穴位强化埋线疗法治疗慢传输型便秘的临床应用效果分析  

Appraisal of Clinical Application and Analgesic Effect of Intensive Catgut Embedding Therapy in Patients with Slow Transit Constipation

作　　者：谢振年[1] 王芳丽[2] 李东冰[1] 贾小强[1] 蔡亭[1] 智建文[3] 郝丽丽[1] 李有峰 

机构地区：[1]中国中医科学院西苑医院肛肠外科,北京100091 [2]航天中心医院肛肠科,北京100049 [3]中国中医科学院广安门医院肛肠外科,北京100053

出　　处：《世界中医药》2013年第9期1018-1021,共4页World Chinese Medicine

基　　金：国家自然基金项目(课题名称:穴位强化埋线疗法治疗慢传输型便秘的机制研究;编号:81072813);伦理批件:中国中医科学院西苑医院伦理委员会2010XL072-2)

摘　　要：目的:观察穴位强化埋线疗法治疗慢传输型便秘的临床疗效和安全性。方法:依中央随机数字表,入选病例随机分为两组,即治疗组(104例)采用穴位强化埋线疗法,对照组(104例)采用口服麻仁软胶囊,观察两组临床疗效和相关指标症状积分、标志物残留情况,随访时间6个月。结果:治疗组临床总有效率优于对照组(P<0.05)。治疗组各临床主要症状积分均比治疗前有统计学意义(P<0.05),治疗组在治疗后的标志物残留数目较对照组明显减少(P<0.05),治疗组标志物残留数目减少值明显优于对照组(P<0.05)。结论:穴位强化埋线疗法依据相关中医外治法理论,结合现代操作手段,能明显改善便秘的临床症状,促进肠蠕动,是一种融多种疗法、多种效应于一体的方法,操作简单,痛苦小,具有很高的推广价值。Objective： To observe the therapeutic effectiveness and safety of intensive catgut embedding therapy in patients with STC.Methods： A total of 208 patients with STC were randomly divided into the treatment group and control group,with 104 cases in each group.The treatment group received intensive catgut embedding therapy,while the other received Maren Capsule.Clinical efficacy,related symptom scoring,marker residue were measured with a following-up of 6 months.Results： Cure rate and total effective rate for the treatment group were significantly higher（P 0.05）.The symptom scoring of main clinical symptom in treatment group was statistically significant than before treatment（P 0.05）.In terms of marker residue,treatment group changed significantly（P 0.05）.Conclusion： With TCM theory basis,catgut embedding therapy combined with modern means of operation can significantly improve the clinical symptoms of constipation and promote bowel movements.As a combination of various methods,it has a variety of effects in patients.It is easy to operate,being less painful to patients,thus is worthy of spreading.

关 键 词：穴位强化埋线 慢传输型 便秘 微创 中医外治法 

分 类 号：R442.2[医药卫生—诊断学]