深刺天枢、腹结穴配合电针治疗功能性便秘的临床研究

Clinical Study on Deep Needling at Tianshu(ST 25) and Fujie(SP 14) plus Electroacupuncture for Functional Constipation

目的观察深刺天枢、腹结穴配合电针治疗严重功能性便秘的临床疗效。方法将63例严重功能性便秘患者随机分为治疗组33例和对照组30例。治疗组采用深刺天枢、腹结穴配合电针为主治疗,对照组采用假电针治疗。观察两组治疗前后完全自主排便次数(CSBM)、Bristol粪便性状评分(BBS)和便秘患者生活质量(PAC-QOL)评分变化情况。结果治疗组治疗2、4、8星期后及随访4、12星期CSBM与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组治疗8星期后CSBM与同组治疗前比较,差异具有统计学意义(P<0.05)。治疗组治疗2、4、8星期后及随访4、12星期CSBM与对照组比较,差异均具有统计学意义(P<0.05)。两组治疗2、4、8星期后BSS评分与同组治疗前比较,差异均具有统计学意义(P<0.01,P<0.05)。治疗组治疗2、4、8星期后BSS评分与对照组比较,差异均具有统计学意义(P<0.01,P<0.05)。治疗组治疗后PAC-QOL各项评分(躯体不适、心理社会不适、担心和焦虑、满意度及总分)与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组治疗后PAC-QOL中躯体不适评分、担心和焦虑评分、满意度评分及总分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后PAC-QOL各项评分与对照组比较,差异具有统计学意义(P<0.05)。结论深刺天枢、腹结穴配合电针是一种治疗严重功能性便秘的有效方法。

Objective To observe the clinical efficacy of deep needling at Tianshu（ST 25） and Fujie（SP 14） plus electroacupuncture in treating severe functional constipation（FC）. Method Sixty-three patients with severe FC were randomized into a treatment group of 33 cases and a control group of 30 cases. The treatment group was intervened by deep needling at Tianshu（ST 25） and Fujie（SP 14） plus electroacupuncture, while the control group was by sham electroacupuncture. The Complete Spontaneous Bowel Movement（CSBM）, Bristol Stool Scale（BSS）, and Patient Assessment of Constipation Quality of Life（PAC-QOL） were evaluated before and after intervention. Result In the treatment group, the CSBM after 2-week, 4-week, and 8-week treatments and CSBM of the 4-week and 12-week follow-up study were significantly different from that before intervention（p〈0.05）. In the control group, the CSBM after 8-week treatments was significantly different from that before intervention（p〈0.05）. The CSBM after 2-week, 4-week, and 8-week treatments and CSBM of the 4-week and 12-week follow-up study in the treatment group were significantly different from that in the control group（p〈0.05）. The BSS scores were significantly changed after 2-week, 4-week, and 8-week treatments in both groups compared to that before intervention（p〈0.01,p〈0.05）. The BSS scores after 2-week, 4-week, and 8-week treatments in the treatment group were significantly different from that in the control group（p〈0.01,p〈0.05）. The item scores of PAC-QOL（physical discomfort, psychosocial discomfort, worries and concerns, and satisfaction scores and global score） were significantly changed after intervention in the treatment group（p〈0.05）. The item scores of PAC-QOLA including physical discomfort, worries and concerns, and satisfaction and global score were significantly changed after intervention in the control group（p〈0.05）. After intervention, the PAC-QOL scores of the treatment group were significant different from that of the control group（p〈0.05）. Conclusion Deep needling at Tianshu（ST 25） and Fujie（SP 14） plus electroacupuncture is an effective method in treating severe FC.