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针刺奇穴结合辨证选穴治疗脑卒中后便秘
引用本文:王志杰,刘朝晖,杨敏,刘睿. 针刺奇穴结合辨证选穴治疗脑卒中后便秘[J]. 吉林中医药, 2021, 41(1): 119-122. DOI: 10.13463/j.cnki.jlzyy.2021.01.032
作者姓名:王志杰  刘朝晖  杨敏  刘睿
作者单位:空军军医大学唐都医院,西安 710038;空军军医大学唐都医院,西安 710038;空军军医大学唐都医院,西安 710038;空军军医大学唐都医院,西安 710038
基金项目:国家自然科学基金面上项目
摘    要:目的 观察针刺奇穴结合辨证选穴治疗脑卒中后便秘患者的临床疗效.方法 将脑卒中后便秘患者74例随机分为观察组和对照组各37例.观察组采用针刺治疗,每日1次,连续治疗10 d;对照组采用乳果糖口服溶液治疗,每日25 mL,早餐时一次口服,连续服用10 d.比较2组患者首次排便时间(首次治疗结束后至首次排便所需要的时间)、便...

关 键 词:脑卒中  便秘  针刺  董氏奇穴  平衡针奇穴  辨证选穴

Treatment of post-stroke constipation with acupuncture at extra points combined with point selection based on syndrome differentiation
WANG Zhijie,LIU Zhaohui,YANG Min,LIU Rui. Treatment of post-stroke constipation with acupuncture at extra points combined with point selection based on syndrome differentiation[J]. Jilin Journal of Traditional Chinese Medicine, 2021, 41(1): 119-122. DOI: 10.13463/j.cnki.jlzyy.2021.01.032
Authors:WANG Zhijie  LIU Zhaohui  YANG Min  LIU Rui
Affiliation:(Tangdu Hospital of Air Force Military Medical University,Xi’an 710038,China)
Abstract:Objiective To observe the clinical effect of the treatment of post-stroke constipation with acupuncture at odd points,combined with point selection based on syndrome differentiation.Methods 74 patients with post-strike constipation were randomly divided into observation group and control group,with 37 cases in each group.The observation group was given acupuncture treatment,once a day for 10 days.The control group was treated with Lactulose Oral Liquid,25 mL per day,taken orally at breakfast for 10 days.The first defecation time (from the end of the first treatment to the first defecation),the constipation scores (after treatment and at follow-up) and the incidence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 89.19%,which was better than 75.68% of the control group (P<0.05).The first defecation time of the observation group was (28.56±14.13) h,and that of the control group was (45.07±23.28) h.The observation group was significantly better than that of the control group (P<0.05).After treatment and at follow-up,the constipation scores in the observation group were (3.68±2.35) and (5.13±1.65),which were significantly better than those in the control group (5.08±1.62) and (7.22±1.97) (all P<0.05).There were no obvious adverse reactions in both groups.Conclusion Acupuncture at extra-points,combined with point selection based on syndrome differentiation,can better improve the clinical symptoms of patients with post-stroke constipation.Compared with Lactulose Oral Liquid,it has the advantages of quick effect,superior curative effect,and long duration of effect.
Keywords:post-stroke  constipation  acupuncture  Dong’s extra points  balance needle extra points  point selection based on syndrome differentiation
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