摘要
目的探讨穴位埋线治疗慢传输型便秘(slow transit constipation,STC)(肺脾气虚型)的临床疗效。方法选取2018年10月—2019年10月辽宁中医药大学附属第三医院收治的确诊为肺脾气虚型STC患者118例,根据随机数字表法,将118例患者分为观察组(n=58例)和对照组(n=60例),对照组患者予以莫沙必利治疗,观察组患者予以大肠穴位埋线治疗,比较治疗前后两组患者的便秘症状评分、结肠传输试验变化情况,同时测定治疗前后两组患者的血浆血管活性肠肽(VIP)、P物质(SP)、胃动素(MTL)、生长抑素(SS)等胃肠激素水平变化情况,并比较两组患者的临床疗效。结果治疗前,两组患者便秘症状各因子评分及总分、72 h残留标志物数量、胃肠激素水平比较,差异均无统计学意义(均P>0.05)。治疗后,两组患者的粪便性状分型、排便频率、排便时间、排便困难、腹胀各因子评分及总分以及VIP、MTL、SS水平均明显低于治疗前,且观察组明显低于对照组,72 h残留标志物数量均明显少于治疗前,且观察组明显少于对照组,SP均明显高于治疗前,且观察组明显高于对照组(均P<0.05)。观察组的总有效率[94.83%(55/58)vs 75.00%(45/60)]明显高于对照组(P<0.05)。结论大肠穴位埋线治疗慢传输型便秘可有效缓解患者的临床症状,并能有效改善患者的结肠传输功能,可能与其影响机体的胃肠激素水平有关。
Objective To explore the clinical effect of acupoint catgut embedding on slow transit constipation(STC).Methods From October 2018 to October 2019,118 patients with STC with lung and spleen Qi deficiency who were admitted to the Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were selected.According to the random number table method,118 patients were divided into observation group(n=58)and control group(n=60).Patients in the control group were treated with mosapride and patients in the observation group were treated with catgut acupoint embedding.The two groups’changes in constipation symptom score and colonic transmission test,and plasma vasoactive intestinal peptide(VIP),substance P(SP),motilin(MTL),somatostatin(SS)and other gastrointestinal changes in hormone levels were compared before and after treatment and the clinical efficacy of the two groups was compared.Results Before treatment,the scores and total scores of constipation symptoms,the number of residual markers and gastrointestinal hormone levels in 72 hours of the two groups of patients were not statistically significant(P>0.05).After treatment,the stool type,frequency of defecation,time of defecation,difficulty in defecation,scores and total scores of abdominal distension factors as well as VIP,MTL and SS in the two groups were significantly lower than before treatment,and those of the observation group were significantly lower than those of the control group.The 72 h residual markers were significantly less than those before treatment,and the observation group’s were significantly less than those of the control group.SP was significantly higher and the observation group’s level was significantly higher than that of the control group(all P<0.05).The total effective rate of the observation group was significantly higher than that of the control group[94.83%(55/58)vs 75.00%(45/60)](P<0.05).Conclusion Large intestine acupoint embedding for the treatment of STC can effectively alleviate the clinical symptoms of patie
作者
田立军
关威
龙再菊
TIAN Lijun;GUAN Wei;LONG Zaiju(The Third Affiliated Hospital of Liaoning University Traditional Chinese Medicine,Shenyang 110003,Liaoning,China)
出处
《辽宁中医杂志》
CAS
2021年第3期155-158,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
辽宁省科技厅项目(2019-MS-228)。
关键词
慢传输型便秘
穴位埋线
结肠传输功能
胃肠激素
slow transit constipation
catgut embedding at acupoints
colonic transmission function
gastrointestinal hormones
