穴位埋线治疗帕金森病便秘疗效观察  

Observations on the efficacy of acupoint catgut embedding for constipation in Parkinson disease

作　　者：宋秋英[1] 何露[2] 刘海俊 吴之昊 SONG Qiuying;HE Lu;LIU Haijun;WU Zhihao(Hangzhou Normal University Hospital,Hangzhou 310015,China;Hangzhou Normal University Deqing Hospital Branch,Huzhou 313200,China)

机构地区：[1]杭州师范大学附属医院,杭州310015 [2]杭州师范大学附属德清分院,湖州313200

出　　处：《上海针灸杂志》2023年第7期694-698,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省中医药科技计划项目(2020ZB201)。

摘　　要：目的观察穴位埋线治疗帕金森病便秘的临床疗效。方法将80例帕金森病便秘患者随机分为治疗组和对照组,每组40例。治疗组采用穴位埋线治疗,对照组采用假刺激治疗(针刺治疗组相同穴位,留针10 s后拔针)。观察两组治疗前后便秘患者症状自评量表(patient assessment of constipation symptoms,PAC-SYM)各项评分及便秘患者生存质量量表(patient assessment of constipation quality of life,PAC-QOL)评分的变化,并比较两组临床疗效。结果治疗组治疗后PAC-QOL评分均较治疗前降低(P<0.05);治疗组治疗后PAC-SYM中直肠症状评分及PAC-QOL评分明显低于对照组(P<0.05)。治疗组总有效率为77.5%,明显高于对照组的30.0%(P<0.01)。治疗组治疗前后PAC-SYM评分与PAC-QOL评分呈正相关(P<0.01)。结论穴位埋线是一种治疗帕金森病便秘的有效方法,能改善患者排便次数、排便费力症状及生活质量。Objective To observe the clinical efficacy of acupoint catgut embedding for constipation in Parkinson disease.Method Eighty constipation patients with Parkinson disease were randomized to treatment and control groups,with 40 cases in each group.The treatment group received acupoint catgut embedding and the control group,sham stimulation treatment(the same acupoints as in the treatment group and removal of the needles after 10-second retention of them).The patient assessment of constipation symptoms(PAC-SYM)score and the patient assessment of constipation quality of life(PAC-QOL)score were recorded in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result After treatment,the PAC-QOL score decreased significantly in the treatment group compared with before with a statistically significant difference(P<0.05).After treatment,the PAC-SYM rectal symptom score and the PAC-QOL score were significantly lower in the treatment group than in the control group with statistically significant differences(P<0.05).The total efficacy rate was 77.5%in the treatment group,which was significantly higher than 30.0%in the control group(P<0.01).Before and after treatment,the PAC-SYM score had a positive correlation with the PAC-QOL score in the treatment group(P<0.01).Conclusion Acupoint catgut embedding is an effective way to treat constipation in Parkinson disease.It can reduce the frequency of defecation,relieve effort in defecation and improve the quality of life in the patients.

关 键 词：穴位疗法 埋线 帕金森病 便秘 便秘患者症状自评量表 便秘患者生存质量量表 

分 类 号：R246.1[医药卫生—针灸推拿学]