摘要
目的:本研究旨在观察俞募配穴电针治疗对急性后循环脑梗死伴胃肠功能障碍患者的神经功能和胃肠功能的改善作用。方法:2021年5月至2023年1月,将四川省四所医院126名患者随机分为电针组、假电针组和对照组,每组42例。在常规治疗基础上,电针组和假电针组予以早期3天的电针治疗。比较治疗第3天和第28天/出院时患者神经功能缺损程度评分(NIHSS)、急性缺血性中风中医症征积分以及胃肠功能症状疗效评分的差异。结果:与对照组相比,电针组第3天NIHSS评分下降(P<0.05);与两组相比,电针组第28天/出院时的NIHSS评分均下降(P<0.05);与对照组相比,电针组治疗第3天及第28天/出院时的中医症征积分均降低(P<0.05);电针组在胃肠功能评分方面总有效率达到66.7%,显著高于假电针组(50.0%)和对照组(33.3%)(P=0.039);与两组相比,电针组在治疗第3天胃肠减压量均减少;与两组相比,电针组第28天/出院时的胃肠功能评分均降低(P<0.05)。结论:俞募配穴电针治疗能改善急性后循环脑梗死伴胃肠功能障碍患者的神经功能及胃肠功能。
Objective:The aim of this study is to observe the improvement effect of acupoint combination of Shu and Mu electroacupuncture on neurological and gastrointestinal function in patients with acute posterior circulation cerebral infarction accompanied by gastrointestinal dysfunction.Methods:From May 2021to January 2023,126patients from four hospitals in Sichuan Province were randomly divided into an electroacupuncture group,a sham electroacupuncture group,and a control group,with 42patients in each group.On the basis of routine treatment,the electroacupuncture group and the sham electroacupuncture group were given early 3-day electroacupuncture treatment.Compare the differences in neurological impairment score(NIHSS),traditional Chinese medicine syndrome score for acute ischemic stroke,and gastrointestinal function symptom efficacy score between patients on the 3rd and 28th days of treatment/discharge.Results:Compared with the control group,the NIHSS score of the electroacupuncture group decreased on the 3rd day(P<0.05);Compared with the two groups,the NIHSS score of the electroacupuncture group decreased on the 28th day/discharge(P<0.05);Compared with the control group,the traditional Chinese medicine syndrome scores of the electroacupuncture group decreased on the 3rd and 28th day of treatment/discharge(P<0.05);The total effective rate of the electroacupuncture group in terms of gastrointestinal function score reached 66.7%,significantly higher than that of the sham electroacupuncture group(50.0%)and the control group(33.3%)(P=0.039);Compared with the two groups,the electroacupuncture group showed a decrease in gastrointestinal decompression on the third day of treatment;Compared with the two groups,the gastrointestinal function score of the electroacupuncture group decreased on the 28th day/discharge(P<0.05).Conclusion:The combination of acupoints of Yu and Mu with electroacupuncture can improve the neurological and gastrointestinal functions of patients with acute posterior circulation cerebral infarction accompanied by gastrointestinal dysfunction.
作者
徐冉
易小琳
姜震宇
胡静
周荣
李健林
柴贞
王力
严雪丽
朱静
李永新
XU Ran;YI Xiaolin;JIANG Zhenyu(Suining Traditional Chinese Medicine Hospital affiliated with North Sichuan Medical College,Suining Sichuan 629000,China)
出处
《四川中医》
2024年第6期200-204,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省中医药管理局科学技术研究专项(编号:2021MS129)。
关键词
急性后循环梗死
胃肠功能障碍
俞募配穴法
脑-肠轴
Acute Posterior Circulation Infarction
Gastrointestinal Dysfunctiou
Combined Back-Shu and Front-Mu Acupoints
Brain-Gut Axis
