自拟通便方联合针刺治疗便秘临床观察

Clinical Observation on Self- made Tongbian Formula Combined with Acupuncture in Treating Constipation

目的观察探讨针刺联合通便方对阴虚津亏型便秘患者的临床疗效。方法阴虚津亏型便秘患者40例,按就诊先后顺序随机分为治疗组(通便方联合针刺)和对照组(通便方),每组20例。对照组单纯采用通便方治疗,治疗组在对照组基础上加用针刺,7 d为1个疗程,共计2个疗程。观察两组患者治疗后临床疗效及临床症状评分情况。结果两种方法均能有效缓解便秘临床症状(P<0.05),但治疗组在改善排便间隔时间、排便费力程度、排便不尽感及紧迫感、腹痛腹胀症状较对照组均有优势(P<0.05),且治疗组临床疗效优于对照组(P<0.05)。结论针刺联合中药口服治疗慢性功能性便秘,通过建立以多层次、立体的治疗方案,从根本上调整了机体阴阳失衡的状态,疗效显著,值得推广。

Objective To observe the clinical therapeutic effect of acupuncture combined with Tongbian formula in treating constipation of patients with yin deficiency and liquid depletion. Methods For-ty patients with yin deficiency and liquid depletion type of constipation were randomized to treatment group（n= 20）and control group（n = 20）. Patients in the control group were treated with Tongbianfang,and patients in the treatment group were also applied acupuncture except from tongbianfang. One treatment course was 7days. Patients were treated with two treatment courses. The clinical effect and clinical symptom score were observed after treatment. Results Both the treatment methods could effectively relieve the clinical symptom of constipation（P ﹤ 0. 05）. The treatment group showed better results in intervals of defecation,the effort nee-ded for defecation,feeling of not defecating completely,and relief of abdomen pain and swelling（P ﹤ 0. 05）.Conclusion Acupuncture combined with oral administration of Chinese medicine treating chronic functions constipation is a multiple level and dimensional treatment protocol that fundamentally adjusts the balance of yin and yang with obvious therapeutic effect.