Clinical Observation Of Shengyangyiwei Decoction Combined With Abdominal Push On Treating Deficiency Constipation After Apoplexy

ObjectiveIn this study,to evaluate clinical.efficacy of Shengyangyiwei decoction combined with abdominal push method in treatment of deficiency constipation after apoplexy,we had the patients of deficiency constipation after apoplexy as the research objects,and compared with Mosapride citrate dispersible tablets,observing the improvement degree of constipation symptoms and neurological symptoms,analyzing the curative effect difference,to provide a more effective mean for the treatment of constipation after apoplexy.MethodsThis study collected 60 cases of patients of deficiency constipation after apoplexy meeting the diagnostic criteria and inclusion criteria from Department of encephalopathy,Guangzhou Hospital of traditional Chinese medicine.Patients were randomly divided into two groups,each group of 30 cases.On the basis of routine treatment of apoplexy,the control group received Mosapride citrate dispersible tablets;the treatment group received Shengyangyiwei decoction combined with abdominal push.Shengyangyiwei Decoction(Prescription:Huangqi 30g,Dangshen 15g,Qianghuo 6g,Duhuo 6g,Banxia 15g,Zhishi 10g,Danggui 10g,Baishao 10g,Chenpi 6g,Chaihu 10g,Huanglian 3g,Gancao 10g.)Decocting method:Chinese medicine decoction unified by the pharmacy of Guangzhou Hospital of traditional Chinese medicine,with water 500mL into 300mL(2 packets),One day a dose of two times(1 packet per time).Abdominal push method:1)With the patient staying in a supine position,straightening legs,loosening belt,relaxing muscles,the operator used his hands(palms or fingers)to push patients' abdomen from the chest department to the lower abdomen,starting from the middle area of Ren meridian,then along the kidney meridian,stomach meridian,spleen meridian and gallbladder meridian,each meridian line of the push for 10 times,and then pushed another meridian line,in order to push.In the process of pushing to moderate intensity,patients should also feel the abdomen where was unusual,so pushed on 10 cycles.2)After the completion of the first round of abdominal push,patients could find that there were some subtle abdominal block points,such as air mass or nodules,lumps,pain points etc.Then the operator could rub through the fingers or palm root to block the point of the scattered,slightly more than the strength of the kneading time,in order to produce a sense of acid swelling.3)Finally push abdomen from the chest department to the lower abdomen,10 times for each meridian line.4)Push abdomen at Chenshi(7-9)every morning,once a day.7 days for a course of treatment,we treated two courses totally.In the first day,seventh day and fourteenth day,we needed to evaluate the clinical efficacy and scores.All data were analyzed by using statistical software to evaluate the clinical efficacy of the two groups.Results1.Comparison of general information:patients' genders,ages,stroke types,stroke duration,constipation symptom scores before treatment and neurological deficit scores before treatment were compared,there were no significant difference between the two groups(P>0.05),so the baseline data has a good comparability.2.Comparison of clinical efficacy:After one course of treatment,the clinical efficacy of the two groups were compared with P>0.05,with no statistical significance,indicating that the efficacy of the two groups was similar.The total effective rates and recovery rates of the two groups were compared with P>0.05,with no statistical significance,so there was no significant difference between the two groups.The results showed that the total effective rates and the recovery rates of the two groups were not significantly different after one course of treatment.After two courses of treatment,the clinical efficacy of the two groups were compared with P<0.05,with statistical significance,indicating that the clinical efficacy of the two groups were different after two courses of treatment,and the effect of the treatment group was better than the control group.After two courses of treatment,the total effective rates of the two groups were compared with P>0.05,with no statistical significance;the recovery rates of the two groups were compared with P<0.05,with statistical significance.The results showed that the total effective rates of the two groups had no significant difference,but the recovery rates of the two groups were different after two courses of treatment,and the effect of the treatment group was better than the control group.3.Comparison of constipation symptom scores:the constipation symptom scores of the two groups were compared before treatment,after one course of treatment,after two courses of treatment,P values were less than 0.01(P<0.01),with statistical significance and significant difference.The result showed that both the two groups of treatment methods could improve the constipation symptoms in the treatment of one course and two courses.After one course of treatment,the constipation symptom scores of two groups were compared with P>0.05,with no statistical significance.The results showed that there were no difference between the two groups after one course of treatment.After two courses of treatment,the constipation symptom scores of the two groups were compared with P<0.01,with statistical significance.The results showed that there were different between the two groups after two course of treatment,and the effect of the treatment group was better than the control group.4.Comparison of neurological deficit symptom scores:neurological deficit symptom scores of the two groups were compared before treatment,after one course of treatment,after two courses of treatment,P values were greater than 0.05(P>0.05)before treatment and after one courses of treatment,with no statistical significance.P values were less than 0.01(P<0.01)before treatment and after two courses of treatment,with statistical significance and significant difference.The result showed that the two groups of treatment methods could not improve the neurological deficit symptoms in the treatment of one course,but they could improve the neurological deficit symptoms in the treatment of two course.After one course of treatment,the neurological deficit scores of the two groups were compared with P>0.05,with no statistical significance.The results showed that there were no difference between the two groups after one course of treatment.After two courses of treatment,the neurological deficit scores of the two groups were compared with P>0.05,with no statistical significance.The results showed that there were no difference between the two groups after two courses of treatment.ConclusionBoth Shengyangyiwei decoction combined with abdominal push and Mosapride can improve constipation symptoms and neurological symptoms of patients of deficiency constipation after apoplexy,and the effects after two courses of treatment were better than that after one course of treatment.In the improving degrees of constipation symptoms,Shengyangyiwei decoction combined with abdominal push was more effective than Mosapride.In the improving degrees of neurological symptoms,there were no significant difference between the two groups.In summary,Shengyangyiwei decoction combined with abdominal push,as a more effective and cheaper Chinese medicine treatment,was worthy of clinical application.