温针灸八髎穴治疗老年阳虚型慢性功能性便秘的疗效观察

Therapeutic observation of warming needle therapy applied to Baliao points for senile functional constipation of Yang deficiency pattern

目的观察温针灸八髎穴(上髎、次髎、中髎和下髎穴)治疗老年阳虚型慢性功能性便秘的临床疗效,并与常规针刺进行疗效比较。方法将60例60岁以上阳虚型慢性功能性便秘患者随机分为试验组与对照组,每组30例。对照组采取普通针刺八髎穴治疗,试验组采取温针灸八髎穴治疗。比较两组临床疗效,观察两组治疗前后Bristol大便性状量表评分、慢性便秘严重度评分量表评分、中医证候积分和生活质量自评量表评分的变化。结果两组治疗后Bristol大便性状量表评分、慢性便秘严重度评分量表评分、中医证候积分和生活质量自评量表评分均明显低于治疗前(P<0.05),且试验组治疗后上述评分均低于对照组(P<0.05)。试验组总有效率高于对照组(P<0.05)。结论温针灸八髎穴治疗老年阳虚型慢性功能性便秘的临床疗效优于普通针刺治疗,可改善便秘症状,提高生活质量。

Objective To observe the clinical efficacy of applying warming needle therapy to Baliao points[consist of Shangliao(BL31),Ciliao(BL32),Zhongliao(BL33),and Xialiao(BL34)]to treat chronic functional constipation in the aged of Yang deficiency pattern and compare it with conventional acupuncture.Method Sixty patients aged over 60 years old with chronic functional constipation of Yang deficiency pattern were randomized into a trial group and a control group,with 30 cases in each group.The control group received ordinary acupuncture at Baliao points,and the trial group received warming needle therapy at Baliao points.The clinical efficacy was compared between the two groups.Before and after the treatment,the Bristol stool form scale score,chronic constipation severity scale score,symptom score of traditional Chinese medicine(TCM),and self-rating quality of life scale score were observed.Result After the treatment,the Bristol stool form scale score,chronic constipation severity scale score,TCM symptom score,and self-rating quality of life scale score dropped notably compared to those before treatment in both groups(P<0.05)and were lower in the trial group than in the control group(P<0.05).The total effective rate was higher in the trial group than in the control group(P<0.05).Conclusion Warming needle therapy at Baliao points can produce more significant clinical efficacy than ordinary acupuncture,improve constipation symptoms,and enhance the quality of life in treating senile chronic functional constipation of Yang deficiency pattern.