Prevention Of Yin Syndrome By Applying Clinical Application Of Umbilical On Constipation After Stroke

Objectives:Constipation is a common complication after stroke.Constipation not only bring discomfort and secret sorrow to patients,but also because of the abdominal pressure and defecation increased intracranial pressure,easy to induce hemorrhagic stroke,even organ failure and different degrees of anorectal diseases,to a large extent,it affects the rehabilitation and prognosis of stroke patients.Studies have shown that the prognosis of patients with constipation after stroke is significantly worse than those without constipation,and there are few studies on the prevention of constipation after stroke.This research is based on Chinese dialectical theory of governance theory,useing Evodia umbilicus therapy to prevent Yin Syndrome after stroke constipation,reduce the incidence of constipation from the roots,reduce the adverse effects of constipation after stroke,and provide a new way of thinking for clinical diagnosis and treatment.Methods:This study collected 80 patietns with Yin Syndrome of acute stroke treated in Guangdong Province Traditional Chinese Medical Hospital Institute Dade Road Department of encephalopathy from December 2015 to December 2016 as the research object.They were randomly divided into the group of Evodia umbilicus therapy(observation group)40 cases,conventional treatment group(control group)40 cases.Treatment was given once a day,4 hours at a time,for a course of 7 days.The main outcome measures were as follows:the incidence of constipation,Bristol stool score,daily defecation;secondary outcome measures were the number of bowel movements,the number of enema,NIHSS score,mRS score,BI index.Data analysis was done by intention to treat(ITT)using SPSS17.0.And the primary outcomes also applied per-protocol analysis(PP).continuous data were expressed as mean±SD and constituent ratio(%)for enumeration data.The t test was used to compare the data between the two groups(the variance was not homogeneous with the rank sum test),and the paired t test or Wilcoxon paired rank test was used before and after comparison.Comparison between classification data by chi-square test,the ridit analysis is compared between ranked data.Test level is ? =0.05.Results:In this study,80 cases of patients with Yin deficiency syndrome were randomly divided into observation group(n = 40)and control group(n = 40).In the observation group,1 cases were eliminate due to misdiagnosed.During the study period,patients in the observation group and 3 cases of loss,are due to diarrhea in the application process,the control group of 1 patients with transferred off.The rest of the patients were required to complete the evaluation and observation index of the whole test.Finally,a total of 75 cases were completed,including observation group(n = 36)and control group(n = 39).The incidence of constipation in the two groups was compared,and the number of cases in the treatment group was less than that in the control group,and the difference was statistically significant(?2=6.36,P=0.01)after the?2 test;in the control group,the symptom score of constipation was higherthan that of the observation group,the difference was statistically significant(t=6.77,P=0.00);patients in the observation group were significantly improved stool frequency,two independent samples of the rank sum test,compared with the control group,the difference was statistically significant(z=2.24,P=0.03);the NIHSS score of the control group was higher than that of the observation group,the d.ifference was statistically significant(t=2.34,P=0.02);the mRS score of the control group was higher than that of the observation group,but the difference was not statistically significant(z ?1.56,P=0.12);the BI index of the control group was higher than that of the observation group,but the difference was not statistically significant(z=0.24,P=0.80);there was no significant difference between the effectiveness of observation group and the use of dehydration,underground activities(P>0.05).And there was significant difference between the observation group and the gender,course of disease,the use of antibiotics(P<0.05).During the course of the study,diarrhea occurred in 3 patients,and the symptoms disappeared gradually after the cessation of the intervention.Conclusion:1.The application of Evodia navel therapy can prevent the occurrence of constipation in patients with stroke.2.The application of Evodia navel therapy may prevent constipation in patients with stroke,at the same time,can improve the neurological function of patients.