电针治疗严重功能性便秘随机对照试验  

Electroacupuncture in Treating Severe Functional Constipation: A Randomized Controlled Trial

作　　者：沈亚芳[1] 方剑乔[2] 陈利芳[3] 沈醉 方芳[4] 孙晶[2] 

机构地区：[1]浙江省立同德医院,杭州310012 [2]浙江中医药大学,杭州310053 [3]浙江中医药大学附属第三医院,杭州310005 [4]温州市中医院,温州325000

出　　处：《上海针灸杂志》2016年第12期1393-1396,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金："十二五"国家科技支撑计划项目(2012BAI24B01);国家中医药管理局全国名老中医药专家传承工作室建设项目[国中医药人教发(2013)47号];浙江省名老中医专家传承工作室建设计划(GZS2012014)

摘　　要：目的观察电针治疗严重功能性便秘的临床疗效。方法将70例严重功能性便秘患者随机分为治疗组(35例)、对照组(35例),治疗组采用深刺双侧天枢、腹结穴加用电针,另加刺双侧上巨虚穴;对照组浅刺双侧天枢旁、腹结旁、上巨虚旁,用假电针作对照。两组均连续治疗8星期,并随访3个月。观察每星期平均完全自主排便次数(complete spontaneous bowel movements,CSBMs)和Bristol粪便性状评分(Bristol stool form scale,BSFS)、排便困难程度。结果两组在改善每星期平均CSBMs上均有一定效果(P<0.05,P<0.01),在治疗期末治疗组优于对照组(P<0.05);在改善严重功能性便秘患者的粪便性状评分、排便困难程度上两组均有效,组间差异不明显(P>0.05)。结论电针可以改善严重功能性便秘患者的完全自主排便情况,但在改善患者的粪便性状和排便困难程度方面与安慰针刺无差异。Objective To observe the clinical efficacy of electroacupuncture in treating severe functional constipation. Method Seventy patients with severe functional constipation were randomized into a treatment group （35 cases） and a control group （35 cases）. The treatment group was intervened by deeply needling bilateral Tianshu （ST25） and Fujie （SP14） with electrical stimulation in addition to ordinary acupuncture at bilateral Shangjuxu （ST37）;the control group was by superficially needling the areas beside bilateral Tianshu, Fujie and Shangjuxu with sham electroacupuncture. The two groups were both treated for successive 8 weeks and were followed up for another 3 months. The complete spontaneous bowel movements （CSBMs）, Bristol stool form Scale （BSFS） and difficulty in bowel movements were observed every week. Result The two groups both showed significant improvements in average weekly CSBMs （P〈0.05,P〈0.01）, and the CSBMs at the end of the treatment were better in the treatment group than in the control group （P〈0.05）; the two groups were both effective in improving BSFS and difficulty in bowel movements, without significant between-group differences（P〉0.05）. Conclusion Electroacupuncture can improve CSBMs in severe functional constipation, but it’s insignificantly different from sham acupuncture in improving stool form and defecation difficulty.

关 键 词：电针 便秘 随机对照试验 完全自主排便次数 Bristol粪便性状评分 

分 类 号：R246.1[医药卫生—针灸推拿学]