脐灸治疗卒中后阳虚型便秘的临床观察

Clinical Observation on Umbilical Moxibustion in the Treatment of Post-Stroke Yang Deficiency Type Constipation

摘要: 目的：探讨脐灸治疗卒中后阳虚型便秘的临床疗效。方法：收集符合诊断及纳入标准的74例患者，随机分为对照组(单纯基础治疗)和治疗组(基础治疗 + 脐灸治疗)，观察二者治疗前后的CCS、PAC-QOL、中医证候评分、改良Barthel评分变化，治疗2周结果：治疗后，2组患者CCS、PAC-QOL、中医证候评分、改良Barthel评分均较治疗前显著改善(P < 0.05)，且治疗组改善程度优于对照组(P < 0.05)，治疗组的总有效率为94.59%，显著高于对照组的72.97% (P < 0.05)，2组患者均未出现严重不良反应及并发症，依从性较好。结论：脐灸治疗能有效改善卒中后阳虚型便秘患者的便秘情况及中医证候，显著提高患者日常活动能力及生活质量。

Abstract: Objective: To explore the clinical efficacy of umbilical moxibustion in the treatment of post-stroke yang deficiency type constipation. Methods: A total of 74 stroke patients who met the diagnostic and inclusion criteria were enrolled and randomly divided into a control group (received basic treatment alone) and a treatment group (received basic treatment combined with umbilical moxibustion). Changes in the CCS (Colon Constipation Scale), PAC-QOL (Patient Assessment of Constipation Quality of Life), traditional Chinese medicine (TCM) syndrome scores, and modified Barthel index (MBI) before and after treatment were observed, with a treatment course of 2 weeks. Results: After treatment, the CCS, PAC-QOL, TCM syndrome scores, and MBI of patients in both groups were significantly improved compared with those before treatment (P < 0.05), and the improvement degree of the treatment group was better than that of the control group (P < 0.05). The total effective rate of the treatment group was 94.59%, which was significantly higher than 72.97% of the control group (P < 0.05). No severe adverse reactions or complications occurred in either group, and the compliance was good. Conclusion: Umbilical moxibustion can effectively improve constipation and TCM syndromes in patients with post-stroke yang deficiency type constipation, and significantly enhance their daily living ability and quality of life.