针刺治疗肠道气滞型便秘的临床观察（英文）

Clinical observation on acupuncture treatment for constipation due to intestinal qi stagnation

目的:比较针刺与酚酞片治疗肠道气滞型便秘的疗效差异。方法:将50例肠道气滞型便秘患者采用随机数字表法随机分为针刺组和西药组,每组25例。针刺组予以针刺公孙、三阴交、太冲、足三里、上巨虚、合谷、列缺、天枢治疗,每日治疗1次,治疗7次为1个疗程,连续治疗3个疗程;西药组予以口服酚酞片治疗,7 d为1个疗程,连续治疗3个疗程。比较两组治疗1个疗程、3个疗程及治疗后3个月的便秘临床评分量表(CCS)评分情况和1星期内的排便次数。结果:治疗1星期后,两组CCS评分及每星期排便次数与本组治疗前有统计学差异(P<0.05),西药组患者的CCS评分及每星期排便次数的改善程度优于针刺组(P<0.01)。治疗3星期后,两组CCS评分及每星期排便次数与本组治疗前有统计学差异(P<0.05),针刺组患者的CCS评分及每星期排便次数的改善程度优于西药组(P<0.05)。治疗结束后3个月,两组CCS评分及每星期排便次数与本组治疗前有统计学差异(P<0.05),针刺组患者的CCS评分及每星期排便次数的改善程度优于西药组(P<0.05)。结论:针刺与西药治疗肠道气滞型便秘均有效,两组近期疗效相当,针刺组远期疗效优于西药组。

Objective： To compare the different therapeutic effects of acupuncture and Phenolphthalein for constipation due to intestinal qi stagnation. Methods： A total of 50 patients with constipation due to intestinal qi stagnation were randomly divided into an acupuncture group and a medication group by the random digital table, 25 cases in each group. The patients in the acupuncture group were treated by puncturing Gongsun（SP 4）, Sanyinjiao（SP 6）, Taichong（LR 3）, Zusanli（ST 36）, Shangjuxu（ST 37）, Hegu（LI 4）, Lieque（LU 7）, and Tianshu（ST 25）, once every day, and 7 d as one course, for continuous 3 courses; while the patients in the medication group were given Phenolphthalein, 7 d as one course, for continuous 3 courses. Compared the Cleveland clinic constipation score（CCS） between the two groups after one course, 3 courses and 3 months after the treatment, as well as the frequency of defecation within one week. Results： After one week of treatment, CCS scores and frequency of defecation per week were significantly changed in both groups compared with those before treatment（P〈0.05）, and CCS scores and frequency of defecation per week were improved more significantly in the patients of the medication group than in those of the acupuncture group（P〈0.01）. After 3 weeks of treatment, CCS scores and frequency of defecation per week were significantly changed in both groups compared with those before treatment（P〈0.05）, and CCS scores and frequency of defecation per week were improved more significant in the patients of the acupuncture group than in those of the medication group（P〈0.05）. Three months after the end of treatment, CCS scores and frequency of defecation per week were significantly changed in both groups compared with those before treatment（P〈0.05）, and CCS scores and frequency of defecation per week were improved more significantly in the patients of the acupuncture group than in those of the medication group（P〈0.05）. Conclusion： Acupuncture and medication are effective in the treatment of constipation due to intestinal qi stagnation. Their short-term therapeutic effect is similar, but the long-term therapeutic effect is better in the acupuncture group than in the medication group.