八髎穴深刺联合生物反馈治疗功能性排便障碍的疗效观察  

Observation on the therapeutic effect of deep needling at Baliao acupoint combined with biofeedback therapy on functional defecation disorder

作　　者：徐治中[1] 吴本升[1] 何宗琦[1] 孙明明[1] 陈映辉[1] 潮露露 王晓鹏[1] XU Zhizhong;WU Bensheng;HE Zongqi;SUN Mingming;CHEN Yinghui;CHAO Lulu;WANG Xiaopeng(Department of Proctology,Suzhou Traditional Chinese Medicine Hospital Affiliated to NanjingUniversity of Traditional Chinese Medicine,Suzhou,Jiangsu,215009,China;Anhui Universityof Traditional Chinese Medicine)

机构地区：[1]南京中医药大学附属苏州市中医医院肛肠科,江苏苏州215009 [2]安徽中医药大学

出　　处：《中国中西医结合消化杂志》2023年第11期842-846,共5页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：江苏省自然科学基金项目(No:BK20211085);苏州市科技发展计划(No:SKY2023067);苏州市姑苏卫生人才计划人才科研项目(No:GSW2021046);苏州市临床重点病种诊疗项目(No:LCZX202114)。

摘　　要：目的:观察八髎穴深刺联合生物反馈(biofeedback,BF)治疗功能性排便障碍(functional defecation disorder,FDD)的临床疗效。方法:研究对象为2021年2月—2022年12月期间诊治的84例FDD患者,将其随机分为对照组(单纯BF治疗)和治疗组(八髎穴深刺联合BF治疗),其中对照组43例,治疗组41例。所有患者每周治疗3次,10次为1个疗程。治疗2个疗程后,分别比较两组患者治疗前后的临床疗效、便秘症状评分、生活质量、心理状态评分、肛管直肠压力和心率变异性指标,并对两组患者治疗后的效果进行组间比较。结果:治疗组总有效率为73.17%,高于对照组的51.16%。两组患者治疗后便秘症状评分、肛管直肠压力及生活质量评分较治疗前均显著改善(P<0.05),但治疗组改善幅度大于对照组(P<0.05)。治疗组焦虑自评量表、抑郁自评量表评分和心率变异性指标较治疗前显著优化(P<0.05),而对照组治疗前后差异无统计学意义。结论:八髎穴深刺联合BF治疗FDD的总体疗效优于单纯BF治疗,可显著改善患者的自主神经功能及情绪状态。Objective:To observe the clinical efficacy of deep needling at Baliao point combined with biofeedback in the treatment of functional defecation disorder.Methods:The research subjects were 84functional defecation disorder patients diagnosed and treated from February 2021to December 2022.The patients were randomly divided into a control group(treated with biofeedback alone)and a treatment group(treated with deep needling of Baliao acupoint combined with biofeedback),with 43cases in each control group and 41cases in the treatment group.All patients were treated 3times a week,with 10times being a course of treatment.After two courses of treatment,the clinical efficacy,constipation symptom score,quality of life,psychological state score,anorectal pressure,and heart rate variability(HRV)of the two groups of patients were compared before and after treatment,and the results of the two groups of patients were compared between groups.Results:The total effective rate of the treatment group was 73.17%,higher than the 51.16%of the control group.The scores of constipation symptoms,anorectal pressure,and quality of life in both groups of patients after treatment were significantly improved compared to before treatment(P<0.05),but the improvement in the treatment group was greater than that in the control group(P<0.05).The self-rating anxiety scales,self-rating depression scale scores,and HRV indicators in the treatment group were significantly optimized compared to before treatment(P<0.05),while there was no statistically significant difference in the control group before and after treatment.Conclusion:The overall efficacy of deep needling at Baliao acupoint combined with biofeedback treatment for functional defecation disorders is better than that of simple biofeedback treatment,which can significantly improve patients'autonomic nervous function and emotional state.

关 键 词：功能性排便障碍 八髎穴深刺 生物反馈治疗 自主神经功能 

分 类 号：R256.35[医药卫生—中医内科学]