电针治疗血虚津亏型产后便秘的临床疗效观察  

Observation of clinical efficacy of electroacupuncture in the treatment of postpartum constipation with syndrome of blood deficiency and depleted fluid

作　　者：李悦 种文强 张慧叶 李昂 LI Yue;ZHONG Wenqiang;ZHANG Huiye;LI Ang(Department of Traditional Chinese Medicine of Ganquan Community Health Service Center of Putuo District,Shanghai 200065,China;Trauma Joint Ward of Traditional Chinese Medicine Hospital of Xian,Xian 710000,China;Postpartum Rehabilitation Department of Second Affiliated Hospital of Traditional Chinese Medicine University of Shanxi,Xian 712000,China)

机构地区：[1]上海市普陀区甘泉街道社区卫生服务中心中医科,上海200065 [2]西安市中医院创伤关节病区,西安710000 [3]陕西中医药大学第二附属医院产后康复科,西安712000

出　　处：《上海医药》2024年第24期25-28,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:观察电针对血虚津亏型产后便秘的临床疗效,为有哺乳需求及对药物治疗有顾虑的产后便秘女性探寻新方案。方法:收集2021年3月至12月收治的血虚津亏型产后便秘患者62例,随机分为对照组和观察组各31例。对照组口服四物汤加味中药治疗6 d;观察组给予电针治疗5 d;治疗1个月后进行随访。对比两组治疗前后便秘临床症状、中医症状及生活质量评分及治疗总有效率。结果:治疗后,两组各项量表评分均较治疗前显著改善(P<0.01)。观察组各项量表评分、治疗总有效率及随访复发率与对照组相比差异无统计学意义(P>0.05)。结论:电针在改善血虚津亏型产后便秘患者临床症状和生活质量方面具有良好疗效,其临床效用几乎与药物组同等,可为优化产后便秘治疗提供可靠参考。Objective:To observe the clinical efficacy of electroacupuncture in the treatment of postpartum constipation with syndrome of blood deficiency and depleted fluid,and to explore a new plan for women with postpartum constipation who had the need for breastfeeding and concerns about drug treatment.Methods:A total of 62 patients with postpartum constipation with syndrome of blood deficiency and depleted fluid were collected from March to December 2021,and randomly divided into a control group and an observation group with 31 cases in each group.The control group was treated with oral administration of modified Siwu decoction for 6 days,and the observation group was treated with electroacupuncture for 5 days,and after one month treatment,they were followed up.The clinical symptoms of constipation,TCM symptom score,quality of life score,and total effective rate were compared between the two groups before and after treatment.Results:After treatment,the scores of various scales in both groups had significantly improved compared to before treatment(P<0.01).There were no significant differences in the scores of various scales,the total effective rate of treatment and the follow-up recurrence in the observation group compared to the control group(P>0.05).Conclusion:Electroacupuncture has a good effect in improving the clinical symptoms and quality of life of patients with postpartum constipation with syndrome of blood deficiency and depleted fluid,and its clinical efficacy is almost the same as that of the drug group,which can provide a reliable reference for optimizing the treatment of postpartum constipation.

关 键 词：电针疗法 产后便秘 血虚津亏 疗效观察 

分 类 号：R245.3[医药卫生—针灸推拿学]