Wang Cheng-Wei, Li Ning, He Hong-Bo, Lü Jian-Qin, Liu Zhi-Shun
Department of Integrated Chinese and Western Medicine, West China Hospital of Sichuan Universty, Chengdu 610041, China.
Zhen Ci Yan Jiu. 2010 Oct;35(5):375-9.
To observe the effects of electroacupuncture (EA) of Tianshu (ST 25) and medication on the subjective symptoms and the satisfactory degree of functional constipation (FO) patients, and to evaluate the efficacy of different depth-needling.
Single-blind, randomized and parallel-controlled methods were adopted in the present study and a total of 95 FC patients were randomly divided into medication group (Lactulose, 20-30 mL/d, n = 24), deep needling (DN, about 45 mm beneath the skin) of ST 25 group (n = 48), and shallow needling (SN, about 5 mm beneath the skin) of ST 25 group (n = 23). The treatment was given once daily (except weekends) for 4 weeks. The actual number of patients whose defecation frequency was up to 4 times per week, the integrative score of defecation symptoms (defecation exertion degree, abdominal pain, etc.), and the patients' satisfaction degree after the treatment were recorded and evaluated.
One, 2, 3 and 4 weeks after the treatment, of the 48, 23 and 24 cases in DN, SN and medication groups, the numbers of FC patients whose defecation was up to 4 times per week were 31 (64.58%), 32 (66.67%), 34 (70.83%) and 37 (77.08%), 9 (39.13%), 16 (69.57%), 15 (65.22%) and 14 (60.87%), and 8 (33.33%), 7 (29.17%), 5 (20.83%) and 4 (16.67%), respectively. The effects of DN and SN groups were significantly superior to those of medication group in increasing the number of FC patients whose defecation was up to 4 times per week, improving constipation symptom integrative score (defecation exertion degree, survival desire for defecation, abdominal distension, etc.) and patients' satisfaction degree (P < 0.05). Comparison between DN and SN groups showed that the effects of the former group in accelerating the improvement of survival desire for defecation, patients' satisfaction degree were markedly superior to those of the latter group (P < 0.05).
Deep needling-EA of ST 25 has a positive effect in improving functional constipation, being faster in the onset of action and stable efficacy in comparison with shallow needling.
观察电针天枢穴（ST25）与药物治疗对功能性便秘（FO）患者主观症状及满意度的影响，并评价不同深度针刺的疗效。
采用单盲、随机、平行对照方法，将95例功能性便秘患者随机分为药物组（乳果糖，20 - 30 mL/d，n = 24）、天枢穴深刺组（深刺，进针约45 mm，n = 48）和天枢穴浅刺组（浅刺，进针约5 mm，n = 23）。每天治疗1次（周末除外），共治疗4周。记录并评估排便次数每周达4次的患者实际例数、排便症状综合评分（排便用力程度、腹痛等）及治疗后患者满意度。
治疗1、2、3、4周后，深刺组48例、浅刺组23例、药物组24例中，排便每周达4次的功能性便秘患者例数分别为31例（64.58%）、32例（66.67%）、34例（70.83%）、37例（77.08%）；9例（39.13%）、16例（69.57%）、15例（65.22%）、14例（60.87%）；8例（33.33%）、7例（29.17%）、5例（20.83%）、4例（16.67%）。深刺组和浅刺组在增加排便每周达4次的功能性便秘患者例数、改善便秘症状综合评分（排便用力程度、排便生存欲、腹胀等）及患者满意度方面均显著优于药物组（P < 0.05）。深刺组与浅刺组比较，深刺组在加快排便生存欲改善、提高患者满意度方面效果明显优于浅刺组（P < 0.05）。
天枢穴深刺电针疗法对改善功能性便秘有积极作用，与浅刺相比起效更快、疗效稳定。
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