深刺天枢穴治疗结肠慢转运性便秘疗效及安全性评价

目的：评价深刺天枢穴对结肠慢转运性便秘（STC）的近、中期疗效及安全性。方法：STC患者60例，随机分为治疗组和对照组。评价治疗前、治疗2周后和治疗后6个月临床评分及结肠转运时间（CTT），并从临床、检验和影像学角度评价安全性。结果：（1）近期疗效：治疗组临床评分和CTT疗效均优于对照组，差异有显著性（P〈0．01）。（2）中期疗效：治疗组治疗后6个月仍有效，疗效明显优于对照组（P〈0．01）．对照组无效。治疗组患者无不良反应。结论：深刺天枢穴治疗STC近期疗效确切，有一定中期疗效，无不良反应。

Evaluation of Therapeutic Effect and Safety of Deep Acupuncture at Tianshu (ST 25) for Treatment of Slow Transit Constipation

Objective:To evaluate the short-term and middle-term therapeutic effects and the safety of deep acupuncture at Tianshu(ST 25) for treatment of slow transit constipation(STC).Methods:60 cases of STC were randomly divided into an acupuncture group and a control group.Cleveland Constipation Score(CCS) and colic transit time(CTT) before treatment,2 weeks and 6 months after the treatment were investigated,and the safety was evaluated by clinical,laboratory and imaging indexes.Results:For the short-term therapeutic effect,the treatment group was better than the control group(P<0.01) in clinical score and therapeutic effect of CTT;and for the middle-term therapeutic effect,the treatment group was effective and the control group was ineffective 6 months after treatment,the treatment group superior to the control group(P<0.01).No adverse reaction was found in the treatment group.Conclusion:Deep acupuncture at Tianshu(ST 25) has a definite short-term therapeutic effect,and some middle-term therapeutic effect on STC,with no adverse reaction.