合募配穴法埋线治疗肠道实热型功能性便秘:随机对照试验  

Thread-embedding at combined lower he-sea and front-mu points for functional constipation with intestinal excess heat:a randomized controlled trial

作　　者：谢雯婷 祁万梅 陈玉竹 严兴科 XIE Wenting;QI Wanmei;CHEN Yuzhu;YAN Xingke(School of Acupuncture-Moxibustion and Tuina,Gans University of CM,Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学针灸推拿学院,兰州730000

出　　处：《中国针灸》2025年第3期295-299,共5页Chinese Acupuncture & Moxibustion

基　　金：甘肃省高等学校科研项目:2018C-18;兰州市人才创新创业项目:2017-RC-60;中共甘肃省委组织部2023年度省级重点人才项目:甘组字通[2023]20号。

摘　　要：目的:观察合募配穴法埋线治疗肠道实热型功能性便秘的临床疗效。方法:将80例肠道实热型功能性便秘患者随机分为埋线组(40例,脱落2例)和中成药组(40例,脱落1例)。埋线组基于合募配穴治腑病理论选取中脘、关元及双侧足三里、上巨虚、天枢、下巨虚进行埋线,每周1次。中成药组采用口服麻仁润肠丸治疗,每次6~12 g,每日2次。两组均治疗4周。观察两组患者治疗前后便秘评估量表(CAS)、布里斯托大便分类法(BSFS)、便秘患者生活质量自评问卷量表(PAC-QOL)评分和中医证候积分,并于治疗后评定两组临床疗效。结果:治疗后,两组患者CAS评分及中医证候积分较治疗前降低(P<0.05),BSFS评分较治疗前升高(P<0.05);两组患者PAC-QOL总分及躯体不适、心理社会不适评分较治疗前降低(P<0.05),埋线组患者担心和焦虑、满意度评分较治疗前降低(P<0.05)。治疗后,埋线组患者CAS评分、PAC-QOL总分及各维度评分、中医证候积分低于中成药组(P<0.05)。埋线组总有效率为78.9%(30/38),高于中成药组的56.4%(22/39,P<0.05)。结论:合募配穴法埋线可有效治疗肠道实热型功能性便秘,改善患者生活质量。Objective To observe the clinical efficacy of thread-embedding at the combined lower he-sea and front-mu points for functional constipation with intestinal excess heat.Methods A total of 80 patients with functional constipation of intestinal excess heat were randomly divided into a thread-embedding group(40 cases,2 cases dropped out)and a Chinese patent medication group(40 cases,1 case dropped out).Based on the theory of combined lower he-sea and front-mu points for diseases of fu organs,Zhongwan(CV12),Guanyuan(CV4)and bilateral Zusanli(ST36),Shangjuxu(ST37),Tianshu(ST25),Xiajuxu(ST39)were selected and thread-embedding therapy was delivered in the thread-embedding group,once a week.Maren Runchang pill was given orally in the Chinese patent medication group,6-12 g each time,twice a day.Both groups were treated for 4 weeks.Before and after treatment,the scores of constipation assessment scale(CAS),Bristol stool form scale(BSFS),patient-assessment of constipation quality of life(PAC-QOL)and TCM syndrome were observed,and the clinical efficacy was evaluated after treatment in the two groups.Results After treatment,the CAS scores and the TCM syndrome scores were decreased compared with those before treatment(P<0.05),while the BSFS scores were increased compared with those before treatment(P<0.05)in the two groups;the total scores,as well as the physical discomfort and psychosocial discomfort scores of PAC-QOL were decreased compared with those before treatment(P<0.05)in the two groups,the worry and anxiety,and the satisfaction scores of PAC-QOL were decreased compared with those before treatment(P<0.05)in the thread-embedding group.After treatment,the CAS score,the total score and item-scores of PAC-QOL,as well as the TCM syndrome score in the thread-embedding group were lower than those in the Chinese patent medication group(P<0.05).The total effective rate was 78.9%(30/38)in the thread-embedding group,which was higher than 56.4%(22/39)in the Chinese patent medication group(P<0.05).Conclusion Thread-embedding at the

关 键 词：功能性便秘 肠道实热型 埋线 合募配穴 便秘评估量表(CAS) 中医证候积分 

分 类 号：R246.1[医药卫生—针灸推拿学]