摘要
目的:研究针药并用治疗耻骨直肠肌综合征的临床疗效及作用机制。方法:90名耻骨直肠肌综合征患者随机分为3组,药物组采用单独药物(麻仁胶囊)治疗,针刺组针刺天枢、支沟、上巨虚、大肠俞、足三里加百会、长强和内关穴,联合组采用针药并用的方法,观察不同方法的疗效差异。结果:3组治疗前后症状积分均有明显差异(P<0.05),联合组差异性最显著(P<0.01);各组治疗前后排粪造影指标变化:药物组无统计学意义(P>0.05);针刺组有明显差异(P<0.05),联合组差异性显著(P<0.01);治疗结束半年后上述指标在药物组和针刺组均有一定反弹(P<0.05),且药物组更明显,联合组未见明显反弹(P>0.05)。结论:针刺可治疗耻骨直肠肌综合征所致的便秘,联合麻仁胶囊疗效更持久稳定。
Objective：To explore the clinical effectiveness and mechanism of treating puborectal syndrome with acu- puncture and drugs. Methods ： Ninety patients with puborectal syndrome were randomly assigned into three groups. Patients of the single - drug group were treated with Maren Soft Capsule 2 for each time, twice a day. Patients in the acupuncture group were treated with acupuncture points Tianshu, Zhigou, Shangjuxu, Dachangshu, Zusanli, Baihui, Changqiang and Neiguan, while the combination group＇ s patients were treated with combination of the above - mentioned points and Maren Soft Capsule. The difference of clinical effectiveness among groups was observed. Results ： The symptom integral be- tween pre - treatment and post - treatment in all groups had significant difference （ P 〈 0.05 ）, and the difference of the combination group was more remarkable （P 〈 0.01 ）. The changes of Defecography index in the acupuncture group were significantly different （P 〈 0.05 ）, which was more remarkable in the combination group （P 〈 0.01 ）. On the contrary, there was no significant difference in the single - drug group （ P 〉 0.05 ）. The above - mentioned indexes were obviously rebounded in the single - drug group and acupuncture group in 6 months after the completion of treatment, which is more obvious in the single -drug group （P 〈 0.05 ）. Meanwhile, no significant rebound was observed in the combination group （ P 〉 0. 05 ）. Conclusions ： Acupuncture is effective for treating puborectal syndrome, while the clinical effectiveness will be lasting more and stable when combined with Maren Soft Capsule.
出处
《中华中医药学刊》
CAS
2013年第11期2480-2483,共4页
Chinese Archives of Traditional Chinese Medicine
基金
浙江省中医药管理局资助项目(2010ZA088)
