不同针刺取穴方法治疗功能性便秘
|
摘要
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.
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.
引文
[1]张自强,曹顺金,史秀宝,等.功能性便秘的中医诊治进展[J].湖南中医杂志,2017,33(10):191-192.
[2]黄驭,段高峰,高彬,等.功能性便秘中医研究进展[J].实用中医药杂志,2013,29(2):149-152.
[3]司秋霞.综合护理干预对慢性功能性便秘患者心理健康水平及生活质量的影响[J].慢性病学杂志,2017,18(5):588-590.
[4]张丹,夏志伟.功能性便秘的罗马Ⅲ标准[J].中国医刊,2008,43(12):63-64.
[5]赵兰敏,石振东.莫沙比利配合结肠水疗机治疗慢性功能性便秘的效果观察[J].中国当代医药,2017,24(5):28-30.
[6]胡智,王吉.老年人便秘的危害与防治[J].实用心脑肺血管病杂志,2010,18(7):975.
[7]程英,王邦茂.一般措施在功能性便秘治疗中的作用[J].临床消化病杂志,2007,19(3):134-135.
[8]沈炎南.脉经校注[M].北京:人民卫生出版社,1991:26.
[9]张琳珊,施茵.天枢穴在针灸治疗肠腑病症中的应用[J].江西中医药,2004,35(12):53-56.
[10]石学敏.针灸学[M].北京:中国中医药出版社,2002:196.
[2]黄驭,段高峰,高彬,等.功能性便秘中医研究进展[J].实用中医药杂志,2013,29(2):149-152.
[3]司秋霞.综合护理干预对慢性功能性便秘患者心理健康水平及生活质量的影响[J].慢性病学杂志,2017,18(5):588-590.
[4]张丹,夏志伟.功能性便秘的罗马Ⅲ标准[J].中国医刊,2008,43(12):63-64.
[5]赵兰敏,石振东.莫沙比利配合结肠水疗机治疗慢性功能性便秘的效果观察[J].中国当代医药,2017,24(5):28-30.
[6]胡智,王吉.老年人便秘的危害与防治[J].实用心脑肺血管病杂志,2010,18(7):975.
[7]程英,王邦茂.一般措施在功能性便秘治疗中的作用[J].临床消化病杂志,2007,19(3):134-135.
[8]沈炎南.脉经校注[M].北京:人民卫生出版社,1991:26.
[9]张琳珊,施茵.天枢穴在针灸治疗肠腑病症中的应用[J].江西中医药,2004,35(12):53-56.
[10]石学敏.针灸学[M].北京:中国中医药出版社,2002:196.