疏肝健脾针法治疗功能性便秘疗效观察  

Observations on the Therapeutic Effect of Liver-soothing and Spleen-reinforcing Acupuncture on Functional Constipation

作　　者：汪开洋 肖贵容 吴群[2] 

机构地区：[1]湖北省武汉市华润武钢总医院,武汉430060 [2]湖北省武汉市中心医院,武汉430022

出　　处：《上海针灸杂志》2017年第7期803-807,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家"十二五"科技支撑计划项目(2012BAI24B01);武汉市重点项目(WX16B22)

摘　　要：目的观察疏肝健脾针法治疗功能性便秘的临床疗效。方法将60例功能性便秘患者随机分为治疗组和对照组,每组30例。治疗组采用健脾疏肝针法,对照组采用口服琥珀酸普芦卡必利片治疗。观察两组治疗前及治疗2、4星期后完全自主排便次数(CSBM)、自主排便次数(SBM)、各项便秘症状(排便时间、排便困难程度及粪便性状)评分及生活质量(PAC-QOL)评分的变化情况,并比较临床疗效。结果治疗2星期后,治疗组CSBM和SBM与同组治疗前比较,差异均具有统计学意义(P<0.05);两组CSBM和SBM比较差异有统计学意义(P<0.05)。治疗4星期后,两组CSBM和SBM与同组治疗前相比,差异均有统计学意义(P<0.05);两组CSBM和SBM比较差异均无统计学意义(P>0.05)。两组治疗2、4星期后各项便秘症状评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗2星期后排便时间、排便困难程度评分均明显低于对照组,两组比较差异均具有统计学意义(P<0.05)。对照组治疗4星期后粪便性状评分明显高于治疗组,两组比较差异具有统计学意义(P<0.05)。两组治疗后PAC-QOL各项评分与同组治疗前比较,差异均具有统计学意义(P<0.05);两组治疗后PAC-QOL各项得分比较,差异均无统计学意义(P>0.05)。治疗组总有效率为80.0%,对照组为73.3%,两组比较差异无统计学意义(P>0.05)。结论疏肝健脾针法治疗功能性便秘疗效显著,起效快,且安全性高。Objective To investigate the clinical efficacy of liver-soothing and spleen-reinforcing acupuncture in treating functional constipation.Methods Sixty patients with functional constipation were randomly allocated to treatment and control groups, 30 cases each. The treatment group received liver-soothing and spleen-reinforcing acupuncture and the control group, oral administration of prucalopride succinate tablets. The number of complete spontaneous bowel movements （CSBM）, the number of spontaneous bowel movements （SBM）, constipation symptoms （defecation time, defecatory difficulty and fecal characters） scores and The Patient Assessment of Constipation Quality of Life （PAC-QOL） score were recorded in the two groups before and after two and four weeks of treatment. The clinical therapeutic effects were compared.Results After two weeks of treatment, there were statistically significant pre-/post-treatment differences in CSBM and SBM in the treatment group （P〈0.05） and significant post-treatment differences in CSBM and SBM between the two groups （P＆lt;0.05）. After four weeks of treatment, there were statistically significant pre-/post-treatment differences in CSBM and SBM in the two groups （P＆lt;0.05） and no significant post-treatment differences in CSBM and SBM between the two groups （P〉0.05）. After two and four weeks of treatment, there were statistically significant pre-/post-treatment differences in constipation symptoms scores in thetwo groups （P＆lt;0.05）. After two weeks of treatment, the defecation time and defecatory difficulty scores were significantly lower in the treatment group than in the control group; there were statistically significant differences between the two groups （P＆lt;0.05）. After two and four weeks of treatment, the fecal character score was significantly higher in the control than in the treatment group; there was a statistically significant difference between the two groups （P＆lt;0.05）. There were statistically significant pre-/post-

关 键 词：疏肝健脾 针刺疗法 便秘 功能性 随机对照试验 生活质量评分 

分 类 号：R246.1[医药卫生—针灸推拿学]