首页|三种干预方案治疗老年缺血性脑卒中患者便秘的效果比较

三种干预方案治疗老年缺血性脑卒中患者便秘的效果比较

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目的:分析三种干预方案治疗老年缺血性脑卒中(IS)患者便秘的实际效果.方法:按照简单随机法将92例患者分为A、B、C三组;A组(30 例)患者进行膳食纤维联合双歧杆菌干预,B组(31 例)患者进行球囊扩张联合盆底肌锻炼干预,C组(31 例)患者进行低频电穴位刺激干预;比较三组患者的临床疗效、便秘症状评分及心理状态.结果:C组总有效率(96.77%)高于B组(67.74%)与A组(66.67%)(P<0.05),A组与B组之间差异无统计学意义(P>0.05);干预后C组患者便秘症状各维度(排便困难、粪便形状、排便时间、下坠不尽感、排便频率、腹胀)评分均较A组和B组低(P<0.05),A组与B组之间差异无统计学意义(P>0.05);干预后C组患者的SAS、SDS评分较A组和B组低(P<0.05),A组与B组之间差异无统计学意义(P>0.05).结论:与其他两种方式相比,低频电穴位刺激应用于老年IS便秘患者中能有效提高治疗效果,改善便秘症状及患者的心理状态.
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.

Ischemic StrokeConstipationLow-Frequency Electroacupuncture StimulationPelvic Floor Muscle Exercises

周文哲、牛艳菲、申彬如

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平顶山市第一人民医院,河南 平顶山 467000

缺血性脑卒中 便秘 低频电穴位刺激 盆底肌锻炼

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(2)