电针支沟穴治疗便秘之气秘多中心随机对照研究  

Multi-central randomized controlled trials of electroacupuncture at Zhigou (TE 6) for treatment of constipation induced by stagnation or deficiency of qi

作　　者：张智龙[1] 吉学群[1] 赵淑华[2] 李澎[3] 张文柱[1] 于颂华 王春梅[1] 刘占芬[1] 

机构地区：[1]天津市中医医院针灸科,天津300140 [2]天津中医药大学第二附属医院针灸科 [3]天津中医药大学第一附属医院针灸科

出　　处：《中国针灸》2007年第7期475-478,共4页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局资助项目:03XDLZ10

摘　　要：目的:评价电针支沟穴治疗便秘之气秘的疗效和安全性。方法:采用多中心、随机对照的方法,将符合诊断、纳入和排除标准的患者按随机数字表法分为观察组和对照组。观察组采用电针支沟穴方法,对照组则电针相近位置的非穴点,以患者的临床症状积分、结肠传输试验及各项安全性指标进行评定,观察治疗4周,治疗结束1个月、3个月后进行随访。结果:电针支沟穴能明显改善便秘患者的临床症状和结肠传输时间,降低开塞露和泻剂的使用率,总有效率为94.4%,优于对照组的61.3%,两组相比,P<0.0001。结论:支沟穴具有良好的调气通腑作用,电针支沟穴是治疗便秘行之有效的方法,且安全可靠、无副作用。Objective To assess the therapeutic effect and safety of electroacupuncture （EA） at Zhigou （TE 6） on constipation induced by stagnation or deficiency of qi. Methods Multi-central randomized controlled trials were adopted and the patients conforming to the criteria for diagnosis, enrolling and excluding were divided into an observation group and a control group according to random number table. The observation group were treated with EA at Zhigou （TE 6） and the control group with EA at non-acupoint for 4 weeks.The cumulative score of clinical symptoms, colon transmission test and various safety indexes were assessed. The following-up was carried out 1 and 3 months after the end of treatment. Results EA at Zhigou （TE 6） could obviously improve clinical symptoms and colon transmission time, decrease using rate of Kaisailu and cathartics, with an effective rate of 94. 4%, which was better than 61.3% in the control group （P〈0. 0001）. Conclusion EA at Zhigou （TE 6） has a function of regulating qi and relaxing the bowels and it is an effective method for treatment of constipation with safety and no adverse effect.

关 键 词：电针 便秘/针灸疗法 穴 支沟 多中心研究 

分 类 号：R246.1[医药卫生—针灸推拿学]