电针治疗老年气虚型功能性便秘的临床疗效分析  

Clinical Observation on Electroacupuncture Treatment of Senile Functional Constipation of Qi Deficiency Type

作　　者：辛玉[1] 徐华芳[1] 张红星[2] 徐派的[3] 毛珍[4] 

机构地区：[1]武汉市中医医院,湖北武汉430010 [2]武汉市中西医结合医院针灸科,湖北武汉430022 [3]湖北中医药大学推拿科教研室,湖北武汉430065 [4]湖北中医药大学,湖北武汉430065

出　　处：《云南中医学院学报》2016年第6期49-53,共5页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：2013年湖北省卫生计生委科研项目(2013Z-Z05);武汉市科技攻关项目(2013060602010260);武汉市卫计委2014年度医疗卫生科研基金(WZ14B02)

摘　　要：目的观察电针治疗老年气虚型功能性便秘的临床疗效。方法随机将40名患者分为电针组和针刺组,每组各20例。两组都选择双侧的天枢、腹结和上巨虚穴,分别进行电针治疗(电针组)和普通针刺治疗(针刺组),连续治疗4周,治疗5次/周,留针30min/次。观察治疗前(基线期)、2周后、4周后各组患者周自主排便次数、粪便性状评分及排便困难程度评分的变化。结果 2周及4周治疗结束后,两组相对于治疗前(组内比较),都能在不同程度上改善自主排便次数、粪便性状评分、排便困难程度评分的症状(P<0.01);电针组在2周治疗结束时相对于针刺组(组间比较),对便秘症状的改善更明显(P<0.05);4周后,两组治疗后总体疗效比较(电针组75%,针刺组60%),差异无明显统计学意义(P>0.05)。结论 (1)电针和普通针刺治疗气虚型功能性便秘均可获良效;(2)相对于普通针刺,电针对患者便秘症状的改善更明显,达到相同改善程度所需治疗时间更短。Objective To observe the clinical efficacy of EA on elderly Qi-deficiency Functional Constipation. Methods 40 patients were randomly divided into an acupuncture group and acupuncture group, 20 cases in each group. Bilateral Tianshu, abdominal knot and Shangjuxu acupuncture are selected to treat the pationts by Ordinary acupuncture and Electroacupuncture. 4 weeks of continuous treatment, 5 times per week for 30 minutes/time. To observe the changes of the number of self defecation （SBM）, the characteristics of feces and the degree of difficulty of defecation before treatment （baseline）, 2 weeks and 4 weeks later in the observation group. Results The two groups can improve the symptoms of constipation （defecation frequency, stool character score, defecation difficulty level 2 weeks and 4 weeks later （P〈0.01）. Acupuncture group and electro acupuncture group were respectively 65% and 70% of the total effective rate. At the end of the first course of treatment, the acupuncture group was better than the acupuncture group （P〈0.05）. Conclusion 1 Eeetro-acupuncture and general acupuncture treatment of qi deficiency type of functional constipation can be received satisfactory curative effect;2 It was faster in effection and shorter in treatment course in EA

关 键 词：针刺 电针 老年性 功能性便秘 气虚型 临床观察 

分 类 号：R246.1[医药卫生—针灸推拿学]