The Clinical Research Of Tonifying Yang And Opening The Du Channel Combine Back-shu Points And Front-mu Points Combination In Patients With Deficiency Constipation After Apoplexy

Objective:To observe the clinical efficiency of treatment on constipation after apoplexy by means of the Tonifying Yang and Opening The Du Channel combine Back-shu points and Front-mu points combination and the traditional therapy of acupuncture,find the changes between the different time after the treatment by comparison with the assessment before treatment,so that we can provide a new way for clinical acupuncture on constipation after apoplexy.In order to explore the "Tonifying Yang and Opening The Du Channel" acupuncture method to research on the relationship between the overall effect of stroke,to lay the foundation for further study in the future.Methods:Select 60 patients of constipation after apoplexy,who were met the standars of both inclusion and diagnotics.Separate them into two group randomly,one is the treatment group,another is for comparison.There were 30 patients in each of the group,and both of them treated with routine treatment.Then,we treated the patients in the treatment group by the means of Tonifying Yang and Opening The Du Channel,and treated the patients in the comparison group by the means of the traditional therapy of acupuncture.Use the Cleveland Clinic Score(CCS),Bristol Stool trait scores,Patient Assessment of Constipation Quality Of Life Scale(PAC-QOL),to observe the difference between the two groups before and after the treatment.The treatment was 14 days,every Monday to Sunday,7 days,1 time a day,7 days as a course of treatment,a total of 2 courses.After the treatment,the curative effect was evaluated before and after the treatment,and the related data were statistically analyzed.Results:1.There was no significant difference in gender,age,course of diseases,the Cleveland Clinic Score(CCS),Bristol Stool trait scores,Patient Assessment of Constipation Quality Of Life Scale(PAC-QOL)scores before treatment(P>0.05)between two groups of patients,have comparability.2.After treatment,the improvement rates of the Cleveland Clinic Score(CCS)in both groups were increased(P < 0.05),but the improvement rate of the Cleveland Clinic Score(CCS)were more significant in the treatment group than the comparison group(P<0.05),which means that the Tonifying Yang and Opening The Du Channel combine Back-shu points and Front-mu points combination was better than the comparison one in the curative efficiency of the different time after treatment of constipation after apoplexy.3.After treatment,the Bristol Stool trait scores of two groups of patients was significantly increased(P < 0.05),but the improvement of the Bristol stool trait scores were more significant in the treatment group than the comparison group(P<0.05),means that the Tonifying Yang and Opening The Du Channel combine Back-shu points and Front-mu points combination can effectively improve the stool trait of patients with constipation after stroke.4.After treatment,the improvement rates of the Patient Assessment of Constipation Quality Of Life Scale(PAC-QOL)in both groups were increased(P<0.05),but the improvement rate of the Patient Assessment of Constipation Quality Of Life Scale(PAC-QOL)were more significant in the treatment group than the comparison group(P<0.05),which means that the Tonifying Yang and Opening The Du Channel combine Back-shu points and Front-mu points combination was better than the comparison one in the curative efficiency of the quality of life for patients with constipation after treatment of constipation after apoplexy.5.After treatment,there was a difference between the two groups(P=0.035 <0.05),which showed that the effect of the Tonifying Yang and Opening The Du Channel combine Back-shu points and Front-mu points combination on constipation after apoplexy was more significant.6.In the course of the study,the vital signs of the patients were stable,and there weren’t any adverse reactions or acupuncture accidents occurred.Conclusions:1.Clinical studies have confirmed that use the Tonifying Yang and Opening The Du Channel combine Back-shu points and Front-mu points combination was effective in the treatment of constipation after apoplexy.It can effectively reduce the difficulty of defecation,promote defecation,improve the stool trait of the patient,reduce defecation time,and make the stool soft and easy,and improving the quality of life for patients with constipation.2.The method of Tonifying Yang and Opening The Du Channel combine Back-shu points and Front-mu points combination Acupuncture is effective.