针刺治疗气虚型老年功能性便秘的疗效及其对直肠感觉功能的影响OA
The Therapeutic Efficacy of Acupuncture in Treating Senile Functional Constipation with Qi Deficiency Pattern and Its Impact on Rectal Sensory Function
目的 观察针刺治疗对气虚型老年功能性便秘(FC)患者直肠感觉功能的影响.方法 选取符合纳入标准的气虚型FC患者80例,依据随机数字表随机分为对照组和治疗组,每组各40例.对照组给予乳果糖和益生菌口服治疗,治疗组在对照组基础上选择合谷(LI4)、曲池(LI11)、天枢(ST25)、支沟(TE6)、足三里(ST36)、上巨虚(ST37)和大肠俞(BL25)给予针刺治疗,3次/周,两组均治疗8周.比较两组治疗前后中医症状评分(排便困难、便后汗出气短、神疲懒言、面色苍白)、直肠感觉功能(直肠感觉阈值、排便感觉阈值、最大耐受量)、直肠肛门压力指标(直肠收缩压、肛门残余压)和便秘患者生活质量评估表(PAC-QOL)评分的变化情况,并比较临床疗效.结果 与治疗前比较,两组治疗后排便困难、便后汗出气短、神疲懒言、面色苍白中医症状积分、直肠感觉阈值、排便感觉阈值、最大耐受量、肛门残余压、PAC-QOL各维度评分、VIP、NO含量显著下降(P<0.05),直肠收缩压、MTL含量明显升高(P<0.05),且治疗组改善情况优于对照组(P<0.01,P<0.05).治疗组总有效率82.5%(35/40),明显高于对照组总有效率62.5%(25/40)(P<0.05).结论 针刺治疗能有效改善气虚型老年功能性便秘患者临床症状,有效调整消化道激素指标和直肠功能,同时提高便秘患者生活质量.
Objective To observe the effect of acupuncture on rectal sensory function in senile functional constipation(FC)with qi deficiency pattern.Methods A total of 80 elderly patients of FC with qi deficiency pattern who met the inclusion criteria were enrolled.They were randomly divided into a control group and a treatment group using a random number table,with 40 cases in each group.The control group was treated with oral lactulose and probiotics.On the basis of the treatment for the control group,the treatment group received acupuncture at Hegu(LI4),Quchi(LI11),Tianshu(ST25),Zhigou(TE6),Zusanli(ST36),Shangjuxu(ST37)and Dachangshu(BL25),three times a week.Both groups received treatment for 8 weeks.The changes in scores of traditional Chinese medicine(TCM)symptom(difficult defecation,sweating and shortness of breath after defecation,lassitude and disinclination to speak,pale complexion),rectal sensory function(rectal sensory threshold,defecatory sensory threshold,maximum tolerable volume),anorectal pressure indicators(rectal systolic pressure,anal residual pressure),and Patient Assessment of Constipation Quality of Life(PAC-QOL)scores were compared between the two groups before and after treatment.The clinical efficacy was also evaluated.Results Compared with baseline,after treatment,both groups showed statistically significant decreases in the scores of TCM symptoms,including difficult defecation,sweating and shortness of breath after defecation,lassitude and disinclination to speak,pale complexion,rectal sensory threshold,defecation sensory threshold,maximum tolerable volume,anal residual pressure,and all subscales of the PAC-QOL,as well as the levels of VIP and NO(P<0.05).Meanwhile,rectal systolic pressure and MTL levels were markedly elevated in both groups(P<0.05).Furthermore,the improvements in the treatment group were superior to those in the control group(P<0.05).The total effective rate of the treatment group was 82.5%(35/40),which was significantly higher than 62.5%(25/40)of the control group(P<0.05).Conclusion Acupuncture can effectively relieve clinical symptoms,regulate gastrointestinal hormone levels and rectal function,and improve the quality of life in senile functional constipation patients with deficiency of qi pattern.
祖志博;毕亚男;张蕊;张拓;杜明
北京中医药大学东方医院秦皇岛医院(秦皇岛市中医医院),河北 秦皇岛 066000北京中医药大学东方医院秦皇岛医院(秦皇岛市中医医院),河北 秦皇岛 066000北京中医药大学东方医院秦皇岛医院(秦皇岛市中医医院),河北 秦皇岛 066000北京中医药大学东方医院秦皇岛医院(秦皇岛市中医医院),河北 秦皇岛 066000北京中医药大学东方医院秦皇岛医院(秦皇岛市中医医院),河北 秦皇岛 066000
功能性便秘针刺气虚型直肠感觉功能消化道激素直肠肛门测压
Functional constipationAcupunctureQi deficiency patternRectal sensory functionGastrointestinal hormonesAnorectal manometry
《中医药信息》 2026 (10)
53-58,6
河北省中医药管理局科研计划项目(2025120)秦皇岛市科学技术研究与发展计划项目(202401A036)
评论