摘要
目的:探讨针灸治疗慢性便秘的疗效特点。方法:按照罗马Ⅲ诊断标准,在慢性便秘诊治平台下系统纳入中重度患者31例,共分两组穴位,交替采用,其中第1组穴位:天枢、大横、腹结、气海、关元、足三里、上巨虚、支沟。第2组穴位:大肠俞、肾俞、八髎、四神聪。每日1次,20次为1个疗程。根据患者每日排便日记,记录治疗后首次排便时间、每次排便时间、每周排便次数、粪便性状、伴随症状如腹胀、肛门坠胀、食欲不振、睡眠障碍的改善情况。结果:31例患者临床痊愈15例,好转6例,有效6例,无效4例。排便时间、粪便性状、排便次数、如厕次数均较治疗前明显改善(P<0.01),伴随症状腹胀、肛门坠胀、睡眠障碍、食欲等均较治疗前明显改善(P<0.01)。有效随访26例,生活质量均有提高。结论:针灸治疗慢性便秘有效、安全,值得临床推广及进一步规范研究。
Objective ：To investigate the acupuncture therapy effect features in chronic constipation. Methods ：According to the Rome Ⅲ diagnostic criteria, based on the clinical pathway on chronic constipation, 31 cases enrolled in , who were moderate and severe. The acupuncture points were divided into 2 groups, employed alternately, once daily, 20 times in a course. Group 1 ： Tianshu Daheng Fujie Qihai Guanyuan Zusanli Shangjuxu Zhigou, Group 2 ： Dachangshu Shenshu Baliao Sishencong. According to patients defecation diary, record the first time defecation after treatment, defecation time per day, stool times per week, stool consistence and concomitant symptoms such as bloating, anus fullness, poor appetite and insomnia. Results ：Total 31 cases 15 cases were recovery, 6 cases were better, 6 cases were good and 4 cases were invalid. The defecation time per day and per week, stool consistence and concomitant symptoms were improved（ P 〈 0. 01 ）. Follow up 26/31 cases, the quality of life were improved. Conclusion ：Acupuncture therapy in chronic constipation is effective and safety and to be worth spreading and further research.
出处
《中华中医药学刊》
CAS
2008年第2期434-436,共3页
Chinese Archives of Traditional Chinese Medicine
关键词
针灸
慢性便秘
临床路径
acupuncture
chronic constipation
clinical pathway
