电针治疗功能性便秘的疗效观察

Therapeutic Observation of Electroacupuncture for Functional Constipation

目的:观察电针治疗功能性便秘的临床疗效。方法:将40例患者随机分成两组,每组20例,一组用电针治疗(电针组),另一组用普芦卡必利治疗(药物组),观察患者治疗前4周、后4周、随访期前4周、随访期后4周,平均周完全自主排便次数(CSBMs)、变化值及CSBMs≧3所占比例;治疗前与8周治疗后自主排便次数(SBMs)、粪便性状及排便困难程度得分及变化值。结果:在治疗前4周、治疗后4周、随访期后4周,电针组与药物组CSBMs变化值比较,差异有统计学意义(P<0.05);治疗前后,两组SBMs及粪便性状变化值差异有显著统计学意义(P<0.01);两组治疗期和随访期,CSBMs≧3所占比例差异无明显统计学意义(P>0.05)。结论:电针与普芦卡必利治疗功能性便秘各有优势,临床应酌情选择。

Objective：To observe the clinical efficacy of eletroacupuncture for functional constipation.Methods：40 patients with functional constipation were randomized into a treatment group and a control group,with 20 in each group.The treatment group was intervened by eletroacupuncture,while the control group was by Prucaloprideon.The changes of CSBMs / week and the percentage of CSBMs / week ≧ 3 over the first 4-week,the last4-week,the follow-up,SBMs,stool consistency score,defecate difficulty score before and after the intervention were observed.Results：The changes of CSBMs in both groups over the first 4-week,the last 4-week and the last 4-week follow-up were signicicantly different（ P 〈 0.05）;there was a significant improvement rate in stool consistency and SBMs after treatment（ P 〈 0.01）,while the changes of the percentage of CSBMs ≧ 3 over the treatment period and the follow-up were not statistically significant（ P 〉 0.05）.Conclusion：The eletroac upuncture is not inferior to Prucaloprideon and it has a better security,which is worthy of clinical application.