穴位埋线治疗盆底松弛综合征型便秘的临床体会
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摘要
目的:通过对穴位埋线治疗盆底松弛综合征型便秘临床体会分析,发挥祖国医学优势,对穴位埋线治疗盆底松弛综合征型便秘更好的进行推广应用。
方法:对收集的40例盆底松弛综合征型便秘患者,随机的方法分成治疗组(穴位埋线组)20例和对照组(中药组)20例。治疗组患者采用穴位埋线治疗,对照组患者口服补中益气汤(本院中药局提供)。观察治疗前后两组相关症状的分级并且记录积分总和后,运用SPSS16.0统计学软件进行分析。
结果:
1.治疗组总有效率85.0%,对照组总有效率45.0%,两组临床疗效上有明显统计学差异(P<0.01)。
2.两组治疗前症状分级总积分比较(P>0.05),表明治疗前两组总积分在统计学上无明显差异。
3.两组治疗后症状分级总积分比较(P<0.01),表明治疗后两组总积分在统计学上有显著性差异。
4.两组的治疗前后自身总积分比较均(P<0.01),表明治疗组和对照组治疗均有效。
5.治疗组总积分下降幅度比对照组大,说明治疗组(穴位埋线组)疗效优于对照组(中药组)。
结论:
1穴位埋线治疗盆底松弛综合征型便秘疗效显著
2穴位埋线治疗盆底松弛综合征型便秘容易让患者接受
3穴位埋线治疗盆底松弛综合征型便秘可以深入研究、普及和推广应用
Purpose:Through the meridians buried line therapy pelvic relaxation syndrome type constipation clinical experience analysis, play advantage on motherland medicine acupuncture treatment of pelvic thread burying flabby syndrome type constipation better promotion application。
Material and method:The collections in 40 cases pelvic relaxation syndrome type constipation patients, random method were divided into treatment group (20 cases) acupoint buried and control quad 20 cases (Chinese medicine group). The treatment group were treated by acupuncture treatment group patients thread burying oral fill in yiqi soup (provide) traditional Chinese medicine innings totol. The two groups were observed before and after treatment related symptoms classification and record after SPSS18.0 total points, using statistical software for analysis。
Results:
1.Treatment group total effectiveness 85.0%, the comparison group total effectiveness accounting for 36.0%, two groups of clinical curative effect has significant difference (P < 0.01)。
2. The two groups before treatment classification total credit comparison symptoms (P > 0.05), that the first two group total integral treatment was no statistically significant difference。
3. The two groups after treating symptoms classification total credit comparison (P < 0.01), two groups that total score after treatment in statistically significant differences。
4. Both groups compared before and after treatment were total score itself (P < 0.01), indicating that the treatment group and control group therapy are effective。
5. Declines in treatment group than controls total score explain the treatment group (quad acupoint buried than in control group (effect medicine group)。
Conclusion:
1 acupuncture treatment of pelvic thread burying flabby syndrome type constipation curative effect is distinct
2 acupuncture treatment of pelvic thread burying flabby syndrome patients received is easy to let the type of constipation
3 acupuncture treatment of pelvic thread burying flabby syndrome type constipation can further research, popularization and application
方法:对收集的40例盆底松弛综合征型便秘患者,随机的方法分成治疗组(穴位埋线组)20例和对照组(中药组)20例。治疗组患者采用穴位埋线治疗,对照组患者口服补中益气汤(本院中药局提供)。观察治疗前后两组相关症状的分级并且记录积分总和后,运用SPSS16.0统计学软件进行分析。
结果:
1.治疗组总有效率85.0%,对照组总有效率45.0%,两组临床疗效上有明显统计学差异(P<0.01)。
2.两组治疗前症状分级总积分比较(P>0.05),表明治疗前两组总积分在统计学上无明显差异。
3.两组治疗后症状分级总积分比较(P<0.01),表明治疗后两组总积分在统计学上有显著性差异。
4.两组的治疗前后自身总积分比较均(P<0.01),表明治疗组和对照组治疗均有效。
5.治疗组总积分下降幅度比对照组大,说明治疗组(穴位埋线组)疗效优于对照组(中药组)。
结论:
1穴位埋线治疗盆底松弛综合征型便秘疗效显著
2穴位埋线治疗盆底松弛综合征型便秘容易让患者接受
3穴位埋线治疗盆底松弛综合征型便秘可以深入研究、普及和推广应用
Purpose:Through the meridians buried line therapy pelvic relaxation syndrome type constipation clinical experience analysis, play advantage on motherland medicine acupuncture treatment of pelvic thread burying flabby syndrome type constipation better promotion application。
