电针手足阳明经穴治疗慢传输型功能性便秘临床疗效评价.docVIP

·论著· 电针手足阳明经穴治疗慢传输型功能性便秘临床疗效评价 张昶1 刘赵丽1 周鹰2 徐耀1 熊会海1 马洪萍1 （1航天中心医院 北京 100049） （2首都医科大学附属北京中医医院 北京 100010） 【】【】Clinical effect assessment on therapy of electric acupuncture of yangming meridian for functional constipation with slow transmission Chang Zhang1 ZhaoLi Liu1 Ying zhou2 MingXin Hu3 Yao Xu1 Huihai Xiong1 HongPing Ma1 Yixin Liao1 (1Aerospace center hospital, traditional Chinese medicine department; Beijing 100049) (2 Beijing TCM hospital afflicted with Capital medical university; Beijing 100010) (3 Aerospace center hospital, Research and Teaching department; Beijing 100049) 【ABSTRACT】 Objective to evaluate the clinical effect of therapy of electric acupuncture on Yangming meridian for functional constipation with slow transmission. Methods 60 patients were randomly divided into electric acupuncture group of 30 patients, 30 cases in control group. Tianshu, Zusanli, Hegu, Shangjuxu, were acupunctured in electric acupuncture group, once a day, 5 times of one treatment. Control group takes prepulsid 10mg 3 times daily. Defecation time, constipation symptoms scales were observed before and after treatment. Results Effectiveness of electric acupuncture group was 93.1%, better than the control group. Electric acupuncture improved defecation time better (P 0.05). Two groups both improved “defecation frequency”,揻eorce situation”，and “shit character”, and the electric acupuncture group had more advantages (P 0.05). Conclusion Electric acupuncture performed better than prepulsid in the treatment for functional constipation with slow transmission. 【key words】 Electric acupuncture; Functional constipation; Yangming meridian points; Slow transmission 随着饮食结构的改变，精神心理和社会因素的影响，慢性功能性便秘发病率逐渐上升。北京市通过对2486名，18～70岁之间的城乡常驻人口普查，发现慢性便秘患病率为6.07%，男女分别为2.11%和9.68%；通过对1434名年龄大于60岁的人群的调查，发现这一高龄人群的发病率为18.2%[]。 便秘的Roma Ⅱ诊断标准将功能性便秘进一步分型为慢传输型、出口梗阻型和混合型,这是一种为绝大多数医生所接受的分型方法[]。现代医学主要采用缓泻剂和胃动力药对症治疗。通便药远期疗效不佳，且有不良反应。加之滥用泻药，治疗难度进一步加大。严重便秘者可定期灌肠或肛门直肠肌切断，但效果仍不