郑氏凉泻法治疗功能性便秘(热秘证)临床研究  

Clinical Study on ZHENG’s Cold Reducing Method in the Treatment of Functional Constipation of Heat Syndrome

作　　者：项翔 胡三三 曹静 徐梦恬 林雪娇 丁德光[2,3] XIANG Xiang;HU Sansan;CAO Jing;XU Mengtian;LIN Xuejiao;DING Deguang(Hubei University of Chinese Medicine, Wuhan 430061, China;Hubei Provincial Hospital of TCM, Wuhan 430061, China;Hubei Provincial Academy of TCM, Wuhan 430061, China)

机构地区：[1]湖北中医药大学,湖北武汉430061 [2]湖北省中医院,湖北武汉430061 [3]湖北中医药研究院,湖北武汉430061

出　　处：《针灸临床杂志》2020年第6期47-50,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:观察郑氏凉泻法针刺治疗功能性便秘(FC)的临床疗效。方法:将52例功能性便秘(热秘证)患者随机分为观察组(26例)与对照组(26例)。观察组采用凉泻手法;对照组采用常规泻法。两组均连续治疗4周,并随访4周。观察基线1周、治疗第4周、随访第4周记录当周CSBMs、Bristol评分、排便困难度。结果:两组FC患者治疗后有效率相比,观察组优于对照组,差异具有统计学意义(P<0.05)。基线1周、治疗第4周评估、随访第4周评估,两组患者CSBMs、Bristol评分、排便困难度均较治疗前改善(P<0.05),且观察组较对照组CSBMs、Bristol评分、排便困难度改善均更为明显,差异具有统计学意义(P<0.05),而在随访第4周评估,两组患者CSBMs、Bristol评分、排便困难度比较,说明观察组远期疗效优于对照组(P<0.05)。随访期两组CSBMs、Bristol评分、排便困度复发率对比,观察组CSBMs较对照组更低,差异具有统计学意义(P<0.05),而其余两指标复发率对比,差异无统计学意义(P>0.05)。两组患者复发率对比,观察组治愈例数复发率更低,差异具有统计学意义(P<0.05),两组有效例数复发率差异无统计学意义(P>0.05)。结论:凉泻法治疗功能性便秘疗效较普通针刺治疗功能性便秘疗效更好,治愈后复发率更小。Objective:To observe the clinical effect of ZHENG's cold reducing method on functional constipation.Methods:52 patients met the inclusion criteria were randomly divided into the observation group(n=26)and the control group(n=26).The observation group was treated with cold reducing method,and the control group was treated with routine reducing method.Both groups were treated continuously for 4 weeks and were followed up for another 4 weeks.The scores of CSBMs and Bristol,as well as defecation difficulty were recorded at 1 week of baseline,after 4 weeks of treatment and during 4 weeks of follow-up.Results:The effective rate of the observation group was higher than that of the control group(P<0.05).The scores of CSBMs and Bristol,as well as defecation difficulty were significantly improved after 1 week of baseline,4 weeks of treatment and 4 weeks of follow-up in the two groups(P<0.05);of which the improvements in the observation group were more significant(P<0.05).During the 4 week of follow-up,the comparison of the scores of CSBMs and Bristol and defecation difficulty between the two groups showed that the long-term effect of the observation group was better than that of the control group(P<0.05).During the follow-up period,the score of CSBMs was lower in the observation group than that in the control group(P<0.05),but there were no statistical differences in the score of Bristol and the defecation difficulty between the two groups(P>0.05).The recurrence rate of the cured cases was lower in the observation group than that in the control group(P<0.05).There was no statistical difference in recurrence rate of effective cases between the two groups(P>0.05).Conclusion:The curative effect of cold reducing method is better than that of routine reducing method in the treatment of functional constipation,and the recurrence rate of cured patients is lower.

关 键 词：凉泻法 针刺手法 功能性便秘 热秘证 

分 类 号：R246.1[医药卫生—针灸推拿学]