穴位埋线治疗慢传输型便秘的临床研究

Clinical study on treatment of slow transmission constipation by catgut embedding therapy

目的 :寻找治疗慢传输型便秘或混合型便秘的最佳疗法。方法 :观察组采用大肠俞、天枢、中极、足三里穴位埋线方法 ,对照组口服中药四磨汤治疗。每天记录排便时间及排便量 ,随访 3个月。结果 :观察组 87例中 81例治疗后排便均有改善 (93 1% ) ,于第 1次排便后即可通畅排便 ,排便次数≥ 1次 / 2天 ,治愈 6 8例 (78 2 % )。对照组 94例服药期间 93例可较正常排便 (排便次数≥ 1次/ 2天 ) ,但停药后 7天内 6 6例逐渐恢复至治疗前情况 ,其余病例 15天内除 1例外亦均恢复到治疗前情况 ,有效率 (1 1% ) ;显效及治愈数为 0。结论 :穴位埋线法治疗便秘简便易行 。

Objective To search for the best therapy for slow transmission constipation or mixed constipation. Methods The observation group were treated by catgut implantation at Dachangshu (BL 25), Tianshu (ST 25), Zhongji (CV 3) and Zusanli (ST 36), and the control group by oral administration of Simo decoction. Defecation time and defecation amount were recorded every day and they were followed up for 3 months. Results Of eighty seven cases in the observation group, 81 cases (93 1%) in defecation improved after treatment. After first defecation, defecation time>1 time/2 days, with free movement of the bowels, 68 cases (78 2%) were cured. In the control group of 94 cases, 93 cases could defecated normally during administration of medicine (defecation time>1time/2 days), but with in 7 days after stopping administrating the drug, 66 cases restored to the condition before treatment, and other 15 cases, except 1 cases, also restored to the condition, the effective rate being 1.1%, with no markedly effective rate and cured case. Conclusion Catgut implantation at acupoint is an effective therapy for constipation.