Clinical Observation On The Therapeutic Effect Of Acupuncture Combined With Chinese Herbal Decoction In The Treatment Of Post-stroke Constipation Of Qi Deficiency And Blood Stasis Typ

Purpose:By observing the clinical efficacy of acupoint embedded acupuncture combined with Traditional Chinese medicine decoction and pure application of Traditional Chinese medicine decoction on constipation after stroke with qi deficiency and blood stasis,the improvement of defecation cycle,defecation time and defecation difficulty of nerve function defect in constipation patients with stroke with qi deficiency and blood stasis was compared.To explore the reasons for the difference between acupuncture point embedded acupuncture combined with Traditional Chinese medicine decoction and pure traditional Chinese medicine decoction in the treatment of constipation after stroke of qi deficiency and blood stasis,and to provide reference for the treatment of constipation after stroke.Materials and methods:This study selected in September 2021-January 2022 in liaoning university hospital of traditional Chinese medicine encephalopathy hospitalized patients,selected in line with the western medicine diagnostic criteria for constipation,ischemic stroke recovery qi deficiency blood stasis of TCM diagnostic criteria of 60 patients as the research object,adopt the method of randomized grouping,divided into control group30 cases and treatment group 30 cases.The control group was orally treated with Traditional Chinese medicine(Yiqi Huoxue Tongbian Decoction),and the treatment group was additionally treated with acupoint embedding acupuncture on the basis of the control group.The oral Chinese medicine was taken for 7 days,and the embedding acupuncture was carried out for 6 days.The embedding acupuncture was carried out for 12 hours a day,and the rest was taken for 1 day as a course of treatment.The Chinese Stroke clinical Neurological deficit Score(1995)was used to evaluate the neurological deficit of stroke patients,the daily Living Ability Scale(Basel Index)was used to evaluate the functional status of stroke patients,the constipation symptom Score scale was used to evaluate the constipation symptoms,and the constipation quality of Life Scale(PAC-QOL)was used to evaluate the constipation status of patients.TCM syndrome evaluation scale was used to evaluate the syndrome of qi deficiency and blood stasis.The scores of various evaluation indexes,safety evaluation indexes and adverse reactions of the two groups were recorded before and after treatment.Meanwhile,all data were analyzed and compared using SPSS25.0 statistical software.Results:1.The number of patients in the final treatment group was 29,and that in the control group was 28.Before treatment,there were no differences between the two groups in gender,age,course of disease,Chinese stroke clinical neurological deficit score,Barthel index,constipation symptom Score scale,PAC-QOL score and TCM syndrome score scale(P >0.05).2.Intra-group comparison: After treatment,Chinese stroke clinical neurological deficit score,constipation symptom score,PAC-QOL score and TCM syndrome score of patients in the two groups decreased to varying degrees,with statistically significant differences(P < 0.05);Barthel index scores of both groups increased,with statistical significance(P < 0.05).However,there was no significant difference in the improvement degree of defecation character and defecation intention between 2 groups(P > 0.05).3.Comparison between groups: There were statistically significant differences between the two groups in Chinese stroke clinical neurological deficit score,defecation cycle,defecation difficulty,defecation time,PAC-QOL score and TCM syndrome score in constipation symptom score table after treatment(P < 0.05).There was no significant difference between Barthel index score,constipation symptom score and defecation trait score(P > 0.05).4.After the treatment,the effective rate was 93.10% in the treatment group and 50.00% in the control group,the difference was statistically significant(P < 0.05);The total effective rate was 89.66% in the treatment group and 71.43% in the control group,and the difference was statistically significant(P < 0.05).Conclusion:1.Yiqi Huoxue Tongbian Decoction can improve the nerve function defect and constipation symptoms of patients with constipation after stroke of qi deficiency and blood stasis.2.Acupoint embedding needle can obviously shorten the time of first defecation.3.Acupoint acupuncture combined with Yiqi Huoxue Tongpurging decoction can significantly improve the qi deficiency and blood stasis syndrome and quality of life of constipation patients with qi deficiency and blood stasis stroke.