电针深刺对功能性便秘患者排便次数及大便性状的影响

发布时间：2018-01-14 05:10

本文关键词：电针深刺对功能性便秘患者排便次数及大便性状的影响　出处：《针刺研究》2017年03期 　论文类型：期刊论文

【摘要】：目的:探讨电针治疗功能性便秘的效应规律。方法:功能性便秘患者随机分为电针组45例及假电针组43例。电针组电针双侧天枢、腹结、上巨虚,假电针组选取双侧天枢旁、腹结旁、上巨虚旁浅刺皮下不接通电针。比较两组患者在基线周、治疗第1~8周、随访第4、8、12周时的完全排尽感自主排便(CSBM)次数的人数,以及基线周和治疗第1~8周Bristol粪便性状和排便困难程度评分。结果:治疗第3~8周和随访第4、8、12周时,两组患者CSBM不同次数的人数比较差异具有统计学意义(P0.05),电针治疗能使每周CSBM次数多于3次的人数明显增加。治疗第4、5周,电针组较假电针组Bristol粪便性状评分明显增加(P0.05)。从治疗第4周开始,电针组患者排便困难程度评分较假电针组得到明显改善(P0.05)。结论:电针深刺可明显改善功能性便秘患者排便次数、大便性状、排便困难程度。
[Abstract]:Objective: to investigate the effect of electroacupuncture on functional constipation. Methods: patients with functional constipation were randomly divided into electroacupuncture group (n = 45) and false electroacupuncture group (n = 43). In the sham electroacupuncture group, bilateral Tianxuang, ventral nodule, and superficial needling of upper Juxu were not connected with electroacupuncture. The patients in the two groups were compared in baseline week, 1st week, 8th week, and followed up at 4th week. The number of CSBMs with complete excretion at 12 weeks. Scores of Bristol fecal traits and defecation difficulties in baseline week and 1st week of treatment. Results: at the 8th week of treatment and the follow-up of 812 weeks. There was significant difference in the number of CSBM patients between the two groups (P 0.05). The number of patients with CSBM more than 3 times per week could be significantly increased by electroacupuncture treatment. The scores of Bristol fecal traits in the electroacupuncture group were significantly higher than those in the pseudo-electroacupuncture group (P 0.05), starting from the 4th week of treatment. The score of defecation difficulty in electroacupuncture group was significantly improved than that in sham electroacupuncture group (P 0.05). Conclusion: deep electroacupuncture can significantly improve defecation frequency, defecation character and defecation difficulty degree in functional constipation patients.
【作者单位】：四川大学华西医院中西医结合科;
【基金】：国家“十二五”科技部支撑计划(No.2012BAI 24B01)
【分类号】：R246.1
【正文快照】： 便秘是临床常见及多发的症状,表现为排便次数减少、粪便干硬和(或)排便困难。其中排便次数减少指每周排便少于3次,而排便困难包括排便费力、排出困难、排便不尽感、排便费时及需手法辅助排便等。研究[1]发现,长期便秘可诱发心脑血管疾病,并且引起结肠憩室、结肠黑变病、肛周痔

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