Stroke Patients With Constipation
Conditions
Keywords
cerebral hemorrhage, constipation, midnight-midday ebb flow, electronic moxibustion
Brief summary
This study aims to explore the application effect of Ziwu Liuzhu electronic moxibustion combined with auricular points on constipation in stroke patients through clinical controlled trials, as well as the advantages over using electronic moxibustion alone.
Detailed description
This study aims to explore the application effect of Ziwu Liuzhu electronic moxibustion combined with auricular points on constipation in stroke patients through clinical controlled trials, as well as the advantages over using electronic moxibustion alone. It provides new explorations, new ideas and new methods for the effective clinical care of constipation in stroke patients, and offers theoretical and guiding basis for the application and promotion of electronic moxibustion.
Interventions
DEVICEElectronic moxibustion instrument
The intervention group B added electronic moxibustion to the treatment of group A: Assist the patient to assume the supine position, aim at the moxibustion areas around the navel (Shenque, Guanyuan, Qihai, Xiaowan, Tianqiu), and use electronic moxibustion therapy (Production License No. 20180137 of Su Food and Drug Administration). The distance from the skin is 5 to 10 cm, and each area is moxibustion for 30 minutes. During the moxibustion process, ask the patient if there is any discomfort, observe the patient's skin condition, and assist the patient to put on clothes and take a comfortable lying position after the treatment.
DEVICEAn electronic moxibustion device under the guidance of the Yuziuyouluo theory
The intervention group C patients were given electronic moxibustion therapy based on the theory of Ziwen Liuzhun (midnight to dawn) under the premise of the control group B. According to the theory of Ziwen Liuzhun, the hour of Ba (05:00 - 07:00) is the time when the large intestine meridian is in charge, and at this time, the blood and qi of the large intestine are abundant, which is most conducive to excretion. The hour of Chen (07:00 - 09:00) is the time when the stomach meridian is in charge, and at this time, the qi of the stomach meridian is vigorous, which is most conducive to regulating the connection between the stomach and the spleen. Based on the specific conditions of each patient, moxibustion treatment was given at the corresponding hour. The specific moxibustion therapy was the same as that of the control group. The intervention lasted for 2 weeks.
Sponsors
The Fourth Affiliated Hospital of Zhejiang University School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
30 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. Meets the diagnostic criteria of both Western medicine and traditional Chinese medicine, and has not undergone surgery or other internal medical treatments, with the occurrence of constipation; 2. The condition is stable, without severe clinical complications; 3. Can accept moxibustion treatment, and the local skin is undamaged; 4. Those who agree to participate in this study and sign the informed consent form.
Exclusion criteria
1. Digestive tract disorders, such as intestinal polyps, tuberculosis, and tumors. Irritable bowel syndrome or constipation secondary to organic diseases (such as endocrine, metabolic or post-operative diseases); abdominal aneurysm, hepatosplenomegaly, or severe cardiovascular, liver, kidney or mental disorders and coagulation disorders. 2. The patient had constipation before the stroke. 3. The patient withdrew from the study due to other reasons during the course of the study. Dropout criteria and termination criteria: 1. Patients who have not received the prescribed treatment and whose therapeutic effect cannot be determined; 2. Patients who experience serious adverse events or complications and are not suitable to continue the treatment and thus the trial is terminated; 3. Patients with poor compliance, who withdraw from the treatment during the course of the trial, or who use treatment methods prohibited by this protocol concurrently, or who change the treatment method halfway on their own. Note: For any patient meeting any of the above criteria 1, they will be handled as a dropout case.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The first time of defecation | The timing of the intervention starts from the moment it begins until the first successful defecation occurs, and is recorded in hours (h). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Symptom Score Scale (CCS) | An assessment was conducted before the experimental intervention, on the 7th day of the intervention, and after the completion of the intervention. | CCSis mainly used to assess the severity of constipation and has good reliability and validity. It is widely used in clinical trial evaluations. The items involved all match the items of the Rome IV standard. Except for one item with a score range of 0-7, the score range of all other items is 0-4. The higher the total score, the more severe the constipation. |
Countries
China
Contacts
CONTACTruirui Fan
Outcome results
None listed