联合针刺肝胃经腧穴治疗功能性便秘的临床观察  

Clinical Observation of Acupuncture at Acupoints of Both Liver and Stomach Meridians in Treating Functional Constipation

作　　者：单静怡 卞慧[1] 李希[1] 林俊儒[1] 林宇栋 林江[1] SHAN Jing-Yi;BIAN Hui;LI Xi;LIN Jun-Ru;LIN Yu-Dong;LIN Jiang(Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032;Shanghai Hospital of Traditional Chinese and Western Medicine,Shanghai 200082)

机构地区：[1]上海中医药大学附属龙华医院,上海200032 [2]上海市中西医结合医院,上海200082

出　　处：《广州中医药大学学报》2020年第5期885-890,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：海派中医流派(丁氏内科)黄文东临床传承研究资助项目(编号:ZY3-CCCX-1-1001)。

摘　　要：【目的】观察联合针刺肝胃经腧穴对功能性便秘(FC)患者的短期临床疗效。【方法】将72例FC患者随机分为观察组和对照组,每组各36例。对照组给予胃经腧穴常规针刺治疗,观察组在对照组的基础上联合针刺肝经腧穴,均为隔日1次,连续治疗4次(1周)。治疗1周后,比较2组患者治疗前后便秘症状和中医证候评分的变化情况,并评价2组患者的短期疗效。【结果】(1)研究过程中,观察组无脱落病例;对照组共剔除2例。最终观察组36例、对照组34例纳入疗效统计。(2)治疗后,2组患者便秘症状评分、中医证候评分均明显改善(P<0.05),且观察组在改善便秘症状评分、中医证候评分方面均明显优于对照组,差异均有统计学意义(P<0.05)。(3)观察组总有效率为100.00%(36/36),对照组为85.29%(29/34)。观察组疗效优于对照组,差异有统计学意义(P<0.01)。(4)安全性评价:研究过程中,2组患者均未出现意识、感觉障碍,心率、呼吸异常以及晕针、滞针、断针等明显不良反应的情况。【结论】在常规针刺胃经腧穴的基础上,联合针刺肝经腧穴治疗功能性便秘,能有效改善患者便秘症状积分和中医证候积分,提高患者生活质量,临床疗效确切。Objective To observe the short-time clinical efficacy of acupunture at acupoints of both liver and stomach meridians for the treatment of the patients with functional constipation(FC).Methods Seventy-two FC patients were randomly divided into observation group and control group,36 patients in each group.The two groups received acupunture at acupoints of stomach meridians,additionally,the observation group received acupunture at acupoints of liver meridians,once every two days,4 times in one week.After one-week treatment,the scores of constipation symptoms and traditional Chinese medicine syndrome were compared in the two groups before and after treatment,and the short-time clinical efficacy was evaluated.Results(1)During the trial,no cases in the observation group dropped out,and two cases in the control group dropped out.Utimately,36 cases in the observation group and 34 cases in the control group were included to statistics.(2)After treatment,the scores of constipation symptoms and traditional Chinese medicine syndrome in the two groups were improved(P<0.05),and the improvement in the scores of constipation symptoms and traditional Chinese medicine syndrome of the observation was superior to that of the control group(P<0.05).(3)The total effective rate was 100.00%(36/36)in the observation group,and was 85.29%(29/34)in the control group.The curative efficacy of the observation was superior to that of the control group(P<0.05).(4)Safety evaluation:During the trial,there was no adverse events such as conscious and sensory disturbances,abnormal heart rate and breathe,fainting during acupuncture,sticking of needle,and broken needle occurred in the two groups.Conclusion Based on conventinal acupuncture at acupoints of stomach meridians,combination of acupunture at acupoints of liver meridians treatment for FC has effects on the scores of constipation symptoms and traditional Chinese medicine syndrome,and can promote quality of life.

关 键 词：功能性便秘 针刺 肝经 胃经 行间穴 太冲穴 蠡沟穴 

分 类 号：R246.9[医药卫生—针灸推拿学]