振腹调气法治疗肠道气滞型功能性便秘的临床疗效观察

【目的】观察振腹调气法推拿治疗肠道气滞型慢性功能性便秘的临床疗效。【方法】将60例肠道气滞型慢性功能性便秘患者随机分为治疗组和对照组,每组各30例。治疗组采用振腹调气法推拿辅以推揉腰背四肢治疗,对照组采用传统推拿疗法治疗,2组患者均每周治疗3次,疗程为4周。观察2组患者治疗前后中医证候积分、便秘症状自评量表积分的变化情况,评价2组患者的中医证候疗效和大便性状改善率。【结果】(1)治疗4周后,治疗组的总有效率为96.7%(29/30),对照组为76.7%(23/30),治疗组的中医证候疗效明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的中医证候积分和便秘症状自评量表积分均较治疗前明显降低(P<0.01),且治疗组的降低作用均明显优于对照组,差异均有统计学意义(P<0.01或P<0.05)。(3)治疗后,治疗组的大便性状改善率为83.3%(25/30),明显优于对照组的56.7%(17/30),差异有统计学意义(P<0.05)。【结论】振腹调气法推拿治疗肠道气滞型慢性功能性便秘疗效确切,具有安全、有效、简便、舒适等优点,是一种值得推广的非药物治疗方法。

Clinical Observation on Therapy of Vibrating Abdomen to Regulate Qi for Treatment of Functional Constipation with Syndrome of Intestinal-qi Stagnation

Objective To investigate the clinical effect of therapy of vibrating abdomen to regulate qi for the treatment of chronic functional constipation with the syndrome of intestinal-qi stagnation.Methods Sixty chronic functional constipation patients differentiated as the syndrome of intestinal-qi stagnation were randomly divided into treatment group and control group,and each group had 30 cases.The treatment group was given massage therapy of vibrating abdomen to regulate qi together with pushing and kneading the lumbar back and the extremities,and the control group was treated by conventional massage therapy.The patients in the two groups were treated for 3 times per week,and the treatment lasted 4 weeks.Before and after treatment,the scores of traditional Chinese medicine(TCM)syndrome and the scores of Patient Assessment of Constipation Symptom(PAC-SYM)in the two groups were observed.After treatment,efficacy for TCM syndrome and the rate for improving the features of the stool in the two groups were evaluated.Results(1)After treatment for 4 weeks,the total effective rate of the treatment group was 96.7%(29/30),and that in the control group was 76.7%(23/30).The intergroup comparison showed that the efficacy for TCM syndrome of the treatment group was superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment,the scores of TCM syndrome and PAC-SYM in the two groups were decreased in comparison with those before treatment(P<0.01),and the treatment group had stronger effect on decreasing TCM syndrome scores and PAC-SYM scores than the control group,the difference being statistically significant(P<0.05 or P<0.01).(3)After treatment,the rate for improving the features of the stool in the treatment group was 83.3%(25/30),and was much higher than that in the control group(56.7%,17/30),the difference being statistically significant(P<0.05).Conclusion Therapy of vibrating abdomen to regulate qi exerts certain effects for the treatment of chronic functional constipation with the syndrome of intestinal-qi stagnation.The therapy is a safe,effective,convenient,and comfortable non-drug therapy,and deserves to be developed.