Comparison of the Efficacy of Three Intervention Regimens in Treating Constipation in Elderly Patients with Ischemic Stroke
Objective:To analyze the practical effects of three intervention approaches on treating consti-pation in elderly patients with ischemic stroke(IS).Methods:Ninety-two patients were randomly allocated into three groups(Group A,B,and C)using simple randomization;Group A(30 patients)received dietary fi-ber combined with bifidobacterium intervention,Group B(31 patients)underwent balloon dilation combined with pelvic floor muscle exercises,and Group C(31 patients)received low-frequency electroacupuncture stimulation.Clinical efficacy,constipation symptom scores,and psychological status were compared among the three groups.Results:Group C demonstrated a significantly higher overall response rate(96.77%)compared to Group B(67.74%)and Group A(66.67%)(P<0.05),with no significant difference between Groups A and B(P>0.05).Following intervention,Group C showed lower scores across all dimensions of constipation symptoms(difficulty in defecation,stool form,defecation time,feeling of incomplete evacuation,defecation frequency,and abdominal distension)compared to Groups A and B(P<0.05),with no significant difference between Groups A and B(P>0.05).Furthermore,post-intervention,Group C had lower SAS and SDS scores than Groups A and B(P<0.05),with no significant difference observed between Groups A and B(P>0.05).Conclusion:Compared to the other two methods,low-frequency electroacupuncture stimulation proved more effective in improving therapeutic outcomes,relieving constipation symptoms,and enhancing the psychological state of elderly IS patients with constipation.