肠三针电刺激治疗中风后便秘的临床疗效观察论文.docVIP

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 ABSTRACT Objective: To evaluate therapy efficacy of changsanzhen plus electro-acupuncture for constipation after stroke. Methods: With randomization, controlled method, 72 patients were averagely divided into two groups: the controlled group (given Fusong tablets twice a day) and the  experimental group(stimulated with changsanzhen plus electro-acupuncture). In the experimental group, patients were given changsanzhen on three acupoints as ST25(bilateral), RN4 besides ST37(bilateral). The frequency of electro-acupuncture was set at 20Hz, and continuous wave primarily adjusted to sharp wave maintained for 30 minutes per day. Both groups were treated five times per week while rested during weekends and the total period of treatment lasted 4 weeks. Having observation been finished, interval of defecation, intensity of constipation, duration of constipation as well as transformation of accompanying symptoms were evaluated to determine and compare short-term therapy efficacy for both groups. Results: 67 cases of the total 72 were kept to carry out the whole experiment with 5 cases dropped. As of the experimental group, 7 cases were cured, 18 received obvious effect, 6 showed effective and 3 remained ineffective, thus the total effective rate reached 91.2%, while as of the other, relevant datas collected respectively as 5, 10, 9, 9 and 72.7%. The total effectiveness of the