Clinical observation of acupuncture combined with Jichuan decoction umbilical compress in treatment of constipation in elderly patients after stroke
Objective To observe the therapeutic effects of acupuncture combined with Jichuan decoction on post-stroke constipation,and provide a basis for seeking mild,effective,and minimally adverse treatment methods.Methods 90 elderly patients with post-stroke constipation who were treated in medical institutions including Sijing Hospital in Songjiang District from September 2021 to March 2022 were selected.They were randomly divided into control group(n=30,receiving routine nursing and rehabilitation treatment),umbilical compress group(n=30,receiving routine nursing and rehabilitation combined with umbilical compress treatment),acupuncture+umbilical compress group(n=30,receiving routine nursing and rehabilita-tion combined with acupuncture and umbilical compress treatment).The treatment course of the three groups was 2 weeks.The rehabilitation efficacy,frequency of completely autonomous defecation,frequency of autonomous defecation,quality of life for constipation,and electromyography(EMG)of the external anal sphincter were observed and compared among three groups.Results The effective rate of complete autonomous defecation in the acupuncture+umbilical compress group(47.0％)was higher than those in the umbilical compress group(24.6％)and the control group(3.4％),and the differences were statistically significant(all P＜0.01).Before rehabilitation and treatment,the latency period of perianal nerve conduction was abnormal in all three groups(mildly to moderately prolong).After receiving different treatment,the latency period of all three groups was shortened.The difference in latency period of perianal nerve conduction before and after treatment in the acupuncture+umbilical compress group[(17.46±9.63)ms]was greater than those in the umbilical compress group[(9.23±5.76)ms]and the con-trol group[(5.22±2.69)ms],and the differences were statistically significant(all P＜0.01).Conclusion The three kinds of treatment can improve the constipation symptoms of the patients after stroke.Both the umbilical compress group and the acupunc-ture+umbilical compress group can significantly increase the frequency of autonomous defecation,while acupuncture combined with Jichuan decoction umbilical compress can increase defecation force more than umbilical compress alone.
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