针刺治疗慢性功能性便秘的临床研究

[Clinical study on acupuncture for treatment of chronic functional constipation].

作者信息

Jin Xun, Ding Yi-jiang, Wang Ling-ling, Ding Shu-qing, Shu Lin, Jiang Ya-wen, Huo Wei-yu

机构信息

The First Clinical Medical College, Nanjing University of TCM, Nanjing 210029, China.

出版信息

Zhongguo Zhen Jiu. 2010 Feb;30(2):97-101.

DOI:

PMID:20214063

Abstract

OBJECTIVE

To discuss the effect of acupuncture for treatment of chronic functional constipation (CFC).

METHODS

Ninety cases were treated with acupuncture. The following two groups of acupoints were used alternatively once every other day. The acupoints in the first group were Tianshu (ST 25), Qihai (CV 6), Shangjuxu (ST 37) etc., and Zhongliao (BL 33), Xialiao (BL 34), Dachangshu (BL 25) etc. in the second group, electroacupuncture was used at Zhongliao (BL 33), Xialiao (BL 34), Tianshu (ST 25) and Shangjuxu (ST 37), once a day, 10 times constituting one course. The defecation frequency, difficulty degree of defecation, defecation time, endless sensation of defecation, stool quality and awareness of defecation were observed and the Patient Assessment of Constipation Quality of Life (PAC-QOL) was evaluated by constipation patients' diaries.

RESULTS

The scores of defecation frequency, difficulty degree of defecation, defecation time, endless sensation of defecation, stool quality, awareness of defecation and PAC-QOL were obviously improved after treatment (all P < 0.01). The total effective rate was 67.7% (61/90). The effect of acupuncture for chronic functional constipation in different dynamic mechanism was different. The effect of slow transit constipation (STC) was better than that of spastic pelvic floor syndrome (SPFS) (P < 0.05), and the effect of constipation caused by irritable bowel syndrome (IBS-C) was better than that of SPFS and relaxant pelvic floor syndrome (RPFS) (both P < 0.05). Fifty-two cases were effectively followed up. Three cases were cured, 6 cases were remarkably effective, 23 cases were effective and 20 cases were ineffective after 1 month of treatment. Three cases were cured, 5 cases were remarkably effective, 16 cases were effective and 28 cases were ineffective after 3 months.

CONCLUSION

The effect of acupuncture for CFC with exact etiology, disease location and classification diagnosis is definite, but different dynamic mechanism has different effect. The treatment programs for SPFS and RPFS need to be optimized to improve the therapeutic effect.

摘要

目的

探讨针刺治疗慢性功能性便秘（CFC）的疗效。

方法

90例患者接受针刺治疗。以下两组穴位交替使用，隔日1次。第一组穴位为天枢（ST25）、气海（CV6）、上巨虚（ST37）等，第二组为中髎（BL33）、下髎（BL34）、大肠俞（BL25）等，针刺中髎（BL33）、下髎（BL34）、天枢（ST25）和上巨虚（ST37），每日1次，10次为1个疗程。观察排便频率、排便困难程度、排便时间、排便不尽感、大便性状及便意，并通过便秘患者日记评估便秘生活质量患者评估量表（PAC-QOL）。

结果

治疗后排便频率、排便困难程度、排便时间、排便不尽感、大便性状、便意及PAC-QOL评分均明显改善（均P<0.01）。总有效率为67.7%（61/90）。针刺治疗不同动力机制的慢性功能性便秘疗效不同。慢传输型便秘（STC）的疗效优于盆底痉挛综合征（SPFS）（P<0.05），肠易激综合征便秘型（IBS-C）所致便秘的疗效优于SPFS和盆底松弛综合征（RPFS）（均P<0.05）。52例患者得到有效随访。治疗1个月后，3例治愈，6例显效，23例有效，20例无效。治疗3个月后，3例治愈，5例显效，16例有效，28例无效。