穴位埋线联合生物反馈治疗功能性便秘的临床研究  

The clinical research of catgut-embedding therapy combined with biofeedback on the treatment of functional constipation

作　　者：洪霞[1] 蒋勍[1] 汤晓琴[1] 俞银华[2] HONG Xia;JIANG Qing;TANG Xiao-qin;et al(Department of Anorectal, Tongde Hospital of Zhejiang Province, Hangzhon, Zhejiang 310012, China)

机构地区：[1]浙江省立同德医院肛肠科,浙江杭州310012 [2]浙江省立同德医院大内科

出　　处：《中华全科医学》2018年第2期218-221,共4页Chinese Journal of General Practice

基　　金：浙江省中医药科学研究基金项目(2014ZB018)

摘　　要：目的观察穴位埋线联合生物反馈治疗功能性便秘(FC)的临床综合疗效,为FC患者提供更为全面的综合治疗方法。方法选取2014年3月—2016年3月浙江省立同德医院肛肠科收治的FC患者80例,按其就诊顺序随机分为2组。对照组40例,在常规护理的基础上采用生物反馈治疗,1次/d,30 d为1疗程;观察组40例,在对照组的基础上联合穴位埋线,15 d埋线1次,2次为1疗程。治疗结束后对比2组患者的临床疗效,并观察治疗前后临床主要症状的改善情况;采用健康状况调查问卷(SF-36)对2组患者治疗前后生活质量进行评估。选择统计学软件SPSS 22.0对数据进行处理。结果治疗后观察组和对照组临床总有效率分别为89.74%、71.05%,差异有统计学意义(P<0.05);2组患者治疗后各主要症状较治疗前均有明显改善(均P<0.05),且观察组改善幅度明显优于对照组(均P<0.05);2组患者治疗后SF-36量表各维度评分较治疗前均得到明显改善(均P<0.05),且观察组除生理功能和躯体疼痛以外,其他各维度改善情况均明显优于对照组(均P<0.05)。结论穴位埋线联合生物反馈治疗功能性便秘较单纯生物反馈优势明显,可有效改善患者的临床症状,同时还可提高患者生活质量。Objective To observe the comprehensive clinical efficacy of catgut-embedding therapy combined with bio- feedback on the treatment of functional constipation（FC） , and provide a more comprehensive treatment method for them. Methods The 80 cases of FC were selected from March, 2014 to March, 2016 in Anorectal department in Tongde Hos- pital of Zhejiang Province. They were randomly divided into control group and observation group according to their hospi- tal admission orders. Biofeedback therapy was given to 40 cases in control group once a day, with 30 days as 1 course. Catgut-embedding therapy combined with biofeedback was given to 40 cases in observation group 15 days 1 time, cv 2 times for 1 course. After the treatment, we compared with the clinical efficacy of the two groups, and observed the im- provement of main clinical symptoms before and after treatment. The evaluation of quality of life were based on the health survey questionnaire （SF-36）. We used statistics software SPSS 22.0 for the research of statistical data. Results After treatment, the clinical total effective rate of the observation group and the control group were 89.74% and 71.05% re- spectively, and there were significant differences（ P 〈 0.05 ）. The main symptoms of the two groups were significantly im- proved after treatment（P 〈 0.05 ）, and the improvement rate of the observation group was significantly better than the control group（P 〈0.05）. After treatment each dimension score of two groups were obviously improved（P 〈 0.05 ）. In addition to the physiological function and body pain, the observation group improvement were significantly better than that of control group （ P 〈 0.05 ）. Conclusion Catgut-embedding therapy combined with biofeedback in the treatment of functional constipation is better than biological feedback. They can effectively improve the patient＇ s clinical symptoms, and can also improve the quality of life of the patients.

关 键 词：生物反馈 穴位埋线 功能性便秘 

分 类 号：R574.62[医药卫生—消化系统] R245.91[医药卫生—内科学]