消胀通便贴贴敷神阙穴治疗慢性功能性便秘临床观察  

Clinical Observation of Xiaozhang Tongbian Paste Application at Shenque Acupoint for Chronic Functional Constipation

作　　者：金瑞环 叶方益 JIN Ruihuan;YE Fangyi

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]瑞安市中医院,浙江瑞安325000

出　　处：《新中医》2018年第11期177-179,共3页New Chinese Medicine

基　　金：瑞安市科技创新项目(MS2015009)

摘　　要：目的:观察消胀通便贴贴敷神阙穴治疗慢性功能性便秘的临床疗效。方法:选取122例慢性功能性便秘患者,随机分为治疗组和对照组各61例。在基础治疗的同时,对照组予乳果糖口服液治疗,治疗组在对照组基础上采用消胀通便贴贴敷神阙穴。2组均治疗2周。观察2组排便困难、粪便性状、排便时间、排便不尽感及腹胀的改善情况,比较2组临床疗效。结果:治疗后,2组排便困难、粪便性状、排便时间、排便不尽感及腹胀评分均较治疗前降低,差异均有统计学意义(P <0.05);治疗组5项症状评分均低于对照组,差异均有统计学意义(P <0.05)。治疗组总有效率81.97%,显效率42.62%;对照组总有效率70.49%,显效率26.23%。2组总有效率及显效率比较,差异均有统计学意义(P <0.05)。结论:在乳果糖口服液基础上加用消胀通便贴贴敷神阙穴治疗慢性功能性便秘能提高治疗效果。Objective. To observe the clinical effect of Xiaozhang Tongbian paste application at Shenque acupoint for chronic functional constipation. Methods, Selected 122 cases of patients with chronic functional constipation and divided them into the treatment group and the control group randomly, 61 cases in each group. Based on basic treatment, the control group was treated with lactulose oral solution, and the treatment group was additionally applied with Xiaozhang Tongbian paste application at Shenque acupoint. The treatment for both groups lasted for 2 weeks. Observed the improvement of difficult defecation, fecal character, defecation time and sense of incomplete defecation, and compared the clinical effect in the two groups. Results= After treatment, the scores of difficult defecation, fecal character, defecation time and sense of incomplete defecation as well as abdominal distension in the two groups were decreased when compared with those before treatment, differences being significant（P 〈 0.05）. The previous five symptom scores in the treatment group were lower than those in the control group, differences being significant（P 〈 0.05）. Compared the total effective rate and the obvious effective rate in the two groups, the total effective rate was 81.97% in the treatment group and 70.49% in the control group, and the obvious effective rate was 42.62% in the treatment group and 26.23% in the control group, differences being significant （P 〈 0.05）. Conclusion： Based on lactulose oral solution, the application of Xiaozhang Tongbian paste application at Shenque acupoint for chronic functional constipation can improve the curative effect.

关 键 词：慢性功能性便秘 消胀通便贴 穴位贴敷 神阙 乳果糖口服液 症状评分 疗效 

分 类 号：R574.62[医药卫生—消化系统]