八髎穴埋线治疗老年功能性便秘的随机对照研究

翟栋; 童霄娟; 王超; 时百玲

doi:10.3969/j.issn.1671-038X.2018.09.09

八髎穴埋线治疗老年功能性便秘的随机对照研究

- 1. 浙江中医药大学附属第三医院, 杭州 310005;
- 2. 浙江中医药大学附属第一医院, 杭州 310000
基金项目:
国家自然科学基金（No：81603693）；浙江省中医药科技计划（No：2018ZA061）；浙江中医药大学科技计划（No：2018ZY20）

详细信息

通讯作者: 翟栋,E-mail:zhaidong623@163.com

中图分类号: R574.62

收稿日期: 2018-06-02

Baliao acupoint embedding for senile functional constipation: a randomized controlled study

- 1. The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310005, China;
- 2. The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310000, China

More Information

Corresponding author: ZHAI Dong, E-mail: zhaidong623@163.com

Received Date: 02 June 2018

摘要

摘要: [目的]比较八髎穴埋线疗法和乳果糖口服疗法治疗老年功能性便秘的临床疗效。[方法]将60例患者随机分为埋线组和乳果糖组，每组30例。埋线组予八髎穴埋线治疗，每周1次；乳果糖组予乳果糖口服液口服，每日2次，治疗8周。主要疗效指标为每周自发完全排便（spontaneous complete bowel movements，SCBM）≥ 3次的患者比例；比较治疗前后及随访第12周的疗效，包括周平均SCBM、患者生存质量评分（PAC-QOL）、Bristol大便性状积分和排便困难程度评分。[结果]治疗后埋线组每周SCBM ≥ 3次的患者比例与乳果糖组比较差异有统计学意义（P<0.01）；与本组治疗前比较，埋线组和乳果糖组患者治疗后周平均SCBM次数增加（均P<0.05），大便性状积分改善（均P<0.01），PAC-QOL评分和排便困难程度评分均降低（均P<0.01）；治疗8周后埋线组周平均SCBM次数明显多于乳果糖组（P<0.01），PAC-QOL量表评分、Bristol大便性状和排便困难程度改善均优于乳果糖组（P<0.05）；随访12周埋线组周平均SCBM次数多于乳果糖组（P<0.01）。[结论]八髎穴埋线可以明显增加老年功能性便秘患者的SCBM，改善Bristol大便性状和排便困难程度，提高其生活质量。
- 功能性便秘,老年 /
- 穴位埋线 /
- 随机对照试验
Abstract: [Objective] To compare the effects between acupoint embedding and oral medication for senile functional constipation.[Methods] Sixty senile patients were randomized into an embedding group and a medication group(1[BFZ]:1).Baliao acupoint embedding in the embedding group, it was given once a week.Oral lactulose was applied in the lactulose group, 2 times a day.The treatment cycle was 8 weeks.The primary outcome was The Proportion of patients per week more than 3 times spontaneous complete bowel movements(SCBM).The secondary efficacy indices were compared before and after treatment as well as at follow-up at the 12 th week, the weekly average number of SCBM, the quality of life of patients with constipation(PAC-QOL), the Bristol stool character score, and the assessment of difficulty in defecation.[Results] After treatment, the patients whose weekly Proportion of SCBM ≥ 3 times in the embedding group was have statistically significant compared with that in the lactulose group(P<0.01);The weekly average number of SCBM in the two groups increased after treatment compared with those before treatment(both P<0.05);the score of Bristol stool character improved(both P<0.01);the scores of PAC-QOL and difficulty in defecation decreased(all P<0.01);After 8 weeks of follow-up, the number of SCBM in the catgut embedding group was more than that in the lactulose group(P<0.01), the score of PAC-QOL in the embedding group after treatment was better than that in the medication group(P<0.05);the Bristol stool character and difficulty degree in the embedding group after treatment were superior to those in the medication group(both P<0.05);After 12 weeks of follow-up, the number of SCBM in the catgut embedding group was more than that in the lactulose group(P<0.01).[Conclusion] The acupoint embedding significantly improve the SCMB, Bristol stool character, the difficulty of defecation, and the quality of life for senile patients with functional constipation.
- functional constipation,senile /
- acupoint embedding /
- randomized controlled trial

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