耳穴埋籽联合辰时穴位按揉在重症脑卒中便秘中的应用
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R743.3;R256.35

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Application of Burying Seeds at Auricular Points Combined with Point Pressing During Chenshi in Constipation After Severe Stroke
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    摘要:

    目的:观察耳穴埋籽联合辰时穴位按揉对重症脑卒中便秘患者的治疗效果。方法:选择重症脑卒中便秘患者116 例,按随机数字表法分为观察组和对照组各58 例。2 组患者入院后,给予脑卒中治疗及护理干预。对照组在常规治疗基础上给予便秘护理干预,观察组在对照组基础上给予耳穴埋籽联合辰时穴位按揉。比较2 组排便效果、干预前后的便秘相关症状评分、首次排便时的异常情况发生率及心率和血压情况。结果:观察组排便效果优于对照组,差异有统计学意义(Z=1.847,P<0.05)。干预前,2 组排便困难程度、粪便性状、排便时间评分比较,差异均无统计学意义(P>0.05)。干预后,2 组排便困难程度、粪便性状、排便时间评分较干预前降低,且观察组各项评分均低于对照组,差异均有统计学意义(P<0.05)。观察组排便困难、排便费时、大便干结、大便残余感发生率均低于对照组,差异均有统计学意义(P<0.05)。干预前后,2 组心率以及血压均未出现明显变化(P>0.05)。结论:耳穴埋籽联合辰时穴位按揉干预重症脑卒中合并便秘患者,可以改善便秘症状,安全性良好。

    Abstract:

    Abstract: Objective: To observe the curative effect of burying seeds at auricular points combined with point pressing during Chenshi(period of the day from 7 am to 9 am) in patients with constipation after severe stroke. Methods:A total of 116 cases of patients with constipation after severe stroke were selected and divided into the observation group and the control group according to the random number table method group,58 cases in each group. After admission,both groups were given treatment and nursing intervention of stroke. The control group was additionally given nursing intervention of constipation,and the observation group was additionally treated with burying seeds at auricular points combined with point pressing during Chenshi based on the treatment of the control group. The effect on defecation,as well as the incidence of abnormal conditions at the first defecation, the scores of constipation- related symptoms, the heart rate, and blood pressure before and after intervention were compared between the two groups. Results: The effect on defecation in the observation group was better than that in the control group, the difference being significant(Z=1.847, P<0.05). Before intervention,when compared the scores of the degree of difficult defecation,fecal character,and defecation time between the two groups,there was no significance being found in differences(P>0.05). After intervention,the scores of the degree of difficult defecation,fecal character,and defecation time in the two groups were decreased when compared with those before intervention, and each score in the observation group was lower than that in the control group, differences being significant(P<0.05). The incidence of difficult defecation,long defection time,dry hard stool,and incomplete defection in the observation group was lower than that in the control group, differences being significant(P<0.05). Before and after intervention, there was no obvious change being found in the heart rate and blood pressure in the two groups(P>0.05). Conclusion: For patients with severe stroke complicated with constipation, the intervention of burying seeds at auricular points combined with point pressing during Chenshi can improve constipation syndromes with good safety.

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胡瑱臻,吴月瑛,邹素华.耳穴埋籽联合辰时穴位按揉在重症脑卒中便秘中的应用[J].新中医,2021,53(3):177-180

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  • 在线发布日期: 2021-02-03
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