深刺天枢穴改善结肠慢传输型便秘临床观察

目的评价深刺天枢穴改善结肠慢传输型便秘（STC）临床症状的疗效。方法 STC患者120例,随机分为深刺组、常规组和西药组。评价三组患者首次自主排便时间及治疗前、治疗4星期后患者便秘评分及相关临床症状评分。结果深刺组改善便秘临床症状评分优于常规组和西药组,差异有统计学意义（P〈0.01）。深刺组在改善排便不成功次数及腹痛等症状上优于西药组和常规组,且深刺的即刻效应较好。结论深刺天枢穴对STC临床症状的改善优于西药乳果糖和常规针刺治疗。

Clinical Observation on the Treatment of Slow Transit Constipation by Deeply Inserting Tianshu Acupoint

Objective This study was to evaluate the efficacy of acupuncture in the treatment of slow transit constipation（STC） by deeply inserting Tianshu（ST25） acupoint.Methods A total of 120 patients with STC were randomly allocated to a deep-insertion group,a conventional-acupuncture group and a Western medicine group.The clinical efficacy of the three groups were evaluated by observing the spontaneous defecation time,the constipation score and relevant symptom score of pre-treatment and 4 weeks post-treatment.Results The deep-insertion group had a better result in the improvement of the relevant symptom score than the conventional-acupuncture and Western medicine groups,and the difference was statistically significant（P0.01）.Compared with the other two groups,the deep-insertion group had advantage in reducing unsuccessful defecation frequencies and abdominal pain and had a marked real-time effect.Conclusion The acupuncture therapy by deeply inserting Tianshu（ST25） had better result in the management of the clinical symptoms of STC than the Western medicine（Lactulose） and conventional acupuncture treatments.