Clinical Research Of Magnetic Bead Aucupressure Auricular Point On Patients With Constipation After Stroke

ObjectiveTo observe the clinical efficacy of magnetic bead aucupressure auricular point on patients with constipation after stroke, in order to explore an efficacious and convenient nursing method of traditional Chinese medical science for community hospital and family to use.MethodsSixty five patients with constipation after stroke were collected from cerebropathy department of People’s Hospital of Fujian Province from March 2011 to November 2011. All patients were randomly divided into either intervention group (n=32) or control group (n=33).The control group was treated with the regular treatment and nursing. The intervention group was treated with magnetic bead aucupressure auricular point expected regular treatment and nursing. Each auricular point was pressed three minutes per time, four times per day. The other auricular point was pressed after three days. Seven days constitute a course of treatment, two consecutive course of treatment were applied to all patients. Before and after the treatment, average first-defecating time, bowel-sound time, nitric oxide(NO) serum levels and clinical constipation symptom score were used to evaluate the effect. SPSS 17.0 was applied to analyze the data.Results1. In the research process,5 cases of the total 65 dropped, and 60 cases achieved the whole experiment.2. General characteristic:There were no significant differences between two groups in age, gender, disease duration, type of stroke, constipation syndrome (P>0.05).3. Average first defecating-time:After the treatment, average first defecating-time in the intervention group was (20.11±7.67) hours and the control group was (26.06±10.98) hours. The differences between the two groups were significant (P<0.05).4. NO serum levels:There were no significant differences between two groups in NO serum level before the procedure (P>0.05). After the procedure, the NO serum levels of intervention group were significant lower than that of control group (P<0.05).5. Bowel-sound times:There were no significant differences between two groups in bowel-sound times (P>0.05). After the procedure, the bowel-sound times of intervention group were significant clearer than that of control group (P<0.05).6. Clinical constipation symptom score:There were no significant differences between two groups in individual symptom scores(P>0.05). After the procedure, there were significant differences between two groups in most clinical symptoms(P<0.05), except defecation characteristic symptom (P>0.05). Two weeks later after the procedure, there were significant differences between two groups in individual symptom scores (P<0.05).7. Constipation effect evaluation:Among the intervention group,4 cases were cured,9 cases showed obvious effect,13cases showed effective and another 4 cases remained ineffective. The total effective rate was 86.67%. Among the control group, the relevant data were collected respectively as 1,4,15,10 and 66.67%. The total effective rate of the intervention group was superior to that of the control group (P<0.05).8. Cases of diarrhea:There was no diarrhea in intervention group, while 4 cases appeared in the control group. The diarrhea rates in the control group was higher than that of the intervention group (P<0.05).9. Recurrent cases of constipation:The number of constipation recurrence in the intervention was 1, which were 6 cases in the control group. The constipation recurrence rates of two groups of were significantly difference (P<0.05).ConclusionAuricular aucupressure has a better effect on constipation after stroke than general nursing. It not only has an obvious effect, but also has a certain effect. While it has fewer side effects. Thus, magnetic bead aucupressure auricular point was a simple, effective method to improve constipation after stroke.