Sun Meng, Chen Kaixuan
Department of Proctology, Henan Provincial Hospital of TCM/Second Affiliated Hospital of Henan University of CM, Zhengzhou 450002, China.
Zhongguo Zhen Jiu. 2025 Apr 12;45(4):442-447. doi: 10.13703/j.0255-2930.20240509-0002. Epub 2025 Jan 14.
To observe the clinical efficacy of acupuncture and moxibustion combined with medication in the treatment of functional constipation in elderly with deficiency and stagnation and its effect on emotional disorder.
A total of 86 elderly patients with functional constipation of deficiency and stagnation were randomly divided into an acupuncture and moxibustion group (43 cases, 1 case dropped out, 1 case was eliminated) and a medication group (43 cases, 1 case dropped out). The medication group was treated with lactulose oral solution, once a day；in the acupuncture and moxibustion group, on the basis of the treatment in the medication group, acupuncture at intestinal three points (bilateral Tianshu [ST25], Shangjuxu [ST37] and Guanyuan [CV4] were selected, 30 min each time, once every other day) combined with thunder-fire moxibustion (Shenque [CV8] was selected, 30 min each time, once every other day) was given. Both groups were treated for 4 weeks. Before and after treatment, the patient assessment of constipation symptoms (PAC-SYM) score, defecation situation (defecation interval time, defecation time, defecation frequency) and the scores of TCM syndrome, patient assessment of constipation quality of life (PAC-QOL), Pittsburgh sleep quality index (PSQI), self-rating anxiety scale (SAS), self-rating depression scale (SDS) were observed in the two groups. The clinical efficacy and safety of the two groups were evaluated.
Compared before treatment, after treatment, the PAC-SYM scores, defecation interval time, defecation time, TCM syndrome scores, PAC-QOL scores, SAS scores and SDS scores in both groups were decreased (<0.05), the defecation frequency was increased (<0.05) in the two groups; the PSQI score in the acupuncture and moxibustion group was decreased (<0.05). The PAC-SYM score, defecation interval time, defecation time, TCM syndrome score, PAC-QOL score, PSQI score, SAS score and SDS score after treatment in the acupuncture and moxibustion group were lower than those in the medication group (<0.05), and the defecation frequency in the acupuncture and moxibustion group was higher than that in the medication group (<0.05). The total effective rate of the acupuncture and moxibustion group was 92.7% (38/41), which was higher than 73.8% (31/42) in the medication group (<0.05). The incidence of adverse reactions in the acupuncture and moxibustion group was 2.44% (1/41), while that in the medication group was 4.76% (2/42), there was no significant difference between the two groups (>0.05).
Acupuncture and moxibustion combined with medication could improve the defecation situation, emotional disorder, quality of life in elderly patients with functional constipation of deficiency and stagnation.
观察针灸联合药物治疗老年虚滞型功能性便秘的临床疗效及其对情绪障碍的影响。
将86例老年虚滞型功能性便秘患者随机分为针灸组（43例，脱落1例，剔除1例）和药物组（43例，脱落1例）。药物组给予乳果糖口服溶液，每日1次；针灸组在药物组治疗基础上，选取肠道三穴（双侧天枢[ST25]、上巨虚[ST37]、关元[CV4]）针刺，每次30分钟，隔日1次，结合雷火灸（选取神阙[CV8]，每次30分钟，隔日1次）。两组均治疗4周。观察两组治疗前后患者便秘症状评估（PAC-SYM）评分、排便情况（排便间隔时间、排便时间、排便频率）、中医证候评分、患者便秘生活质量评估（PAC-QOL）评分、匹兹堡睡眠质量指数（PSQI）、自评焦虑量表（SAS）、自评抑郁量表（SDS）评分。评价两组临床疗效及安全性。
与治疗前比较，治疗后两组PAC-SYM评分、排便间隔时间、排便时间、中医证候评分、PAC-QOL评分、SAS评分及SDS评分均降低（<0.05），两组排便频率增加（<0.05）；针灸组PSQI评分降低（<0.05）。针灸组治疗后PAC-SYM评分、排便间隔时间、排便时间、中医证候评分、PAC-QOL评分、PSQI评分、SAS评分及SDS评分均低于药物组（<0.05），针灸组排便频率高于药物组（<0.05）。针灸组总有效率为92.7%（38/41），高于药物组的73.8%（31/42）（<0.05）。针灸组不良反应发生率为2.44%（1/41），药物组为4.76%（2/42），两组比较差异无统计学意义（>0.05）。
针灸联合药物可改善老年虚滞型功能性便秘患者的排便情况、情绪障碍及生活质量。