Material and method:The collections in 40 cases pelvic relaxation syndrome type constipation patients, random method were divided into treatment group (20 cases) acupoint buried and control quad 20 cases (Chinese medicine group). The treatment group were treated by acupuncture treatment group patients thread burying oral fill in yiqi soup (provide) traditional Chinese medicine innings totol. The two groups were observed before and after treatment related symptoms classification and record after SPSS18.0 total points, using statistical software for analysis。
Results:
1.Treatment group total effectiveness 85.0%, the comparison group total effectiveness accounting for 36.0%, two groups of clinical curative effect has significant difference (P < 0.01)。
2. The two groups before treatment classification total credit comparison symptoms (P > 0.05), that the first two group total integral treatment was no statistically significant difference。
3. The two groups after treating symptoms classification total credit comparison (P < 0.01), two groups that total score after treatment in statistically significant differences。
4. Both groups compared before and after treatment were total score itself (P < 0.01), indicating that the treatment group and control group therapy are effective。
5. Declines in treatment group than controls total score explain the treatment group (quad acupoint buried than in control group (effect medicine group)。
Conclusion:
1 acupuncture treatment of pelvic thread burying flabby syndrome type constipation curative effect is distinct
2 acupuncture treatment of pelvic thread burying flabby syndrome patients received is easy to let the type of constipation
3 acupuncture treatment of pelvic thread burying flabby syndrome type constipation can further research, popularization and application
引文
[1].StewartWF,LibermanJN,SandlerRS,etal,EPidemiology of constipation study in the United States:relation of clinical subtypes to soeiodemographic feature[J],Am J Gastroenterol,1999,94:3530—3540.
[2].刘世信,便秘诊断治疗新进展[J],中国肛肠病杂志,1995,(1):45-46
[3].唐清珠,顾成义.STARR术加补中益气汤治疗盆底松弛综合征所致顽固性便秘34例:Guiding Journal of Traditional Chinese Medicine and Pharmacy.Vol.15 No. 8.Augusty.2009
[4].高野正博,高木幸一等.日本大肠肛门病会志1995 ,48 (9) :1017.
[5].丁克,便秘文献及方药证治规律研究田[D],2006年博士论文:8
[6].尹淑慧、丁克.出口梗阻型便秘的研究进展2001年第41卷第21期山东医药
[7].卢岱魏.深刺天枢穴加电针治疗慢传输型便秘的疗效观察:(硕士穴位论文).南京:南京中医药大学,2009
[8].李实忠,出口阻塞综合征[Jl,中国肛肠病杂志,1992,12:28230.
[9].Rebecca UM,Markus H, John OL. Origin and insertion points in-volved in levator ani muscle defects[ J ]. Am J Obstet Gynecol,2007, 196 (3) : 251e1-e5.
[10].Luyun Chen, James AA, John OL. A 3D finite element model of anterior vaginal wall support to evaluate mechanisms underlying cystocele formation[ J ]. Journal of Biomechanics, 2009, 42 ( 10) :1371-1377.
[11].HoyteL,DamaserM,Magnetic resonance-based female pelvic anatomy as relevant for matemal childbirth injury simulations[J].Ann N Y Acad Sci,2007,1:361-376
[12].王绍臣、卢任华、李实忠.日本医学介绍2003年第24卷第5期·
[13].Florian JA, KoskyJR, Ainslie K, et al. Heparan sulfate proteo-glycan is a mechano sensor on endothelial cells [ J ]. Circ Res,2003, 93 (10) : e136-e142.
[14].黄显凯、张胜本.大肠肛门病外科杂志.1991 ,3 (1) :55～58.
