针刺治疗慢性功能性便秘的临床观察

Clinical Observation to Chronic functional Constipation treated with Acupuncture

目的:观察针刺对功能性便秘的疗效,并探讨其作用机理。方法:选择功能性便秘患者40例,随机分成治疗组及对照组各20例,治疗组每日针刺1次,每次15～20min,5天为1疗程,隔两天继续第2个疗程,共3个疗程;对照组以西沙比利片10mg,每天3次,餐前半小时服用,连续4周。观察两组治疗前后大便次数,大便性状,排便困难程度以及结肠通过时间的变化。结果:两组治疗后各观察指标较治疗前有明显改善(P<0.01),两组治疗后比较差异无显著性(P>0.05)。结论:针刺能够改善功能性便秘的结肠动力,对功能性便秘疗效确切。

Objective:To observe the effect of function constipation treated with acupuncture and discuss the mechanism of it.Method:Choosing 40 cases with functional constipation and divided them into treating grouup and controlle group with 20 cases each randomly.The patients in treating group accepted acupuncture once a day,15～20 minutes in every treatment and 5 days as one course.Stop 2 days before the second course starts.Altogether 3 courses are needed .The patients in controlled group use Cisapride 10 mg,tid,oral,1/2 hour before meals continuously for 4 weeks.Observe the defection frequency,stool form,degree of straining during defection and the variation of colon transit time.Result:All observation signs are all remarkable improved after treatment (P<0.01).There is no remarkable difference between two groups after treatment (P>0.05).Conclusion:Acupuncture is able to improve the colon motility in functional constipation and the effect is ensureed.