Effect of Electroacupuncture of Tianshu(ST 25) on the Rational Symptoms of Functional Constipation Patients and Evaluation on Its Efficacy Satisfaction:A Single-center,Prospective,Practical and Randomized Control Trial

WANG Cheng-wei; LI Ning; HE Hong-bo; Lü Jian-qin; LIU Zhi-shun1

doi:10.13702/j.1000-0607.2010.05.010

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Effect of Electroacupuncture of Tianshu(ST 25) on the Rational Symptoms of Functional Constipation Patients and Evaluation on Its Efficacy Satisfaction:A Single-center,Prospective,Practical and Randomized Control Trial

更新时间：2023-08-11

- Effect of Electroacupuncture of Tianshu(ST 25) on the Rational Symptoms of Functional Constipation Patients and Evaluation on Its Efficacy Satisfaction:A Single-center,Prospective,Practical and Randomized Control Trial
- Acupuncture Research Vol. 35, Issue 5, Pages: 375-379(2010)
- 作者机构：
  
  1. 四川大学华西医院中西医结合科
  2. 中国中医科学院广安门医院针灸科
- 作者简介：
- 基金信息：
- DOI：10.13702/j.1000-0607.2010.05.010
  CLC：
- Published：2010
- 稿件说明：
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WANG Cheng-wei, LI Ning, HE Hong-bo, et al. Effect of Electroacupuncture of Tianshu(ST 25) on the Rational Symptoms of Functional Constipation Patients and Evaluation on Its Efficacy Satisfaction:A Single-center,Prospective,Practical and Randomized Control Trial[J]. Acupuncture research, 2010, 35(5): 375-379.
DOI：

WANG Cheng-wei, LI Ning, HE Hong-bo, et al. Effect of Electroacupuncture of Tianshu(ST 25) on the Rational Symptoms of Functional Constipation Patients and Evaluation on Its Efficacy Satisfaction:A Single-center,Prospective,Practical and Randomized Control Trial[J]. Acupuncture research, 2010, 35(5): 375-379. DOI： 10.13702/j.1000-0607.2010.05.010.

摘要

目的:比较电针天枢穴和药物治疗对改善功能性便秘患者症状疗效与治疗满意度的差异

评价不同深度电针刺激的治疗效果。方法:采用单盲、随机、平行对照试验研究方法将纳入的95例患者随机分为药物组(杜秘克药物治疗)、浅刺组(电针浅刺双侧天枢穴)和深刺组(电针深刺双侧天枢穴组)

治疗4周

以周排便次数达4次的实际人数、便秘症状积分和治疗满意度积分为疗效判定指标进行评价。结果:电针两组在提高周排便次数达4次的患者比例、部分改善便秘症状积分及治疗满意度积分方面优于药物组(P<0.05);深刺组较浅刺组在改善大便不尽感积分、治疗满意度积分等方面起效更快(P<0.05)。结论:电针天枢穴治疗功能性便秘临床疗效肯定

深刺治疗较浅刺治疗具有起效快、治疗期间作用稳定的优点。

Abstract

Objective To observe the effects of electroacupuncture(EA) of Tianshu(ST 25) and medication on the subjective symptoms and the satisfactory degree of functional constipation(FC) patients

and to evaluate the efficacy of different depth-needling.Methods Single-blind

randomized and parallel-controlled methods were adopted in the present study and a total of 95 FC patients were randomly divided into medication group(Lactulose

20-30 mL/d

n=24)

deep needling(DN

about 45 mm beneath the skin) of ST 25 group(n=48)

and shallow needling(SN

about 5 mm beneath the skin) of ST 25 group(n=23).The treatment was given once daily(except weekends) for 4 weeks.The actual number of patients whose defecation frequency was up to 4 times per week

the integrative score of defecation symptoms(defecation exertion degree

abdominal pain

etc.)

and the patients' satisfaction degree after the treatment were recorded and evaluated.Results One

3 and 4 weeks after the treatment

of the 48

23 and 24 cases in DN

SN and medication groups

the numbers of FC patints whose defecation was up to 4 times per week were 31(64.58%)

32(66.67%)

34(70.83%) and 37(77.08%)

9(39.13%)

16(69.57%)

15(65.22%) and 14(60.87%)

and 8(33.33%)

7(29.17%)

5(20.83%) and 4(16.67%)

respectively.The effects of DN and SN groups were significantly superior to those of medication group in increasing the number of FC patints whose defecation was up to 4 times per week

improving constipation symptom integrative score(defecation exertion degree

survival desire for defecation

abdominal distension

etc.) and patients' satisfaction degree(P<0.05).Comparison between DN and SN groups showed that the effects of the former group in accelerating the improvement of survival desire for defecation

patients' satisfaction degree were markedly superior to those of the latter group(P<0.05).Conclusion Deep needling-EA of ST 25 has a positive effect in improving functional constipation

being faster in the onset of action and stable efficacy in comparison with shallow needling.

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