四川中医2024，Vol.42Issue(6)：200-204,5.
俞募配穴调控脑-肠轴对急性后循环脑梗死伴胃肠功能障碍患者预后的影响
Enhanced Prognosis of Acute Posterior Circulation Infarction with Gastrointestinal Dysfunction by Regulating the Brain-Gut Axis using a Combination of Back-Shu and Front-Mu Acupoints
摘要
Abstract
Objective:The aim of this study is to observe the improvement effect of acupoint combination of Shu and Mu electroacupuncture on neurological and gastrointestinal function in patients with acute posterior circulation cerebral infarction ac-companied by gastrointestinal dysfunction.Methods:From May 2021to January 2023,126patients from four hospitals in Sichuan Province were randomly divided into an electroacupuncture group,a sham electroacupuncture group,and a control group,with 42patients in each group.On the basis of routine treatment,the electroacupuncture group and the sham electroacupuncture group were given early 3-day electroacupuncture treatment.Compare the differences in neurological impairment score(NIHSS),tradi-tional Chinese medicine syndrome score for acute ischemic stroke,and gastrointestinal function symptom efficacy score between patients on the 3rd and 28th days of treatment/discharge.Results:Compared with the control group,the NIHSS score of the elec-troacupuncture group decreased on the 3rd day(P＜0.05);Compared with the two groups,the NIHSS score of the electroacu-puncture group decreased on the 28th day/discharge(P＜0.05);Compared with the control group,the traditional Chinese medi-cine syndrome scores of the electroacupuncture group decreased on the 3rd and 28th day of treatment/discharge(P＜0.05);The total effective rate of the electroacupuncture group in terms of gastrointestinal function score reached 66.7％,significantly higher than that of the sham electroacupuncture group(50.0％)and the control group(33.3％)(P=0.039);Compared with the two groups,the electroacupuncture group showed a decrease in gastrointestinal decompression on the third day of treatment;Compared with the two groups,the gastrointestinal function score of the electroacupuncture group decreased on the 28th day/discharge(P＜0.05).Conclusion:The combination of acupoints of Yu and Mu with electroacupuncture can improve the neurological and gastro-intestinal functions of patients with acute posterior circulation cerebral infarction accompanied by gastrointestinal dysfunction.关键词
急性后循环梗死/胃肠功能障碍/俞募配穴法/脑-肠轴Key words
Acute Posterior Circulation Infarction/Gastrointestinal Dysfunctiou/Combined Back-Shu and Front-Mu Acu-points/Brain-Gut Axis分类
医药卫生引用本文复制引用
徐冉,朱静,李永新,易小琳,姜震宇,胡静,周荣,李健林,柴贞,王力,严雪丽..俞募配穴调控脑-肠轴对急性后循环脑梗死伴胃肠功能障碍患者预后的影响[J].四川中医,2024,42(6):200-204,5.基金项目
四川省中医药管理局科学技术研究专项(编号:2021MS129). （编号:2021MS129）
