sixty-six patients with post-stroke functional constipation were randomized to treatment and control groups, 33 cases each. The treatment group received acupuncture at gastrointestinal Back-Shu and Front-Mu points: Weishu (BL21), Dachangshu (BL25), Xiaochangshu (BL27), Zhongwan (CV12), Tianshu (ST25) and Guanyuan (CV4). The control group took Chinese herbal medicine Liumo Decoction prescribed originally. The clinical therapeutic effects were compared between the two groups. The CCS score was recorded and fecal characteristics were scored in the patients at baseline, during treatment and at follow-up. Result The total efficacy rate was 90.9％ in the treatment group and 42.4％ in the control group. The CCS score and the fecal characteristic score were lower in the two groups after treatment compared with before (P<0.05) and the therapeutic effect was more marked in the treatment group (P<0.05). The CCS score and the fecal characteristic score increased in the two groups at follow-up, but the increments were significantly smaller in the treatment group than in the control group (P<0.05). Conclusion Shu-Mu point combination acupuncture can significantly relieve the symptoms of post-stroke functional constipation and change fecal characteristics. It is superior to Chinese herbal treatment alone.关键词
穴,背俞/穴,募/针刺疗法/中风后遗症/便秘Key words
Point, Back-Shu/Point, Front-Mu/Acupuncture therapy/Poststroke syndrome/Constipation分类
医药卫生引用本文复制引用
冷孟桐,王剑,刘韬,吴坤朋,张洪伟,孙晓伟..针刺胃肠俞募穴对卒中后便秘的随机对照研究[J].上海针灸杂志,2019,38(2):178-182,5.基金项目
国家教育部"春晖计划"(Z2009-1-15015) （Z2009-1-15015）
