摘要
目的通过观察电针刺激大肠合募俞配穴（天枢、大肠俞、曲池、上巨虚）对功能性肠病（便秘、腹泻）两种不同状态的临床疗效,为探索针刺对治疗功能性肠病的双向调节作用机制提供临床依据。方法筛选60例符合相应纳入标准的功能性肠病患者（便秘组30例、腹泻组30例）,左右交替针刺单侧天枢、大肠俞、曲池、上巨虚,采用20Hz电流、连续波刺激30 min,第1-2周每周治疗5次,第3-4周每周治疗3次,连续4周,共做16次治疗。于治疗前、治疗第2周末、治疗完成后（第4周末）、治疗结束后1月随访时,分别记录患者周排便次数、大便性状评分、心理状态评估（SAS、SDS）,并对数据进行统计与分析。结果经治疗后,便秘组和腹泻组的周排便次数、大便性状、SAS、SDS得到显著改善,其差异具有显著统计学意义（P〈0.01）。随访4周与同组治疗4周比较无统计学意义（P〉0.05）,但是与治疗前比较,其差异仍具有显著统计学意义（P〈0.01）。结论不论对便秘还是腹泻,电针大肠合募俞配穴均具有良好的临床疗效,针刺对功能性肠病具有双向调节作用,并且其效应具有一定的持续性。
Objective Through observing the clinical effect of electro acupuncture at Dachangshu（BL25） combined with back-shu points and front-mu points combination（Tianshu（ST25）, Dachangshu（BL25）, Quchi（LI11）, Shangjuxu（ST37）） on func-tional bowel disorders（constipation and diarrhea）, and to explore acupuncture on treating functional bowel disorders two-way adjustment mechanism to provide the clinical basis. Methods Selecting 60 patients met the inclusion criteria for functional bowel dis-ease（constipation group 36 cases, diarrhea group 30 cases）, around the turn of acupuncture unilateral Tianshu（ST25）, Dachang-shu（BL25）, Quchi（LI11）, Shangjuxu（ST37）, 20 Hz current was used, continuous wave stimulation for 30 minutes, in 1 ~ 2weeks of treatment 5 times per week for 3 to 4 weeks, broke through 3 times of treatment, for 4 weeks, a total of 16 sessions. Before treatment, the 2 weekends, after the completion of treatment（4 weeks）, after the end of treatment 1 month follow-up were recorded for weeks in patients with defecation frequency, stool score, evaluation of the psychological status（ SAS and SDS）, and the data were analyzed. Results After treatment, defecation frequency, stool character, SAS and SDS were significantly improved in the consti-pation group and diarrhea group, and the difference was statistically significant（ P〈0.01）. There was no significant difference（ P〉0.05） between the 4 weeks and the same group for 4 weeks, but the difference was statistically significant（ P〈0.01） before treatment. Conclusion Regardless of constipation or diarrhea, electro acupuncture at dachangshu（ bl25） combined with back-shu points and front-mu points combination has good clinical effect, acupuncture for functional bowel disorders has two-way regulating functions, and its effect has a certain continuity.
作者
钟峰
罗容
曹越
石文英
李里
余兆安
潘江
章薇
ZHONG Feng LUO Rong CAO Yue SHI Wenying LI Li YU Zhaoan PAN Jiang ZHANG Wei(Department of Acupuncture-Moxibustion and Tuina, the First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China)
出处
《中国中医药现代远程教育》
2016年第19期92-95,共4页
Chinese Medicine Modern Distance Education of China
基金
国家重点基础研究发展计划(973计划)项目课题(No:2011CB505202)
关键词
天枢穴
大肠俞穴
曲池穴
上巨虚穴
功能性肠病
双向调节
Tianshu（ST25）
Dachangshu（BL25）
Quchi（LI11）
Shangjuxu（ST37）
functional bowel disease
bidirectional regulation
