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中医外治联合中药口服治疗气虚血瘀型脑梗死后便秘临床观察OA

External Therapy of Traditional Chinese Medicine Combined with Oral Administration of Chinese Herbal Medicine in the Treatment of Constipation after Cerebral Infarction of Qi Deficiency and Blood Stasis Type

中文摘要英文摘要

目的 探究中医外治联合中药口服治疗气虚血瘀型脑梗死后便秘的临床效果.方法 选取2024年1月—2024年12月连云港市赣榆区中医院收治的62例气虚血瘀型脑梗死后便秘患者作为研究对象,以随机数字表法将其分为观察组(口服黄芪汤的基础上加用穴位贴敷联合耳针治疗)与对照组(口服黄芪汤治疗),各31例,探讨不同治疗方法对临床效果的影响.结果 治疗后,观察组克利夫兰便秘评分量表(CCS)、便秘患者生活质量自评量表(PAC-QOL)评分显著低于对照组(P<0.05),且观察组治疗总有效率高于对照组(P<0.05).结论 对气虚血瘀型脑梗死后便秘患者采取穴位贴敷联合耳针治疗,效果确切.

Objective To explore the clinical effect of external therapy of traditional Chinese medicine(TCM)combined with oral administration of Chinese herbal medicine in the treatment of constipation after cerebral infarction of qi deficiency and blood stasis type.Methods A total of 62 patients with constipation after cerebral infarction of qi deficiency and blood stasis type admitted to Ganzhou District Hospital of Traditional Chinese Medicine from January 2024 to December 2024 were selected as research subjects.They were divided into an observation group(treated with acupoint application combined with auricular acupuncture on the basis of oral Huangqi decoction)and a control group(treated with oral Huangqi decoction)using a random number table method,with 31 cases in each group.The effect of different treatment methods on clinical efficacy was discussed.Results After treatment,the Cleveland constipation score(CCS)and patient assessment of constipation quality of life(PAC-QOL)scores in the observation group were significantly lower than those in the control group(P<0.05),and the total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion The application of acupoint application combined with auricular acupuncture in patients with constipation after cerebral infarction of qi deficiency and blood stasis type had definite therapeutic effects.

辛明珠;张磊

连云港市赣榆区中医院内科,江苏 连云港 222100连云港市赣榆区中医院内科,江苏 连云港 222100

医药卫生

中风脑梗死便秘气虚血瘀证

strokecerebral infarctionconstipationqi deficiency and blood stasis syndrome

《光明中医》 2026 (6)

81-84,4

连云港市中医药科技发展项目(No.YB202214)

10.70976/j.issn.1003-8914.2026.06.017

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