[15].唐清珠.补中益气汤治疗盆底松弛综合征35例临床观察:湖南中医药导报.2003年3月第9卷第3期
[16].汪俊华、汪平洋.益气补肾法治疗盆底松弛综合征93例:中医杂志2003年9月第44卷第9期
[17].王军.功能性便秘分型诊断学与治疗学实验研究:(博士学位论文).天津:天津中医药大学,2004.
[18].Bleijenberg G,Kuijpers HC.Treatment of the spastic pelvic floor syndrome with biofeedback.Dis Colon Rectum 1987;30(2):108-11
[19].霍维宇.针灸结合生物反馈治疗盆底松弛综合征型便秘临床研究:(硕士穴位论文).南京中医药大学,2009
[20].Read NW , A bouzekry L , RedM G. A no rectal function in elderly patients with fecal impact ion. Gastroen tero logy, 1985, 89: 959.
[21].李升明、李燕、何玉峰、梁红、孙福.直肠周围间隙硬化剂注射治疗盆底松弛综合征(附32例观察报告):大肠肛门病外科
[22].李实忠屠岳、林琛、郭澎、卢任华、毛建中、王军、印慨.盆底松弛综合征的病理生理与外科治疗的研究:临床论著Chin J Surg ,September 1998 ,Vol . 36 ,No. 9
[23].郭澎、颜廷忠、张维平等.盆底松弛综合征外科治疗的临床研究:中华医学杂志.2003.2.25.第83卷第4期
[24].中华医学会消化分会.慢性便秘的诊治指南.中华消化杂志.2004:24(1):39-40.
[25].王净净,龙俊杰.中医临床病证诊断疗效标准.长沙:湖南科技出版社,1993, 110-111.
[26].任晓艳.穴位埋线的源流及其机理探讨.中国医药学报.2004,19(12): 757-759.
[27].崔瑾,欧桂珍,杨涛等.穴位埋线对脾虚证大鼠免疫功能影响的实验研究.中国医药学报.1999,14(6):17.
[28].陈耀龙.穴位埋线防治糖尿病胃肠运动功能障碍的作用及其机理研究:(博士学位论文).广州:广州中医药大学,2008.
[29].张小峰.穴位埋线治疗慢传输性便秘临床观察:时珍国医国药2008年第19卷第8期
[30].苗金娣.穴位埋线治疗习惯性便秘95例:中医外治杂志2009年6月第18卷第3期
[31].张维,刘志顺,李珺.深刺天枢穴治疗结肠慢转运性便秘30例.上海针灸杂志.2005,24(10):27.
[32].王付春,王洪峰,徐晓红,编著.临床针方.北京:科学技术文献出版社, 2004.175.
[33].仑新.单穴防病治病妙用.北京:人民卫生出版社.
[34].苗春红.穴位强化埋线治疗慢传输型便秘及配合肛门局部手术治疗混合型便秘的临床研究:(硕士学位论文).北京:中国中医科学院,2007.
[35].王瑛,陆晨,李东冰.穴位埋线治疗慢传输型便秘87例分析.中国全科医学.2006,9(1):58.
[2].刘世信,便秘诊断治疗新进展[J],中国肛肠病杂志,1995,(1):45-46
[3].唐清珠,顾成义.STARR术加补中益气汤治疗盆底松弛综合征所致顽固性便秘34例:Guiding Journal of Traditional Chinese Medicine and Pharmacy.Vol.15 No. 8.Augusty.2009
[4].高野正博,高木幸一等.日本大肠肛门病会志1995 ,48 (9) :1017.
[5].丁克,便秘文献及方药证治规律研究田[D],2006年博士论文:8
[6].尹淑慧、丁克.出口梗阻型便秘的研究进展2001年第41卷第21期山东医药
[7].卢岱魏.深刺天枢穴加电针治疗慢传输型便秘的疗效观察:(硕士穴位论文).南京:南京中医药大学,2009
[8].李实忠,出口阻塞综合征[Jl,中国肛肠病杂志,1992,12:28230.
