针灸推拿医学（英文版）2025，Vol.23Issue(5)：424-430,7.DOI:10.1007/s11726-025-1528-7
足运感区排针平刺联合穴位贴敷治疗中风后便秘的疗效观察
Observation of the therapeutic efficacy of subcutaneous row needling at the Foot Motor Sensory Area combined with point application therapy for poststroke constipation
摘要
Abstract
Objective:To observe the clinical efficacy of subcutaneous row needling at the Foot Motor Sensory Area combined with point application therapy and its influence on defecation-related symptoms. Methods:Seventy eligible patients with poststroke constipation were assigned to an observation group or a control group using the random number table method,with 35 patients in each group.The observation group received subcutaneous row needling at the Foot Motor Sensory Area combined with point application therapy,whereas the control group received lactulose oral solution.After treatment,the total effective rate and safety were compared between the two groups,and changes in the patient assessment of constipation symptom(PAC-SYM),stool form,and constipation symptom scores were observed. Results:The total effective rate was 87.9%in the observation group and 69.7%in the control group,and the difference was statistically significant(P<0.05).No obvious adverse reactions occurred in either group.After treatment,PAC-SYM and constipation symptom scores in both groups were lower than before treatment(P<0.05),with the observation group scoring lower than the control group(P<0.05).After treatment,the Bristol stool form scale(BSFS)score in both groups increased(P<0.05)and approached the score of normal stool form;the difference in the BSFS score between the two groups was not statistically significant(P>0.05). Conclusion:Compared to oral lactulose,subcutaneous insertion with row needling at the scalp Foot Motor Sensory Area combined with point application therapy can better improve poststroke constipation symptoms,shorten both the interval between bowel movements and the duration of each bowel movement,and reduce rectal and abdominal discomfort,with fewer adverse reactions and good safety.关键词
针刺疗法/头针疗法/头针刺激区/头针足动感区/排刺法/穴位贴敷法/中风后遗症/便秘Key words
Acupuncture Therapy/Scalp Acupuncture/Scalp Stimulation Areas/Scalp Foot Motor Sensory Area/Row Needling/Point Application/Poststroke Syndrome/Constipation分类
医药卫生引用本文复制引用
王丹,朱吕群,杨金娜,沈建军..足运感区排针平刺联合穴位贴敷治疗中风后便秘的疗效观察[J].针灸推拿医学（英文版）,2025,23(5):424-430,7.基金项目
This study was supported by the Project of Jiangsu Provincial Administration of Traditional Chinese Medicine(江苏省中医药管理局项目,No.YB2020038). （江苏省中医药管理局项目,No.YB2020038）
