便携式电针仪治疗缺血性脑卒中后便秘的疗效观察
Observation on the Efficacy of Portable Electroacupuncture Apparatus in the Treatment of Constipation after Ischemic Stroke
DOI: 10.12677/acm.2025.15113331, PDF,    科研立项经费支持
作者: 郝晞童*, 张雨竹, 隋锦仪, 鲁乃郡, 胡 莹, 李泽宇:黑龙江中医药大学研究生学院,黑龙江 哈尔滨;陈 晨#:黑龙江中医药大学附属第二医院针灸五科,黑龙江 哈尔滨
关键词: 缺血性脑卒中便秘电针便携式电针仪临床研究Ischemic Stroke Constipation Electroacupuncture Portable Electroacupuncture Apparatus Clinical Efficacy
摘要: 目的:比较便携式电针仪与传统电针仪治疗缺血性脑卒中后便秘的临床疗效观察。方法:将60位缺血性卒中后便秘患者随机分为对照组(14男,16女,脱落1例)与观察组(15男,15女),所有参与者均接受缺血性卒中基础治疗与康复训练,针对常规穴位操作,对照组使用传统电针仪,观察组使用便携式电针仪每次留针30 min,每日两次,治疗4周。通过对比两组患者治疗后疗效指数,比较便携式电针仪与传统电针仪的临床疗效。结果:两组患者的一般资料比较无统计学意义(P > 0.05),组间具有可比性,两组患者治疗后疗效比较对照组低于观察组,对照组治疗有效率为89.65%,观察组治疗有效率为96.66%,表明观察组优于对照组。结论:便携式电针仪治疗缺血性脑卒中后便秘疗效优于传统电针仪。
Abstract: Objective: To compare the efficacy of portable electroacupuncture apparatus and traditional electroacupuncture apparatus in the treatment of constipation after ischemic stroke. Methods: A total of 60 patients with constipation after ischemic stroke were randomly divided into a control group (14 males, 16 females, 1 case lost to follow-up) and an observation group (15 males, 15 females). All participants received basic treatment for ischemic stroke and rehabilitation training. The control group was treated with a traditional electroacupuncture apparatus at conventional acupoints, while the observation group was treated with a portable electroacupuncture apparatus, with the needle retained for 30 minutes each time, twice a day, for 4 weeks. The clinical efficacy of the two apparatuses was compared by analyzing the efficacy index of the two groups after treatment. Results: There was no statistically significant difference in the general data between the two groups (P > 0.05), indicating comparability between the groups. After treatment, the efficacy of the control group was lower than that of the observation group: the effective rate was 89.65% in the control group and 96.66% in the observation group, showing that the observation group was superior to the control group. Conclusion: The portable electroacupuncture apparatus has better efficacy than the traditional electroacupuncture apparatus in the treatment of constipation after ischemic stroke.
文章引用:郝晞童, 张雨竹, 隋锦仪, 鲁乃郡, 胡莹, 李泽宇, 陈晨. 便携式电针仪治疗缺血性脑卒中后便秘的疗效观察[J]. 临床医学进展, 2025, 15(11): 2152-2157. https://doi.org/10.12677/acm.2025.15113331

参考文献

[1] 王陇德, 彭斌, 张鸿祺, 等. 《中国脑卒中防治报告2020》概要[J]. 中国脑血管病杂志, 2022, 19(2): 136-144.
[2] Li, J., Yuan, M., Liu, Y., Zhao, Y., Wang, J. and Guo, W. (2017) Incidence of Constipation in Stroke Patients: A Systematic Review and Meta-Analysis. Medicine (Baltimore), 96, e7225.
[3] Sun, Y., Lin, Y.J., Wang, J.H., et al. (2022) Risk Factors for Constipation in Patients with Acute and Subacute Ischemic Stroke: A Retrospective Cohort Study. Journal of Clinical Neuroscience, 106, 91-95. [Google Scholar] [CrossRef] [PubMed]
[4] 陶雅文, 席强, 郭义, 等. 传统电针仪存在的问题及发展方向[J]. 上海针灸杂志, 2023, 42(4): 415-419.
[5] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国各类主要脑血管病诊断要点2019[J]. 中华神经科杂志, 2019, 52(9): 710-715.
[6] 沈洪, 张露, 叶柏. 便秘中医诊疗专家共识意见(2017) [J]. 北京中医药, 2017, 36(9): 771-776+784.
[7] 安慧妍. 基于数据挖掘技术的针刺干预不同时期缺血性卒中取穴规律研究[D]: [硕士学位论文]. 北京: 北京中医药大学, 2021.
[8] 位佳玮. 孙氏头针运动区对缺血性卒中后运动功能障碍影响的临床疗效观察[D]: [硕士学位论文]. 哈尔滨: 黑龙江中医药大学, 2023.
[9] 沈雪勇, 刘存志. 全国中医药行业高等教育十四五规划教材经络腧穴学[M]. 北京: 中国中医药出版社, 2021.
[10] 中国中西医结合学会消化系统疾病专业委员会. 功能性便秘中西医结合诊疗专家共识(2025年) [J]. 中国中西医结合消化杂志, 2025, 33(3): 195-216.
[11] Blake, M.R., Raker, J.M. and Whelan, K. (2016) Validity and Reliability of the Bristol Stool Form Scale in Healthy Adults and Patients with Diarrhoea‐Predominant Irritable Bowel Syndrome. Alimentary Pharmacology & Therapeutics, 44, 693-703. [Google Scholar] [CrossRef] [PubMed]
[12] 郭椿, 贺平. 脑肠轴及其研究进展[J]. 世界最新医学信息文摘, 2017, 17(95): 89-91.
[13] 武家竹, 韩佳炜, 张曼, 等. 针灸治疗中风后便秘的机制研究进展[J]. 针灸临床杂志, 2023, 39(1): 105-109.
[14] 孙嘉璐, 吕宁. 电针治疗神经病理痛机制的研究进展[J]. 复旦学报(医学版), 2021, 48(3): 398-403.
[15] 刘慧琳, 刘燕玲, 毛强健, 等. 电针治疗中风后便秘的Meta分析[J]. 光明中医, 2024, 39(9): 1800-1805.
[16] 王超杰, 刘甜甜, 刘琪, 等. 一种新型电针仪磁力接头的设计与应用[J]. 中国针灸, 2020, 40(9): 1007-1010.
[17] 马蓉, 王传池, 贾广, 等. 电针仪的研究发展现状[J]. 中国医疗设备, 2025, 40(4): 151-157.