电针配合穴位贴敷治疗糖尿病便秘疗效观察

Observations on the Efficacy of Electroacupuncture plus Acupoint Application in Treating Diabetic Constipation

目的观察电针配合穴位贴敷治疗阴虚血瘀型糖尿病便秘的临床疗效。方法将156例阴虚血瘀型糖尿病便秘患者随机分为治疗组和对照组,每组78例。治疗组采用电针配合穴位贴敷治疗,对照组采用口服枸橼酸莫沙必利片治疗。观察两组治疗前后各项中医证候积分变化情况,并根据便秘临床评分量表(CSS)、便秘患者生活质量量表(PAC-QOL)及中医证候评分表评定两组临床疗效。结果两组治疗后CSS、PAC-QOL及中医证候评分表总有效率比较,差异均有统计学意义(P<0.05,P<0.01)。治疗组治疗后各项中医证候积分与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组治疗后中医证候中口干舌燥、口渴喜饮及大便干结积分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后中医证候中气短、乏力、神疲、刺痛、肌肤甲错、痛有定处、腰膝酸软及五心烦热积分与对照组比较,差异均具有统计学意义(P<0.05,P<0.01)。结论电针配合穴位贴敷是一种治疗阴虚血瘀型糖尿病便秘的有效方法。

Objective To investigate the clinical efficacy of electroacupuncture plus acupoint application in treating diabetic constipation of yin deficiency and blood stasis type. Methods One hundred and fifty-six patients with diabetic constipation of yin deficiency and blood stasis type were randomly allocated to treatment and control groups, 78 cases each. The treatment group received electroacupuncture plus acupoint application and the control group, oral administration of mosapride citrate tablets. The TCM syndrome scores were recorded in the two groups before and after treatment. The clinical therapeutic effects were evaluated using the Constipation Scoring System（CSS）, the Patient Assessment of Constipation Quality of Life（PAC-QOL） questionnaire and the TCM syndrome scores. Results There was a statistically significant post-treatment difference in the total efficacy rate based on CSS, PAC-QOL and the TCM syndrome scores between the two groups（P〈0.05,P〈0.01）. There were statistically significant pre-/post-treatment differences in the TCM syndrome scores in the treatment group（P〈0.05）. There were statistically significant pre-/post-treatment differences in TCM syndrome dry mouth and tongue, thirst and dry stool scores in the control group（P〈0.05）. There were statistically significant post-treatment differences in TCM syndrome short breath, weakness, lassitude, stabbing pain, scaly dry skin, fixed pain, sore and weak loins and knees, and chest, palm and sole vexing heat scores between the two groups（P〈0.01,P〈0.05）. Conclusion Electroacupuncture plus acupoint application is an effective way to treat diabetic constipation of yin deficiency and blood stasis type.