基于胃动素研究神阙灸联合针刺对脑卒中后便秘的影响
发布时间:2018-05-30 16:30
本文选题:神阙灸 + 针刺 ; 参考:《福建中医药大学》2017年硕士论文
【摘要】:目的:本课题采用神阙灸联合针刺的疗法对脑卒中后便秘患者进行临床疗效观察,并观察神阙灸联合针刺疗法对两组患者餐前空腹及餐后胃动素水平的影响,探讨其作用机理。方法:将60例符合纳入标准的患者,随机分为治疗组、对照组。治疗组在基础治疗上行神阙灸联合针刺治疗,每日1次,6次1个疗程,共治疗2个疗程。对照组在基础治疗上行针刺治疗,每日1次,疗程和周期同治疗组。通过记录两组治疗前、治疗后及治疗后一个月患者餐前空腹、餐后2h血清胃动素浓度、便秘症状积分,运用SPSS20.0软件进行统计分析,比较两种疗法的差异。结果:1.两组治疗前空腹及餐后胃动素水平、便秘症状积分,经统计分析无显著性差异(p0.05)。2.两组治疗后餐后胃动素水平、便秘症状积分,经统计分析具有显著性差异(p0.05)。3.两组治疗后1个月餐后胃动素水平、便秘症状积分,经统计分析具有显著性差异(p0.05)。4.两组治疗后临床疗效比较:治疗后,治疗组总有效86.7%,对照组总有效率80.0%,治疗组总有效率明显高于对照组,两组相比有显著性差异(p0.05)。结论:1.神阙灸联合针刺、单纯针刺治疗对脑卒中后便秘患者的治疗均有效,且神阙灸联合针刺改善便秘症状疗效优于单纯针刺。2.神阙灸联合针刺及单纯针刺治疗均可升高患者餐后胃动素水平,而治疗组优于对照组。3.从随访期的数据分析可以得出,两种治疗方法均有远期疗效,而神阙灸联合针刺组远期疗效优于针刺组。4.神阙灸联合针刺治疗脑卒中后便秘是行之有效的方法,可调节患者餐后胃动素水平,显著降低便秘症状积分,改善便秘症状,有利于卒中的康复。
[Abstract]:Objective: to observe the clinical curative effect of Shenque moxibustion combined with acupuncture on patients with constipation after stroke, and to observe the effect of Shenque moxibustion combined with acupuncture therapy on the fasting and postprandial motilin levels in the two groups, and to explore its mechanism. Methods: 60 patients who met the inclusion criteria were randomly divided into treatment group and control group. In the treatment group, there were two courses of treatment, 6 times a day and 6 times a course of treatment. The control group was treated with uplink acupuncture once a day, the treatment course and cycle were the same as the treatment group. The serum motilin concentration and constipation symptom score were recorded before treatment, one month after treatment and one month after treatment. The difference between the two treatments was compared by using SPSS20.0 software. The result is 1: 1. There was no significant difference in fasting and postprandial motilin level and constipation symptom score between the two groups by statistical analysis. The postprandial motilin level and constipation symptom score were significantly different between the two groups by statistical analysis. The level of motilin and the score of constipation symptom were significantly different between the two groups after 1 month of treatment (p 0.05. 4). Comparison of clinical efficacy between the two groups: after treatment, the total effective rate in the treatment group was 86.7, the total effective rate in the control group was 80.00.The total effective rate in the treatment group was significantly higher than that in the control group, and there was a significant difference between the two groups (P 0.05). Conclusion 1. Shenque moxibustion combined with acupuncture, simple acupuncture treatment for patients with constipation after stroke are effective, and Shenque moxibustion combined with acupuncture to improve the efficacy of constipation symptoms than simple acupuncture .2. Shenque moxibustion combined with acupuncture and simple acupuncture can increase the postprandial motilin level of patients, but the treatment group is better than the control group. 3. From the data analysis of the follow-up period, it can be concluded that the two treatment methods have long-term effect, while Shenque moxibustion combined with acupuncture group has better long-term effect than acupuncture group .4. Shenque moxibustion combined with acupuncture is an effective method for the treatment of post-stroke constipation, which can regulate the postprandial motilin level, significantly reduce the score of constipation symptoms, improve constipation symptoms, and is beneficial to the rehabilitation of stroke.
【学位授予单位】:福建中医药大学
【学位级别】:硕士
【学位授予年份】:2017
【分类号】:R246.6
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