Wu Xiao, Zheng Cuihong, Xu Xiaohu, Ding Pei, Xiong Fan, Tian Man, Wang Ying, Dong Haoxu, Zhang Mingmin, Wang Wei, Xu Shabei, Xie Minjie, Huang Guangying
Institute of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, Hubei 430030, China.
Department of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, Hubei 430030, China.
Evid Based Complement Alternat Med. 2017;2017:1428943. doi: 10.1155/2017/1428943. Epub 2017 Jan 31.
. To investigate the efficacy and safety of electroacupuncture (EA) with different current intensities for functional constipation (FC) and to assess whether the effects of EA with different current intensities are superior to the mosapride. . Patients with FC were randomly divided into low current intensity group (LCI), high current intensity group (HCI), and mosapride group (MC). The primary outcome was three or more spontaneous bowel movements (SBMs) per week and an increase of one or more SBMs from baseline during at least 3 of the 4 weeks. . The primary outcome was reached by 53.45%, 66.15%, and 52.24% of the patients who received LCI, HCI, and mosapride, respectively. EA can significantly improve the weekly SBMs and stool consistency and reduce straining severity ( < 0.0001, all). HCI improved the quality of life better than mosapride ( < 0.05) and reduced the proportion of severe constipation more than LCI and mosapride ( < 0.05, both). . EA is effective and safe at both current intensities for FC; therapeutic effects of LCI and HCI are not superior to mosapride. EA is superior to mosapride in improving patients' life quality and satisfaction level of treatment; EA has fewer adverse events than mosapride.
研究不同电流强度的电针对功能性便秘(FC)的疗效和安全性,并评估不同电流强度电针的效果是否优于莫沙必利。FC患者被随机分为低电流强度组(LCI)、高电流强度组(HCI)和莫沙必利组(MC)。主要结局指标为每周有三次或更多次自主排便(SBMs),且在4周中的至少3周内,SBMs较基线水平增加一次或更多次。接受LCI、HCI和莫沙必利治疗的患者分别有53.45%、66.15%和52.24%达到主要结局指标。电针可显著改善每周的SBMs和大便稠度,并降低用力排便的严重程度(均P<0.0001)。HCI在改善生活质量方面优于莫沙必利(P<0.05),在降低严重便秘比例方面比LCI和莫沙必利更多(均P<0.05)。两种电流强度的电针对FC均有效且安全;LCI和HCI的治疗效果不优于莫沙必利。电针在改善患者生活质量和治疗满意度方面优于莫沙必利;电针的不良事件比莫沙必利少。