功能性排便障碍的针灸治疗现状思考  

Thinking on current treatment situation of acupuncture for functional defecation disorders

作　　者：徐修竹[1] 张建斌[1] 丁曙晴[2] 周惠芬[2] 蔡金亚 朱丹[1] 白洁净 张晓庆[1] 邹洋洋 胡光勇[1] 

机构地区：[1]南京中医药大学,江苏南京210029 [2]南京市中医院肛肠科盆底中心

出　　处：《中国针灸》2015年第5期483-486,共4页Chinese Acupuncture & Moxibustion

基　　金："十二五"国家科技支撑计划项目:2012BAI24B01

摘　　要：为优化功能性排便障碍的针刺治疗方案,查阅近20余年来相关文献,从穴位、针刺方法等方面分析影响针刺疗效的相关因素。在选穴上应注重八髎穴特别是中、下髎穴的运用,深刺八髎穴操作时要掌握科学的方法;电针参数(电针波形、频率)、针刺手法(补泻手法、刺激量等)等与疗效关系密切,目前研究结论的科学价值需进一步提升;临床应加强功能性便秘的分型诊治意识,关注患者的精神心理状况;针刺与生物反馈训练疗法联用可发挥协同效应,并有助于获得更好的远期疗效。在此基础上优化功能性排便障碍的针灸治疗,可进一步提高疗效。In order to optimize acupuncture treatment protocol for functional defecation disorders,literature during past 20 years is reviewed,and factors which influences acupuncture therapeutic effect are analyzed from aspects of acupoint,acupuncture technique,etc.As for the selection of acupoint,more attention should be paid on the use of Baliao,especially Zhongliao（BL 33）and Xialiao（BL 34）;when Baliao is deeply needled,it is essential to acquire scientific technique.The relationship between acupuncture parameter（including electroacupuncture waveform and frequency）,acupuncture techniques（including reinforcing and reducing technique,quantity of stimulation,etc.）and acupuncture efficacy is complicated,and the scientific values of present research conclusion are in need of further improvement.The diagnosis and treatment awareness on types of functional defecation should be strengthened,and the mental health of the constipation patients should be concerned.The combination of acupuncture and biofeedback training can have a synergistic effect,which is benefit to achieve a better long-term effect.Based on this,acupuncture treatment protocol for functional defecation disorders can be optimized to further improve the efficacy.

关 键 词：便秘 功能性排便障碍 针灸 穴 八髎 

分 类 号：R245[医药卫生—针灸推拿学]