Clinical Observation On Electroacupuncture Combined With Auricular Acupoint Pressing For The Treatment Of Post-stroke Constipation (Qi And Yin Deficiency Syndrome

Objective:To observe the clinical efficacy of electroacupuncture combined with ear point pressing beans in the treatment of constipation after stroke(qi and Yin deficiency syndrome),compared with electroacupuncture,analyze and evaluate the advantages of electroacupuncture combined with ear point pressing beans in the treatment of constipation after stroke(Qi and Yin deficiency syndrome),and provide certain data support for its clinical application.Methods:Included in the study of 60 cases were in June 2020 to December2021,subsidiary changde in hunan university of TCM physicians acupuncture and massage and rehabilitation,encephalopathy Zhong Feng Ke hospitalization of the age of 40-80-year-old patients,60 patients diagnosis for post-stroke constipation qi and Yin deficiency syndrome in patients with random number table method were randomly divided into control group and observation group,There were 30 cases in each group.In both groups,subjects were given routine treatment and nursing after stroke,and were taught about constipation.The control group was treated with electroacupuncture,and the observation group was treated with electroacupuncture combined with auricular point pressing.Acupuncture point selection in both groups was as follows:Tianshu(bilateral),Shangjuxu(bilateral),Zusanli(bilateral),Zhigou(bilateral),Zhaohai(bilateral),Pishu(bilateral),Dachangshu(bilateral)and Qihai(bilateral).Electroacupuncture point selection: Tianshu,Qihai group,two sides of the Shangjuxu,Zusanli respectively connected to a group,two sides of the Pishu,Dachangshu respectively connected to a group.Ear point selection: Zhichang,Dachang,constipation point,Jiaogan,lung,upper point are unilateral,left and right alternately.The control group was electroacupuncture once a day,the observation group was electroacupuncture once a day,auricular acupoint pressing bean on one side alternately,twice a day,7 days as a course of treatment,a total of 2 courses.CSS score,TCM syndrome score,PAC-QOL score and BSFS score were compared between the two groups before treatment,after 7 days of treatment and after 14 days of treatment to evaluate the clinical efficacy.Results:(1)CSS score: intra-group comparison: THE CSS score of the two groups decreased with the progress of treatment,and the difference was statistically significant.Inter-group comparison: after 7 days of treatment and14 days of treatment,there was difference in the efficacy of the observation group and the control group in improving constipation symptoms,and the observation group was superior to the control group.(2)TCM syndrome score:intra-group comparison: TCM syndrome score of the two groups decreased with the progress of treatment,and the difference was statistically significant.Inter-group comparison: after 7 days of treatment and 14 days of treatment,there was difference in the efficacy of TCM syndrome improvement between the observation group and the control group,and the observation group was better than the control group.(3)Pac-QOL score: intra-group comparison:Pac-QOL score of the two groups decreased with the progress of treatment course,and the difference was statistically significant.Inter-group comparison:after 7 days and 14 days of treatment,there was difference in the efficacy of the observation group and the control group in improving the quality of life of constipation patients,and the observation group was better than the control group;(4)BSFS score: intra-group comparison: THE BSFS score of the two groups decreased with the progress of the treatment course,and the difference was statistically significant.Inter-group comparison: after 7 days of treatment and 14 days of treatment,there was a difference in the efficacy of the observation group and the control group in improving the stool characteristics of constipation patients,and the observation group was superior to the control group.(5)After the course of treatment,the total effective rate of the observation group was 86.7% higher than that of the control group(63.3%),and the difference was statistically significant.Conclusion:According to the feedback data of this trial,the overall efficacy of electroacupuncture combined with auricular point pressing bean in the treatment of constipation after stroke(qi and Yin deficiency syndrome)is superior to electroacupuncture alone.The efficacy of electroacupuncture combined with auricular point pressing bean group was superior to that of electroacupuncture group in alleviating constipation symptoms,improving life quality and improving stool characteristics,and it could reduce the frequency and economic burden of using defecation promoting drugs in patients,with high safety and worthy of clinical promotion.