肠三针电刺激治疗中风后便秘的临床疗效观察论文

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1、成都中医药大学硕士学位论文中文摘要目的：探讨肠三针电刺激治疗中风后便秘的临床疗效观察。方法：采用随机、对照的研究方法，将符合入选标准病例72例，随机分为对照组和治疗组，各36例。对照组采用单纯口服福松治疗，每日两次，每次10g，每周服用5天；治疗组给予肠三针电刺激疗法，取穴：天枢（双侧），关元，上巨虚（双侧）。电针采用频率20Hz，尖波为主的连续波，每日一次，每次治疗30分钟，每周治疗5次。两组均周六周日停止治疗，两组均治疗四周。治疗结束后观察两组便秘患者排便间隔、便质程度、持续时间、伴随症状变化，以判定其近期控制疗效。结果：72例病人中，67例完成整个研究过程，脱落病例5例。治疗组临床

2、痊愈7例、显效18例、有效6例、无效3例，总有效率为91.2%；对照组临床痊愈5例、显效10例、有效9例、无效9例，总有效率72.7%。试验组总有效率与对照组比较有统计学差异（P＜0.05），试验组优于对照组。试验组与对照组治疗中风后便秘后，排便间隔、便质程度、持续时间、伴随症状变化，各组治疗前后自身比较有统计学差异（P＜0.05）。治疗后组间比较，各项指标均显示试验组优于对照组（P＜0.05）。结论：肠三针电刺激治疗中风后便秘临床疗效确切。关键词：肠三针电刺激中风后便秘福松ABSTRACTObjective:Toevaluatetherapyefficacyofchangsanz

3、henpluselectro-acupunctureforconstipationafterstroke.Methods:Withrandomization,controlledmethod,72patientswereaveragelydividedintotwogroups:thecontrolledgroup(givenFusongtabletstwiceaday)andtheexperimentalgroup(stimulatedwithchangsanzhenpluselectro-acupuncture).Intheexperimentalgroup,patientswe

4、regivenchangsanzhenonthreeacupointsasST25(bilateral),RN4besidesST37(bilateral).Thefrequencyofelectro-acupuncturewassetat20Hz,andcontinuouswaveprimarilyadjustedtosharpwavemaintainedfor30minutesperday.Bothgroupsweretreatedfivetimesperweekwhilerestedduringweekendsandthetotalperiodoftreatmentlasted4w

5、eeks.Havingobservationbeenfinished,intervalofdefecation,intensityofconstipation,durationofconstipationaswellastransformationofaccompanyingsymptomswereevaluatedtodetermineandcompareshort-termtherapyefficacyforbothgroups.Results:67casesofthetotal72werekepttocarryoutthewholeexperimentwith5casesdropp

6、ed.Asoftheexperimentalgroup,7caseswerecured,18receivedobviouseffect,6showedeffectiveand3remainedineffective,thusthetotaleffectiveratereached91.2%,whileasoftheother,relevantdatascollectedrespectivelyas5,10,9,9and72.7%.Thetotaleffectivenessoftheexperimentalgroupwashigherthanthatofthecontrolledgroup

7、statisticallysignificantly(P<0.05).Intervalofdefecation,intensityofconstipation,durationofconstipationandtransformationofaccompanyingsymptomsallreducedthanthosebeforetreatmentineithergrouprespectively(P<0.05),whilealle