不同针刺取穴方法治疗功能性便秘

Observation on Therapeutic Effect of Different Point Selection Methods for Functional Constipation

目的:观察3种针刺取穴方法治疗功能性便秘的临床疗效及疗效持续性。方法:将97例功能性便秘患者随机分为俞募穴配伍组、合穴配伍组和合募俞配伍组。俞募穴配伍组取双侧天枢、大肠俞;合穴配伍组取双侧曲池、上巨虚;合募俞配伍组左右交替取单侧曲池、上巨虚、天枢、大肠俞。3组均连续治疗4周,比较3组在基线期、治疗后2周、4周、8周随访期周排便次数、粪便性状、排便费力程度。结果:3组患者的周排便次数、粪便性状、排便费力程度治疗后较治疗前有明显改善,差异有统计学意义(P<0.05);且合募俞配伍组临床疗效及疗效持续性优于俞募穴配伍组及合穴配伍组,差异有统计学意义(P<0.05)。结论:大肠合、募、俞穴配伍治疗功能性便秘具有良好的协同作用,且疗效更具有持续性,为针灸治疗功能性便秘提供理论依据。

Objective:To observe and explore the clinical efficacy and persistence of three kinds of acupuncture points selection methods in the treatment of functional constipation.Methods:97 patients with functional constipation met the inclusion criteria were randomly divided into Shu-Mu point compatibility group,He point compatibility group and He-Mu-Shu point compatibility group,32 cases each.Shu-Mu point compatibility group took bilateral Tianshu and Dachangshu.He point compatibility group took bilateral Quchi and Shangjuxu.He-Mu-Shu point compatibility group took unilateral Quchi,Shangjuxu,Tianshu and Dachangshu alternately from left to right.All three groups were treated continuously for 4 weeks.The differences in the number of bowel movements,fecal traits,and defecation between the three groups at baseline,2 weeks,4 weeks,and 8 weeks follow-up were compared.Results:The number of weekly bowel movements,fecal traits,and defecation difficulty in the three groups were significantly improved after treatment compared with before treatment,and the difference was statistically significant(P<0.05).The clinical efficacy and efficacy of He-Mu-Shu point compatibility group were better than those of Shu-Mu point compatibility group.The difference was statistically significant(P<0.05).Conclusion:The combination of large intestine He,Mu and Yu points has a good synergistic effect in the treatment of functional constipation,and the curative effect is more sustained,which provides a theoretical basis for the clinical treatment of functional constipation by acupuncture.