耳穴磁珠贴压联合针灸治疗老年功能性便秘的疗效及对中医证候积分、直肠感觉功能的影响  

Curative Effect of Auricular Point Magnetic Bead Sticking Combined with Acupuncture on Senile Functional Constipation and its Influence on TCM Syndrome Score and Rectal Sensory Function

作　　者：张晓辰 刘凤珍 余峰 韦莉君 张蕾[1] 朱薇[1] 王丽[1] ZHANG Xiao-chen;LIU Feng-zhen;YU Feng;WEI Li-jun;ZHANG Lei;ZHU Wei;WANG Li(Qibao Community Health Service Center Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,China,201101)

机构地区：[1]上海中医药大学附属七宝社区卫生服务中心,上海201101

出　　处：《河南中医》2022年第2期306-309,共4页Henan Traditional Chinese Medicine

基　　金：上海市闵行区卫生和计划生育委员会科研课题项目(2018MW36)。

摘　　要：目的:观察耳穴磁珠贴压联合针灸治疗老年功能性便秘的疗效及对中医证候积分、直肠感觉功能的影响。方法:选取2019年4月至2020年9月本院收治的104例老年功能性便秘患者,按照数字表法分为对照组和治疗组各52例,对照组采用针灸治疗,日1次,5次为1个疗程,疗程间隔3 d。治疗组在对照组治疗的基础上联合耳穴磁珠贴压治疗,两组均连续治疗1个月,比较两组患者临床疗效、中医证候积分、直肠感觉功能指标(直肠感觉阈值、排便感觉阈值、最大耐受量)以及直肠肛门测压、便秘患者生活质量评分(patient assessment of constipation quality of life questionnaire,PACQOL)和不良反应发生率。结果:对照组有效率为71.15%,治疗组有效率为88.46%,两组有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后中医证候积分明显减少,与治疗前比较,差异有统计学意义(P<0.05);组间比较,差异有统计学意义(P<0.05)。两组患者治疗后直肠感觉阈值、排便感觉阈值、最大耐受量均降低,与治疗前比较,差异有统计学意义(P<0.05);组间比较,差异有统计学意义(P<0.05)。两组患者治疗后直肠收缩压、肛门残余压均降低,与治疗前比较,差异有统计学意义(P<0.05);组间比较,差异有统计学意义(P<0.05)。两组患者治疗后PACQOL评分降低,与治疗前比较,差异有统计学意义(P<0.05);组间比较,差异有统计学意义(P<0.05)。对照组不良反应发生率为3.85%,治疗组不良反应发生率为7.69%,两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:耳穴磁珠贴压联合针灸治疗能有效改善老年功能性便秘患者中医证候和直肠感觉功能,提高患者生活质量。Objective:To observe the clinical curative effect of auricular point magnetic bead sticking combined with acupuncture on senile functional constipation and its influence on TCM syndrome score and rectal sensory function.Methods:A total of 104 senile patients with functional constipation treated in our hospital from April 2019 to September 2020 were divided into the control group and the treatment group,with 52 cases in each group.The control group was treated with acupuncture,once a day and 5 times as a course of treatment,with an interval of 3 days.The treatment group was treated with auricular point magnetic bead sticking on the basis of the control group.The two groups were treated continuously for 1 month.The clinical efficacy,TCM syndrome score,rectal sensory function indexes(including rectal sensory threshold,defecation sensory threshold,maximum tolerance),rectal and anal manometry,quality of life score of patients with constipation based on patient assessment of constipation quality of life(PACQOL)and incidence of adverse reactions were compared between the two groups.Results:The effective rate was 71.15%in the control group and 88.46%in the treatment group.There was significant difference between the two groups(P<0.05).The TCM syndrome score of the two groups decreased significantly after treatment,and there was significant difference compared with that before treatment(P<0.05);there was also significant difference between the two groups(P<0.05).The rectal sensory threshold,defecation sensory threshold and maximum tolerance of the two groups decreased after treatment,and there were significant differences compared with those before treatment(P<0.05);there were also significant differences between the two groups(P<0.05).After treatment,the rectal systolic pressure and anal residual pressure of the two groups decreased,and the differences were statistically significant compared with those before treatment(P<0.05);there were also significant differences between the two groups(P<0.05).The PACQOL score of the

关 键 词：功能性便秘 老年 耳穴磁珠贴压 针灸治疗 

分 类 号：R259.744[医药卫生—中西医结合]