“通督培元”针法联合督脉灸干预脊髓损伤肠功能障碍:随机对照研究  

Intervention of Tongdu Peiyuan Acupuncture Combined with Du Meridian Moxibustion on Intestinal Dysfunction of Spinal Cord Injury:A Randomized Controlled Study

作　　者：曹钰 孙善斌[2] CAO Yu;SUN Shanbin(Anhui University of Chinese Medicine,Hefei 230038,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学,安徽合肥230038 [2]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《针灸临床杂志》2025年第2期36-40,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽省高校科学类研究项目重大项目,编号:2023AH040110;孙善斌名医工作室建设项目,编号:皖中医药发展秘〔2023〕23号。

摘　　要：目的:探讨“通督培元”针刺联合督脉灸干预脊髓损伤(SCI)后肠道功能障碍的临床疗效。方法:选择60例(脱落后48例)满足条件的脊髓损伤患者,随机将患者平均分配到两个组别,两组患者均接受常规西药治疗及康复训练,对照组采用督脉灸治疗,综合治疗组在对照组的基础上加“通督培元”针刺。每个疗程结束后,分别评估两组患者治疗前与治疗后的NBD评分和GITT评分,治疗12周后评估两组患者中医症候积分,并比较两组临床疗效。结果:治疗后,综合治疗组的总有效率为91.7%(22/24),对照组总有效率为79.2%(19/24),两组中医症候积分均低于治疗前,综合治疗组每个主要症状评分均低于对照组;每个疗程结束,两组患者NBD评分及GITT评分,与治疗前比较均降低,差异具有统计学意义(P<0.01);同期综合治疗组NBD评分与GITT评分均低于对照组,差异具有统计学意义(P<0.05)。结论:“通督培元”针法联合督脉灸能明显改善SCI后肠功能障碍患者的临床症状。Objective:To explore the clinical efficacy of Tongdu Peiyuan(activating Du meridian and tonifying vital energy)acupuncture combined with Du meridian moxibustion intervening intestinal dysfunction of spinal cord injury(SCI).Methods:60 patients with SCI(48 cases after shedding)were randomly divided into the control group and the treatment group,with 24 cases in each group.Both groups received conventional Western medication and rehabilitation training;on which basis,the control group was treated with Du meridian moxibustion,and the treatment group was treated with Tongdu Peiyuan acupuncture combined with Du meridian moxibustion.The scores of NBD and GITT were evaluated at the end of each treatment course in the two groups,and the scores of TCM symptoms were evaluated after 12 weeks of treatment.The clinical efficacy was compared between the two groups.Results:The total effective rate of the treatment group was 91.7%(22/24),which was higher than 79.2%(19/24)of the control group(P<0.05).The scores of TCM syndromes were decreased after the treatment in both groups,and the scores were lower in the treatment group than those in the control group(P<0.05).The scores of NBD and GITT were lower after the treatment than those before the treatment in the two groups at the end of each treatment course(P<0.01);the scores of NBD and GITT of the treatment group were lower than those of the control group(P<0.05).Conclusion:Tongdu Peiyuan acupuncture combined with Du meridian moxibustion can obviously improve clinical symptoms of intestinal dysfunction after SCI.

关 键 词：脊髓损伤 肠道功能障碍 通督培元 针刺 督脉灸 康复训练 

分 类 号：R246.6[医药卫生—针灸推拿学]