实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
PRACTICAL JOURNAL OF CLINICAL MEDICINE
2015年
4期
57-59
,共3页
俞募配穴%功能性便秘%非经非穴%针刺
俞募配穴%功能性便祕%非經非穴%針刺
유모배혈%공능성편비%비경비혈%침자
Shu matching with Mu points%Functional constipation%Unspecific acupuncture%Acupuncture
目的：观察针刺大肠俞募配穴（天枢配大肠俞）及非经非穴点应用于功能性便秘（functional constipation，FC）的疗效，探讨俞募配穴法治疗 FC 的机制，为针刺治疗本病选穴方案提供临床依据。方法将72例 FC 患者，按随机数字法分为治疗组和对照组各36例。治疗组针刺天枢穴及大肠俞穴，对照组针刺非经非穴。两组均每日针刺1次，每次30 min，每周治疗5次为一个疗程，连续治疗4个疗程。分别于治疗前、治疗完成时比较两组疗效。结果治疗组在增加排便频率及改善排便困难方面优于对照组，差异有统计学意义（P ＜0．05）；两组总有效率、粪便性质、排便时间、下坠不尽感、腹胀积分和总积分比较，差异无统计学意义（P ＞0．05）。结论大肠俞募配穴与非经非穴点针刺均能有效治疗 FC，改善患者的症状，但前者便秘症状的改善程度优于后者。
目的：觀察針刺大腸俞募配穴（天樞配大腸俞）及非經非穴點應用于功能性便祕（functional constipation，FC）的療效，探討俞募配穴法治療 FC 的機製，為針刺治療本病選穴方案提供臨床依據。方法將72例 FC 患者，按隨機數字法分為治療組和對照組各36例。治療組針刺天樞穴及大腸俞穴，對照組針刺非經非穴。兩組均每日針刺1次，每次30 min，每週治療5次為一箇療程，連續治療4箇療程。分彆于治療前、治療完成時比較兩組療效。結果治療組在增加排便頻率及改善排便睏難方麵優于對照組，差異有統計學意義（P ＜0．05）；兩組總有效率、糞便性質、排便時間、下墜不儘感、腹脹積分和總積分比較，差異無統計學意義（P ＞0．05）。結論大腸俞募配穴與非經非穴點針刺均能有效治療 FC，改善患者的癥狀，但前者便祕癥狀的改善程度優于後者。
목적：관찰침자대장유모배혈（천추배대장유）급비경비혈점응용우공능성편비（functional constipation，FC）적료효，탐토유모배혈법치료 FC 적궤제，위침자치료본병선혈방안제공림상의거。방법장72례 FC 환자，안수궤수자법분위치료조화대조조각36례。치료조침자천추혈급대장유혈，대조조침자비경비혈。량조균매일침자1차，매차30 min，매주치료5차위일개료정，련속치료4개료정。분별우치료전、치료완성시비교량조료효。결과치료조재증가배편빈솔급개선배편곤난방면우우대조조，차이유통계학의의（P ＜0．05）；량조총유효솔、분편성질、배편시간、하추불진감、복창적분화총적분비교，차이무통계학의의（P ＞0．05）。결론대장유모배혈여비경비혈점침자균능유효치료 FC，개선환자적증상，단전자편비증상적개선정도우우후자。
Objective To observe the efficiency of acupuncture at acupoints of the ST 25 matching with the B25 in the treat-ment of patient with functional constipation (FC) and to compare with that of unspecific acupuncture in order to provide clinical basis for optimizing the treatment.Methods Seventy-two patients were randomly divided into a treatment group and a control group ,36 in each group.The treatment group was treated with acupuncture at acupoints of the ST 25 matching with B25 (the combination of back-shu point and front-mu point of large intestine meridian) while the control group was treated by an unspecific acupuncture .All patients re-ceived a total of four treatment cycles ,each of which consisted of acupuncture once a day (0.5 h each time) for one week ( five times).Immediately before and after the treatment ,the effects were assessed.Results At the end of the treatment,the two groups had statistical differences in stool frequency and difficult defecation (P <0.05).However,no statistically differences in total effective rate, stool property,defecation time,tenesmus,abdominal distention and total score (P >0.05).Conclusion Acupuncture at the back-shu point matching with the front-mu point of large intestine meridian and unspecific points are both effective in the treatment of FC pa -tients.However,the efficacy of acupuncture at the back -shu point matching with the front -mu point of large intestine meridian is superior to those of unspecific acupuncture in improving the symptoms of FC patients.
