| 摘要: |
| [目的] 基于“肺与大肠相表里”理论观察呼吸训练改善脑卒中便秘患者的临床疗效，进一步扩展其理论应用。[方法] 将66例脑卒中便秘患者按照随机数字表法分为两组，对照组32例（脱落1例）予乳果糖口服液治疗，治疗组33例在对照组治疗基础上加用呼吸训练。两组均治疗3周，评估并比较两组慢性便秘严重程度评分、膈肌移动度和腹肌增厚率。[结果]治疗后两组的便秘程度均出现不同程度的降低，治疗后呼吸训练组的慢性便秘严重程度评分量表得分低于对照组，差异具有统计学意义（P<0.05）。相关性分析显示，腹内斜肌增厚率、膈肌移动度与频率、费力程度、排便不尽感频率、每次如厕时间和便秘程度等5个指标间均具有显著正相关；此外，膈肌移动度与辅助排便方法间呈现显著正相关，差异均具有统计学意义（P<0.05）。[结论] 呼吸训练明显改善脑卒中便秘患者临床疗效，同时明显改善患者膈肌、腹肌功能，进一步拓展了肺与大肠相表里藏象理论临床应用。 |
| 关键词: 脑卒中 便秘 呼吸训练 肺与大肠相表里 |
| DOI：10.11656/j.issn.1673-9043.2024.12.03 |
| 分类号:R255.2 |
| 基金项目:国家自然科学基金青年基金项目（81802239）;第二批全国西学中优秀人才项目;齐鲁卫生与健康杰出青年人才项目;山东省中医药科技面上项目（M-2023142）;山东省医务系统职工科技创新计划项目（SDYWZGKCJH2022024）。 |
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| Exploring the clinical efficacy of respiratory training in improving constipation in stroke patients based on the theory of the lung and the large intestine are interior-exteriorly related |
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LIU Xihua1, PAN Mingjing2, LI Xin1, WANG Dongxian3, WANG Xinlu3
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1.Rehabilitation Department, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250014, China;2.The First Health Care Department of East District of Qingdao Municipal Hospital, Qingdao 266001, China;3.Shandong University of Traditional Chinese Medicine, Jinan 250024, China
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| Abstract: |
| [Objective] To observe the clinical effect of respiratory training on patients with stroke and constipation based on the theory of "Lung and large intestine are relative to interior",and to further extend the application of the theory. [Methods] 65 patients with stroke and constipation were randomly divided into two groups. The control group(n=32) was treated with lactulose oral liquid,and the treatment group(n=33) was treated with respiratory training on the basis of the treatment in the control group. Both groups were treated for 3 weeks. The severity of chronic constipation,the degree of diaphragm movement and the rate of abdominal muscle thickening were evaluated and compared between the two groups. [Results] the degree of constipation in both groups decreased in different degrees after treatment. The CSS score of the respiratory training group was significantly lower than that of the control group(P<0.05). The correlation analysis showed that there were significant positive correlations between the thickness rate of internal oblique muscle,the degree of diaphragm movement and the frequency,the degree of exertion,the frequency of defecation sensation,the time of going to the toilet and the degree of constipation In addition,there was a significant positive correlation between diaphragmatic mobility and assisted defecation(P<0.05). [Conclusion] Respiratory training can significantly improve the clinical effect of stroke patients with constipation,improve the function of diaphragm and abdominal muscles,and further expand the clinical application of the theory of lung and large intestine. |
| Key words: stroke constipation breathing training interior-exterior relationship between lung and large intestine |
