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甘肃中医药大学针灸推拿学院,兰州 730000
谢雯婷,甘肃中医药大学硕士研究生。E-mail:1533204825@qq.com
✉严兴科,教授。E-mail:yanxingke@126.com
收稿:2024-02-22,
网络首发:2025-01-21,
纸质出版:2025-03-12
移动端阅览
谢雯婷, 祁万梅, 陈玉竹, 等. 合募配穴法埋线治疗肠道实热型功能性便秘:随机对照试验[J]. 中国针灸, 2025,45(3):295-299.
XIE Wenting, QI Wanmei, CHEN Yuzhu, et al. Thread-embedding at combined lower
谢雯婷, 祁万梅, 陈玉竹, 等. 合募配穴法埋线治疗肠道实热型功能性便秘:随机对照试验[J]. 中国针灸, 2025,45(3):295-299. DOI: 10.13703/j.0255-2930.20240222-k0006.
XIE Wenting, QI Wanmei, CHEN Yuzhu, et al. Thread-embedding at combined lower
目的:
2
观察合募配穴法埋线治疗肠道实热型功能性便秘的临床疗效。
方法:
2
将80例肠道实热型功能性便秘患者随机分为埋线组(40例,脱落2例)和中成药组(40例,脱落1例)。埋线组基于合募配穴治腑病理论选取中脘、关元及双侧足三里、上巨虚、天枢、下巨虚进行埋线,每周1次。中成药组采用口服麻仁润肠丸治疗,每次6~12 g,每日2次。两组均治疗4周。观察两组患者治疗前后便秘评估量表(CAS)、布里斯托大便分类法(BSFS)、便秘患者生活质量自评问卷量表(PAC-QOL)评分和中医证候积分,并于治疗后评定两组临床疗效。
结果:
2
治疗后,两组患者CAS评分及中医证候积分较治疗前降低(
P
<
0.05),BSFS评分较治疗前升高(
P
<
0.05);两组患者PAC-QOL总分及躯体不适、心理社会不适评分较治疗前降低(
P
<
0.05),埋线组患者担心和焦虑、满意度评分较治疗前降低(
P
<
0.05)。治疗后,埋线组患者CAS评分、PAC-QOL总分及各维度评分、中医证候积分低于中成药组(
P
<
0.05)。埋线组总有效率为78.9%(30/38),高于中成药组的56.4%(22/39,
P
<
0.05)。
结论:
2
合募配穴法埋线可有效治疗肠道实热型功能性便秘,改善患者生活质量。
Objective
2
To observe the clinical efficacy of thread-embedding at the combined lower
he
-sea and front-
mu
points for functional constipation with intestinal excess heat.
Methods
2
A total of 80 patients with functional constipation of intestinal excess heat were randomly divided into a thread-embedding group (40 cases
2 cases dropped out) and a Chinese patent medication group (40 cases
1 case dropped out). Based on the theory of combined lower
he
-sea and front-
mu
points for diseases of
fu
organs
Zhongwan (CV12)
Guanyuan (CV4) and bilateral Zusanli (ST36)
Shangjuxu (ST37)
Tianshu (ST25)
Xiajuxu (ST39) were selected and thread-embedding therapy was delivered in the thread-embedding group
once a week.
Maren Runchang
pill was given orally in the Chinese patent medication group
6-12 g each time
twice a day. Both groups were treated for 4 weeks. Before and after treatment
the scores of constipation assessment scale (CAS)
Bristol stool form scal
e (BSFS)
patient-assessment of constipation quality of life (PAC-QOL) and TCM syndrome were observed
and the clinical efficacy was evaluated after treatment in the two groups.
Results
2
After treatment
the CAS scores and the TCM syndrome scores were decreased compared with those before treatment (
P
<
0.05)
while the BSFS scores were increased compared with those before treatment (
P
<
0.05) in the two groups; the total scores
as well as the physical discomfort and psychosocial discomfort scores of PAC-QOL were decreased compared with those before treatment (
P
<
0.05) in the two groups
the worry and anxiety
and the satisfaction scores of PAC-QOL were decreased compared with those before treatment (
P
<
0.05) in the thread-embedding group. After treatment
the CAS score
the total score and item-scores of PAC-QOL
as well as the TCM syndrome score in the thread-embedding group were lower than those in the Chinese patent medication group (
P
<
0.05). The total effective rate was 78.9% (30/38) in the thread-embedding group
which was higher than 56.4% (22/39) in the Chinese patent medication group (
P
<
0.05).
Conclusion
2
Thread-embedding at the combined lower
he
-sea and front-
mu
points can effectively treat functional constipation with intestinal excess heat and improve quality of life.
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