摘要
目的：观察电针刺激大肠俞募配穴（天枢、大肠俞）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66 例符合纳入标准的功能性肠病患者（便秘组36 例、腹泻组30 例），针刺双侧天枢、大肠俞穴后，采用20Hz 电流、连续波刺激30min，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 个月随访，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，便秘组和腹泻组的周排便次数、大便性状、SAS、SDS 均得到显著改善，组内：治疗前后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，差异无统计学意义（P>0.05），但是与治疗前比较，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，电针大肠俞募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: Clinical effects of electro-acupuncture at Shu and Mu acupoint on bidirectionally functional bowel disorders were observed in order to explore bidirectional adjustment mechanism. Methods: 66 patients (the constipation group of 36 cases, the diarrhea group of 36 cases) were selected and received electro-acupuncture for 16 times in total. Defecation frequency per week, stool characteristics score, mental state assessment (SAS, SDS) were recorded, statisticed and analyzed. Results: After the treatment, defecation frequency per week, stool characteristics score and mental state assessment (SAS, SDS) in groups were improve obviously, with a significant difference (P<0.01). Followed-up for 4 weeks, there was no significant difference compared with 4 weeks of treatment; but there was a obviously statistical difference compared with before (P<0.01). Conclusion: Electro-acupuncturing at Shu and Mu acupoint was effective on regulating bidirectionally functional bowel disorders; and the effect was certainly persistent.
出处
《中医临床研究》
2016年第19期39-42,共4页
Clinical Journal Of Chinese Medicine
基金
国家重点基础研究发展计划(973计划)项目课题(编号:2011CB505202)
关键词
天枢穴
大肠俞穴
功能性便秘
功能性腹泻
双向调节
The Tianshu acupoint
The Dachangshu acupoint
Functional constipation
Functional diarrhea
Bidirectional regulation
