电针深刺对功能性便秘患者排便次数及大便性状的影响  

Observation on the Efficacy of Electroacupuncture for Functional Constipation

作　　者：吕建琴[1] 王成伟[1] 刘梦阅[1] 赵雨[1] 文谦[1] 李宁[1] 

机构地区：[1]四川大学华西医院中西医结合科,成都610041

出　　处：《针刺研究》2017年第3期254-258,共5页Acupuncture Research

基　　金：国家"十二五"科技部支撑计划(No.2012BAI 24B01)

摘　　要：目的:探讨电针治疗功能性便秘的效应规律。方法:功能性便秘患者随机分为电针组45例及假电针组43例。电针组电针双侧天枢、腹结、上巨虚,假电针组选取双侧天枢旁、腹结旁、上巨虚旁浅刺皮下不接通电针。比较两组患者在基线周、治疗第1~8周、随访第4、8、12周时的完全排尽感自主排便(CSBM)次数的人数,以及基线周和治疗第1~8周Bristol粪便性状和排便困难程度评分。结果:治疗第3~8周和随访第4、8、12周时,两组患者CSBM不同次数的人数比较差异具有统计学意义(P<0.05),电针治疗能使每周CSBM次数多于3次的人数明显增加。治疗第4、5周,电针组较假电针组Bristol粪便性状评分明显增加(P<0.05)。从治疗第4周开始,电针组患者排便困难程度评分较假电针组得到明显改善(P<0.05)。结论:电针深刺可明显改善功能性便秘患者排便次数、大便性状、排便困难程度。Objective To investigate the therapeutic rule of electroacupuncture （EA） in treating functional constipation. Methods Eighty-eight patients with severe chronic functional constipation were randomized divided into EA （n = 45） and sham- EA （n = 43） groups. Patients in the EA group were treated with EA at bilateral Tianshu （ST 25）, Fujie （SP 14）, Shangjuxu （ST 37）, and those in the sham-EA group were received superficial acupuncture at 1 cun lateral to the identical acupoints without electrical current delivery. The number of patients with complete spontaneous bowel movements （GSBM） was weekly compared between the EA and sham-EA groups at baseline week, during 8 weeks＇ treatment, as well as the follow-up 4^th , 8^th and 12^th weeks after treatment. The Bristol Stool Chart （BSC） and defecation difficulty scores were also weekly compared from baseline until 8 weeks. Results The CSBM showed significant differences from 3 to 8 weeks and at 4^th, 8^th and 12^th weeks post-treatment （P〈0.05）, but not within the first two weeks between the EA and sham-EA groups. The number of patients who had more than 3 times of CSBM per week was increased in the EA group（P〈0.05）. The therapeutic effect of EA group was superior to that of the sham-EA group in improving BSC over the 4th and 5th weeks （ P〈0.05）. The defecation difficulty score was improved in the EA group than in the sham-EA group since the 4th week （P〈0.05）. ConchLsion EA shows therapeutic effect for functional constipation by improving CSBM and BSC.

关 键 词：电针 功能性便秘 随机对照 

分 类 号：R245.97[医药卫生—针灸推拿学]