摘要
目的:研究不同干预方案对老年缺血性脑卒中(IS)患者便秘的疗效。方法:我院的150例老年IS合并便秘患者被随机均分为膳食纤维联合双歧杆菌组(A组)、球囊扩张训练联合盆底肌训练组(B组)与低频电穴位刺激组(C组),三组均在常规干预基础上接受对应治疗21d。比较三组干预前后便秘症状及疗效评估量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、便秘患者生活质量量表(PAC-QOL)评分及治疗总有效率。结果:干预后,与A组、B组比较,C组便秘症状及疗效评估量表中排便各项评分及总分[总分(9.92±2.83)分比(9.74±2.68)分比(8.94±1.99)分],SAS[(39.11±5.43)分比(41.72±6.42)分比(35.34±5.13)分]、SDS评分[(39.84±4.67)分比(41.95±5.03)分比(36.93±4.26)分],PAC-QOL生理、社会心理、担忧度、满意度维度评分均显著降低(P<0.05或<0.01)。与B组比较,干预后,A组SAS、SDS评分均显著降低(P均<0.05)。C组治疗总有效率显著高于A组、B组(92.00%比70.00%比72.00%,P均<0.01)。结论:低频电穴位刺激治疗可显著改善老年缺血性脑卒中患者便秘症状,提高生活质量,疗效显著。
Objective:To study therapeutic effect of different intervention programs on constipation in aged patients with ischemic stroke(IS).Methods:A total of 150 aged IS patients with constipation treated in our hospital were randomly and equally divided into dietary fiber combined bifidum group(group A),balloon dilation training combined pelvic floor muscle training group(group B)and low-frequency electrical acupoint stimulation group(group C),each group received corresponding treatment based on routine intervention for 21d.Scores of constipation symptoms and efficacy assessment scale,self-rating anxiety scale(SAS),self-rating depression scale(SDS)before and after intervention and score of patient assessment of constipation quality of life(PAC-QOL)and total effective rate were compared among all groups.Results:After intervention,compared with group A and group B,there were significant reductions in each dimension scores and total score of constipation symptoms and efficacy assessment scale[total score:(9.92±2.83)scores vs.(9.74±2.68)scores vs.(8.94±1.99)scores],scores of SAS[(39.11±5.43)scores vs.(41.72±6.42)scores vs.(35.34±5.13)scores]and SDS[(39.84±4.67)scores vs.(41.95±5.03)scores vs.(36.93±4.26)scores],dimension scores of physiology,social psychology,worry and satisfaction of PAC-QOL in group C(P<0.05 or<0.01).Compared with group B,after intervention,there were significant reduce in scores of SAS and SDS in group A(P<0.05 both).Total effective rate of group C was significantly higher than those of group A and B(92.00%vs.70.00%vs.72.00%,P<0.01 both).Conclusion:Low-frequency electrical acupoint stimulation treatment can significantly improve symptoms of constipation in aged patients with ischemic stroke and improve quality of life,with significant therapeutic effect.
作者
王玉婷
程琦
关晓梅
WANG Yu-ting;CHENG Qi;GUAN Xiao-mei(Neurological Center,Hefei BOE Hospital Co.,Ltd.,Hefei,Anhui,230000,China)
出处
《心血管康复医学杂志》
CAS
2022年第3期320-325,共6页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
卒中
便秘
老年人
Stroke
Constipation
AgedSupported by Fund Project:Anhui Province Health Soft Science Research Project(2020WR04004)
