针刺胃肠俞募穴对卒中后便秘的随机对照研究

目的观察针刺胃肠俞募穴治疗卒中后功能性便秘的临床疗效。方法将66例卒中后功能性便秘患者随机分为治疗组和对照组,每组33例。治疗组采用胃肠俞募配穴针刺治疗,取胃俞、大肠俞、小肠俞及中脘、天枢、关元;对照组口服中药六磨汤原方。比较两组患者临床疗效,并在基线期、治疗期以及随访期对患者CCS和大便性状进行评分。结果治疗组和对照组总有效率分别为90.9%、42.4%,两组治疗后CCS评分与大便性状评分均低于治疗前(P<0.05),且治疗组疗效更为显著(P<0.05)。随访期两组患者CCS评分和大便性状评分都有上升,但治疗组上升幅度明显低于对照组(P<0.05)。结论俞募配穴针刺能明显缓解卒中后功能性便秘症状以及改变大便性状,优于单纯中药治疗。

Randomized Controlled Trial of Acupuncture at Gastrointestinal Back-Shu and Front-Mu Points for Post-stroke Constipation

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.