[电针八髎穴（膀胱经31、32、33和34穴）治疗盆底痉挛综合征的疗效]

[Efficacy of spastic pelvic floor syndrome treated with electroacupuncture at Baliao (BL 31, BL 32, BL 33 and BL 34)].

作者信息

Yang Shi-wei, Xin Xue-zhi, Liu Jun-ning, Li Zhi

出版信息

Zhongguo Zhen Jiu. 2014 Sep;34(9):869-72.

DOI:

PMID:25509736

Abstract

OBJECTIVE

To observe the clinical efficacy on spastic pelvic floor syndrome (SPFS) treated with electroacupuncture (EA) at Shangliao (BL 31), Ciliao (BL 32), Zhongliao (BL 33) and Xialiao (BL 34).

METHODS

Thirty-six cases of SPFS were treated with EA at Shangliao (BL 31), Ciliao (BL 32), Zhongliao (BL 33) and Xialiao (BL 34), intermittent wave, 60 times/min in frequency, retained for 20 min. In general, the acupoints on one side were stimulated in each treatment. The bilateral acupoints stimulation was applied in serious cases. The treatment was given once every two days, five treatments made one session and totally three sessions were required. Before and after treatment, the clinical symptoms, anal kinetic indices defecation radiographic changes were observed. The follow-up observation was done in three months after the end of treatment.

RESULTS

In three-months follow-up after treatment, 14 cases were cured, 18 cases improved and 4 cases failed. The total effective rate was 88. 9%. After treatment, the cases of incomplete defecation, difficult defecation, anal pain and anal obstruction were reduced apparently as compared with those before treatment, indicating the statistically significant differences (all P<0.01). After treatment, rectal anal reflex threshold (ARA) was increased, anal maximal contraction pressure (AMCP) was reduced to (16.62±1.54) kPa and anal rest pressure (ARP) was significantly reduced to (7.22±0.36) kPa, indicating the statistical differences as compared with those before treatment (all P<0.01). After treatment, anorectal angle (ARA) in forceful defecation was increased to (116.55±9.42)°, the distance between the anorectal junction and the pubococcygeal line was decreased, and the impression of puborectal muscle was alleviated apparently as compared with that before treatment (P<0.01).

CONCLUSION

EA at Shangliao (BL 31), Ciliao (BL 32), Zhongliao (BL 33) and Xialiao (BL 34) achieves definite efficacy on SPFS and this therapeutic method obviously relieves the symptoms and deserves to be promoted in clinic.

摘要

目的

观察针刺上髎（BL 31）、次髎（BL 32）、中髎（BL 33）、下髎（BL 34）治疗盆底痉挛综合征（SPFS）的临床疗效。

方法

对36例盆底痉挛综合征患者针刺上髎（BL 31）、次髎（BL 32）、中髎（BL 33）、下髎（BL 34），采用疏密波，频率60次/分钟，留针20分钟。一般每次治疗刺激一侧穴位，重症者双侧穴位同时针刺。治疗隔日1次，5次为1个疗程，共治疗3个疗程。观察治疗前后临床症状、肛门动力学指标、排粪造影变化情况，并在治疗结束后3个月进行随访观察。

结果

治疗后3个月随访，治愈14例，好转18例，无效4例，总有效率为88.9%。治疗后，与治疗前比较，排便不尽、排便困难、肛门疼痛、肛门堵塞等情况明显减少，差异有统计学意义（均P<0.01）。治疗后，直肠肛门反射阈值（ARA）升高，肛门最大收缩压（AMCP）降至（16.62±1.54）kPa，肛门静息压（ARP）明显降至（7.22±0.36）kPa，与治疗前比较差异有统计学意义（均P<0.01）。治疗后，用力排便时肛管直肠角（ARA）增大至（116.55±9.42）°，肛管直肠结合部与耻骨直肠肌线间距减小，耻骨直肠肌压迹较治疗前明显减轻（P<0.01）。