[Objective]To evaluate the clinical outcomes of combining electroacupuncture with rectal function training for treating post-stroke constipation(PSC).[Methods]A total of sixty patients of PSC were enrolled in the study at the Rehabilitation Department of Northern Jiangsu People's Hospital from December 2021 to March 2023.They were randomly assigned using a random number table method to enter the treatment group(29 cases,with 1 case dropped out)or the control group(29 cases,with 1 case dropped out).The control group received comprehensive and individualized rectal function training,and the treatment group received electroacupuncture therapy on the basis of the control group,all of which were treated for 4 weeks.The study involved assessing the Cleveland Clinic Score(CCS),pelvic floor surface electromyography,and therapeutic outcomes before and after treatment.[Results]No statistically significant difference was observed between the two groups prior to treatment(P>0.05).Following 4 weeks of treatment,both groups experienced a significant decrease in CCS scores(P<0.001),with the treatment group displaying a lower CCS score compared with the control group(P<0.01).After treatment,the electromyographic values significantly increased in both groups during the rapid contraction,tension contraction,and endurance contraction stages(P<0.001),and the electromyographic values of the above stages in the treatment group were higher than those in the control group(P<0.05).The total effective rate of the treatment group(93.10%)was higher than that of the control group(72.41%),and the difference was statistically significant(P<0.05).[Conclusion]Electroacupuncture combined with rectal function training in the treatment of PSC can improve the defecation frequency and accompanying symptoms of patients,improve the muscle strength of pelvic floor fast and slow muscles and the endurance of slow muscles,and improve the therapeutic effect.
关键词
卒中后便秘/电针/直肠功能训练/疗效观察/便秘临床症状评分量表/盆底表面肌电评估/盆底肌/俞募配穴
Key words
post-stroke constipation/electroacupuncture/rectal function training/curative effect observation/Cleveland Clinic Score/pelvic floor surface electromyography/pelvic floor muscle/combination of Shu points and Mu points
维普
万方数据