电针足三里治疗帕金森患者便秘48例临床观察  

Clinical Observation on Parkinson with Constipation Treated by Electroacupuncture of Zusanli (ST36)

作　　者：刘爱国[1] 吴秀玲[2] 徐静红[2] 卢宝全[2] 

机构地区：[1]唐山市中医院,河北唐山063000 [2]唐山市工人医院,河北唐山063000

出　　处：《中医药导报》2018年第3期101-103,108,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河北省中医药管理局科研计划项目(2016129)

摘　　要：目的:观察电针足三里治疗帕金森患者便秘的疗效。方法:将96例帕金森便秘患者随机分为两组各48例。对照组采用复方卡比多巴片、酚酞片治疗,治疗组在对照组基础上采用足三里电针治疗,治疗7 d后,比较两组治疗前后肛门直肠动力学(直肠静息压、肛管静息压、肛管最大收缩压、直肠初次排便感觉阈、肛门-直肠抑制反射阈值)、便秘症状积分、生活质量变化,并评定临床疗效。结果:两组疗效比较,治疗组优于对照组,差异有统计学意义(P<0.05)。两组治疗后直肠静息压、肛管静息压、肛管最大收缩压均增加,直肠初次排便感觉阈、肛门-直肠抑制反射阈值均降低,差异均有统计学意义(P<0.05);治疗后治疗组直肠静息压、肛管静息压、肛管最大收缩压均高于对照组,直肠初次排便感觉阈、肛门-直肠抑制反射阈值均低于对照组,差异均有统计学意义(P<0.05)。治疗后两组便秘症状积分均降低,差异均有统计学意义(P<0.05);治疗组治疗后便秘症状积分低于对照组,差异有统计学意义(P<0.05)。两组治疗后生活质量评分均增加,差异有统计学意义(P<0.05);治疗组治疗后生活质量评分高于对照组,差异均有统计学意义(P<0.05)。结论:电针足三里治疗帕金森患者便秘有较好疗效,可改善患者肛门直肠动力学,提高患者生活质量。Objective： This study aims to observe the efficacy of Electroacupuncture of Zusanli（ST36） on Parkinson with constipation. Methods： The 96 patients were divided into two groups, with 48 cases in each group. The patients were treated by Compound Carbidopa Tablets and Phenolphthalein Tablets in control group,while the patients in treatment group were treated with the same basal tablets plus Electroacupuncture of ST36.We compared the anorectal dynamics（rectal resting pressure, anal resting pressure, anal maximal systolic blood pressure, rectal sensation threshold and first defecation anal-rectal inhibitory reflex threshold）, constipation symptom score and quality of life after seven-days treatment. The clinical efficacy was also observed. Results： The treatment group showed better effect than the control group（P〈0.05）. The rectal resting pressure, anal resting pressure and anal maximal systolic blood pressure increased and the rectal sensation threshold and first defecation anal-rectal inhibitory reflex threshold decreased in the two groups（P〈0.05）. The treatment group showed higher rectal resting pressure, anal resting pressure and anal maximal systolic blood pressure, as well as lower rectal sensation threshold and first defecation anal-rectal inhibitory reflex threshold than the control group（P〈0.05）. The constipation symptom score was reduced in the two groups, with a statistical significance（P〈0.05）.The constipation symptom score of the treatment group was lower than the control group, with a statistical significance（P〈0.05）. The life quality score was improved in the two groups（P〈0.05）. The treatment group showed better life quality score than the control group（P〈0.05）. Conclusion： Electroacupuncture of ST36 can provide good effect on Parkinson with constipation. It can improve the anorectal dynamics and increase the life quality of patients.

关 键 词：便秘 帕金森 电针 足三里 肛门直肠动力学 生活质量 

分 类 号：R256.35[医药卫生—中医内科学]