Wang Cheng-Wei, He Hong-Bo, Li Ning, Wen Qian, Liu Zhi-Shun
Department of Integrated Chinese and Western Medicine, West China Hospital of Sichuan University, Chengdu 610041, China.
Zhongguo Zhen Jiu. 2010 Sep;30(9):705-8.
To probe into a better therapeutic method for functional constipation.
Ninety-five cases of functional constipation were randomly divided into deep puncture at ST 25 group (48 cases), shallow puncture at ST 25 group (24 cases) and medication group (23 cases). In deep puncture at ST 25 group, Tianshu (ST 25) was punctured deeply to the peritoneum, with electric stimulation. In shallow puncture at ST 25 group, Tianshu (ST 25) was punctured shallowly, 5 mm beneath the skin, with electric stimulation. In medication group, Duphalac was administered orally. These cases were treated continuously for 4 weeks in 3 groups and followed up for 6 months. It was to observe the numbers of person who had defecation 4 times a week, difference in weekly defecation frequency and the difference in the Cleveland Clinic Score (CCS).
In deep puncture at ST 25 group, the frequency of weekly defecation and the numbers of person who had defecation 4 times a week increased and CCS decreased, which were similar to the efficacy in shallow puncture at ST 25 group (all P > 0.05). But the efficacy of both ST 25 groups was superior to that in medication group (both P < 0.05). In comparison, the deep puncture at ST 25 group acted more quickly than either shallow puncture at ST 25 group or medication group and its efficacy remained much longer.
The deep puncture at ST 25 with electric stimulation presents similar efficacy on functional constipation as shallow puncture at ST 25, but it acts more quickly than shallow puncture at ST 25, both of them are more advantageous than medication and the long-term efficacy is better.
探讨功能性便秘更好的治疗方法。
将95例功能性便秘患者随机分为天枢深刺组(48例)、天枢浅刺组(24例)和药物组(23例)。天枢深刺组将天枢(ST25)深刺至腹膜,给予电刺激;天枢浅刺组将天枢(ST25)浅刺至皮下5mm,给予电刺激;药物组口服杜秘克。3组均连续治疗4周,并随访6个月。观察每周排便4次的人数、每周排便频率差异及克利夫兰诊所评分(CCS)差异。
天枢深刺组每周排便频率及每周排便4次的人数增加,CCS降低,与天枢浅刺组疗效相似(均P>0.05)。但两组天枢穴组的疗效均优于药物组(均P<0.05)。相比之下,天枢深刺组起效比天枢浅刺组和药物组更快,且疗效维持时间更长。
电刺激天枢深刺治疗功能性便秘与天枢浅刺疗效相似,但起效比天枢浅刺更快,两者均比药物治疗更具优势,且远期疗效更佳。