[9].Rebecca UM,Markus H, John OL. Origin and insertion points in-volved in levator ani muscle defects[ J ]. Am J Obstet Gynecol,2007, 196 (3) : 251e1-e5.
[10].Luyun Chen, James AA, John OL. A 3D finite element model of anterior vaginal wall support to evaluate mechanisms underlying cystocele formation[ J ]. Journal of Biomechanics, 2009, 42 ( 10) :1371-1377.
[11].HoyteL,DamaserM,Magnetic resonance-based female pelvic anatomy as relevant for matemal childbirth injury simulations[J].Ann N Y Acad Sci,2007,1:361-376
[12].王绍臣、卢任华、李实忠.日本医学介绍2003年第24卷第5期·
[13].Florian JA, KoskyJR, Ainslie K, et al. Heparan sulfate proteo-glycan is a mechano sensor on endothelial cells [ J ]. Circ Res,2003, 93 (10) : e136-e142.
[14].黄显凯、张胜本.大肠肛门病外科杂志.1991 ,3 (1) :55～58.
[15].唐清珠.补中益气汤治疗盆底松弛综合征35例临床观察:湖南中医药导报.2003年3月第9卷第3期
[16].汪俊华、汪平洋.益气补肾法治疗盆底松弛综合征93例:中医杂志2003年9月第44卷第9期
[17].王军.功能性便秘分型诊断学与治疗学实验研究:(博士学位论文).天津:天津中医药大学,2004.
[18].Bleijenberg G,Kuijpers HC.Treatment of the spastic pelvic floor syndrome with biofeedback.Dis Colon Rectum 1987;30(2):108-11
[19].霍维宇.针灸结合生物反馈治疗盆底松弛综合征型便秘临床研究:(硕士穴位论文).南京中医药大学,2009
[20].Read NW , A bouzekry L , RedM G. A no rectal function in elderly patients with fecal impact ion. Gastroen tero logy, 1985, 89: 959.
[21].李升明、李燕、何玉峰、梁红、孙福.直肠周围间隙硬化剂注射治疗盆底松弛综合征(附32例观察报告):大肠肛门病外科
[22].李实忠屠岳、林琛、郭澎、卢任华、毛建中、王军、印慨.盆底松弛综合征的病理生理与外科治疗的研究:临床论著Chin J Surg ,September 1998 ,Vol . 36 ,No. 9
[23].郭澎、颜廷忠、张维平等.盆底松弛综合征外科治疗的临床研究:中华医学杂志.2003.2.25.第83卷第4期
[24].中华医学会消化分会.慢性便秘的诊治指南.中华消化杂志.2004:24(1):39-40.
[25].王净净,龙俊杰.中医临床病证诊断疗效标准.长沙:湖南科技出版社,1993, 110-111.
[26].任晓艳.穴位埋线的源流及其机理探讨.中国医药学报.2004,19(12): 757-759.
[27].崔瑾,欧桂珍,杨涛等.穴位埋线对脾虚证大鼠免疫功能影响的实验研究.中国医药学报.1999,14(6):17.
[28].陈耀龙.穴位埋线防治糖尿病胃肠运动功能障碍的作用及其机理研究:(博士学位论文).广州:广州中医药大学,2008.
[29].张小峰.穴位埋线治疗慢传输性便秘临床观察:时珍国医国药2008年第19卷第8期
[30].苗金娣.穴位埋线治疗习惯性便秘95例:中医外治杂志2009年6月第18卷第3期
[31].张维,刘志顺,李珺.深刺天枢穴治疗结肠慢转运性便秘30例.上海针灸杂志.2005,24(10):27.
[32].王付春,王洪峰,徐晓红,编著.临床针方.北京:科学技术文献出版社, 2004.175.
[33].仑新.单穴防病治病妙用.北京:人民卫生出版社.
[34].苗春红.穴位强化埋线治疗慢传输型便秘及配合肛门局部手术治疗混合型便秘的临床研究:(硕士学位论文).北京:中国中医科学院,2007.
[35].王瑛,陆晨,李东冰.穴位埋线治疗慢传输型便秘87例分析.中国全科医学.2006,9(1):58.