目的观察针药结合治疗脾肾阳虚型老年性便秘的临床疗效。方法将70例符合诊断的患者随机分为对照组和治疗组,每组35例。对照组口服济川煎汤剂,每次200 m L,每日2次,10日为一疗程,共服3个疗程。治疗组在口服济川煎汤剂的同时,加刺天枢、...目的观察针药结合治疗脾肾阳虚型老年性便秘的临床疗效。方法将70例符合诊断的患者随机分为对照组和治疗组,每组35例。对照组口服济川煎汤剂,每次200 m L,每日2次,10日为一疗程,共服3个疗程。治疗组在口服济川煎汤剂的同时,加刺天枢、支沟、大横、腹结(均双侧)、大肠俞、肾俞、气海,每日1次,10次为一疗程,3个疗程后统计疗效。结果治愈率治疗组为80.0%,对照组为42.9%,两组比较差异十分显著(P<0.01),总有效率治疗组为94.3%,对照组为77.1%,两组比较无差异(P>0.05)。结论针刺结合济川煎口服治疗脾肾阳虚型老年性便秘具有较好的临床疗效,值得推广应用。展开更多
Objective： To observe the clinical effects of moxibustion at abdominal acupoints for slow transit constipation（STC） due to yang deficiency of the spleen and kidney. Methods： A total of 52 cases with slow transit c...Objective： To observe the clinical effects of moxibustion at abdominal acupoints for slow transit constipation（STC） due to yang deficiency of the spleen and kidney. Methods： A total of 52 cases with slow transit constipation in conformity with the inclusion criteria were selected and divided into a control group and an observation group according to their visit order and random digital table, 26 cases in each group. Patients in the control group received routine nursing guide. Besides the same routine nursing guide, patients in the observation group received moxibustion at the abdominal acupoints, once every day. The course of the treatment was 4 weeks in the two groups, and the 3-month follow-up was given after the course was finished, for comparing the clinical symptoms, results of colon transit tests, scores of depression/anxiety scale and nursing satisfaction. Results： The total effective rate was 92.3% in the observation group and 69.2% in the control group, with a significant difference between the two groups. After the treatment and during the follow-up checks, the scores of Chinese medical symptoms in the two groups were remarkably decreased than those before the treatment（all P〈0.01）; the scores of the observation group were obviously lower than those in the control group（all P〈0.01）. The discharge rates of the markers in the two groups were remarkably increased than those at the same time period before the treatment; moreover, the discharge rates of the markers at various time periods were remarkably better in the observation group than those in the control group（P〈0.01）. SDS and SAS scores were remarkably decreased after the treatment in the two groups（P〈0.01）. In comparison of SDS score between the two groups after the treatment, the difference was statistically significant（P〈0.01）. In comparison of SAS score between the two groups after the treatment, the difference was statistically significant（P〈0.05）. The nursing satisfaction was 96.2% in the observation group after the treatment, obviously better than that in the control group（73.1%）. The recurrence rate was 8.3% in the observation group, remarkably lower than that in the control group（33.3%）. Conclusion： Moxibustion at the abdominal acupoints plus routine nursing can remarkably improve the colon transit functions and anxious and depressive emotion in patients with STC, and the therapeutic effects are remarkable. Not only the clinical satisfaction is higher, but the recurrence rate is obviously lower than that of routine nursing.展开更多
文摘目的观察针药结合治疗脾肾阳虚型老年性便秘的临床疗效。方法将70例符合诊断的患者随机分为对照组和治疗组,每组35例。对照组口服济川煎汤剂,每次200 m L,每日2次,10日为一疗程,共服3个疗程。治疗组在口服济川煎汤剂的同时,加刺天枢、支沟、大横、腹结(均双侧)、大肠俞、肾俞、气海,每日1次,10次为一疗程,3个疗程后统计疗效。结果治愈率治疗组为80.0%,对照组为42.9%,两组比较差异十分显著(P<0.01),总有效率治疗组为94.3%,对照组为77.1%,两组比较无差异(P>0.05)。结论针刺结合济川煎口服治疗脾肾阳虚型老年性便秘具有较好的临床疗效,值得推广应用。
基金supported by Program for Science and Technology Development of Heilongjiang Science Technology Bureau,No.GC12C110~~
文摘Objective： To observe the clinical effects of moxibustion at abdominal acupoints for slow transit constipation（STC） due to yang deficiency of the spleen and kidney. Methods： A total of 52 cases with slow transit constipation in conformity with the inclusion criteria were selected and divided into a control group and an observation group according to their visit order and random digital table, 26 cases in each group. Patients in the control group received routine nursing guide. Besides the same routine nursing guide, patients in the observation group received moxibustion at the abdominal acupoints, once every day. The course of the treatment was 4 weeks in the two groups, and the 3-month follow-up was given after the course was finished, for comparing the clinical symptoms, results of colon transit tests, scores of depression/anxiety scale and nursing satisfaction. Results： The total effective rate was 92.3% in the observation group and 69.2% in the control group, with a significant difference between the two groups. After the treatment and during the follow-up checks, the scores of Chinese medical symptoms in the two groups were remarkably decreased than those before the treatment（all P〈0.01）; the scores of the observation group were obviously lower than those in the control group（all P〈0.01）. The discharge rates of the markers in the two groups were remarkably increased than those at the same time period before the treatment; moreover, the discharge rates of the markers at various time periods were remarkably better in the observation group than those in the control group（P〈0.01）. SDS and SAS scores were remarkably decreased after the treatment in the two groups（P〈0.01）. In comparison of SDS score between the two groups after the treatment, the difference was statistically significant（P〈0.01）. In comparison of SAS score between the two groups after the treatment, the difference was statistically significant（P〈0.05）. The nursing satisfaction was 96.2% in the observation group after the treatment, obviously better than that in the control group（73.1%）. The recurrence rate was 8.3% in the observation group, remarkably lower than that in the control group（33.3%）. Conclusion： Moxibustion at the abdominal acupoints plus routine nursing can remarkably improve the colon transit functions and anxious and depressive emotion in patients with STC, and the therapeutic effects are remarkable. Not only the clinical satisfaction is higher, but the recurrence rate is obviously lower than that of routine nursing.
