电针董氏奇穴联合生物反馈治疗功能性肛门直肠痛的疗效评价

ObjectiveTo investigate the clinical effect of electroacupuncture combined with biofeedback on functional anorectal pain.MethodsSixty patients diagnosed functional anorectal pain were divided into three groups by random number table, namely electroacupuncture group, biofeedback group, and combination group, with 20 patients in each. In the electroacupuncture group, the electroacupuncture at Dong's points Sānqí (三其穴), including Qímén (其门), Qíjiǎo (其角), and Qízhèng (其正), and Línggǔ (灵骨), Dàbái (大白), Chángmén (肠门) of both sides was given; in the Biofeedback group, the biofeedback therapy was adopted; in the combination group, the electroacupuncture and biofeedback therapy were used. All patients were treated once a day, 30 min each time, 10 consecutive treatments as one treatment course, and the therapeutic effect was evaluated after 3 treatment courses. The observation indexes after the intervention: Visual analogue Scale (VAS) score, SF-36 Quality of Life Scale score, Self-rating Anxiety Scale (SAS) score, Self-rating Depression Scale (SDS) score, Anorectal manometry, Clinical efficacy, and patients’ adverse reactions.ResultsAfter treatment, the pain of patients in the three groups was alleviated than that before treatment, VAS score, SAS score, SDS score, and anorectal pressure were decreased (P<0.05), and SF-36 Quality of Life Scale score was increased (P<0.05). After treatment, in the combination group, the VAS scores, SAS scores, SDS scores, and Anal-rectal pressure scores were lower than those in the other two groups (P<0.05), and SF-36 Quality of Life Scale scores were higher than those in the other two groups (P<0.05), the total effective rate was 80.0% (16/20), which was significantly higher than that of the electroacupuncture group (55.0%, 11/20) and the biofeedback group (40.0%, 8/20) (both P<0.05) . No adverse reactions occurred in all three groups.ConclusionElectroacupuncture at Dong's points combined with biofeedback therapy has a significant effect on functional anorectal pain. The combined application of electroacupuncture and biofeedback therapy has a synergic action, and the analgesic effect is better than that of only using electroacupuncture or biofeedback therapy.     

电针董氏奇穴联合舒肛解郁止痛汤中药坐浴治疗功能性肛门直肠痛的临床研究

目的 观察电针董氏奇穴联合舒肛解郁止痛汤中药坐浴治疗功能性肛门直肠痛的临床疗效.方法 将60例功能性肛门直肠痛患者采用随机数字表法分为对照组与治疗组各30例.对照组采用中药舒肛解郁止痛汤温水坐浴,治疗组在中药温水坐浴的基础上联合电针董氏奇穴中双侧"三其穴(其门、其角、其正)"、灵骨、大白、肠门.比较两组患者临床疗效、疼...     

电针董氏奇穴联合舒肛安痛方中药坐浴治疗功能性肛门直肠痛的临床研究

目的 观察电针董氏奇穴联合舒肛安痛方中药坐浴治疗功能性肛门直肠痛的临床疗效。方法 将纳入的120例患者随机分为3组各40例,电针组电针董氏奇穴,中药组舒肛安痛方中药坐浴,联合组电针董氏奇穴并联合舒肛安痛方中药坐浴。比较各组治疗前后视觉模拟量表（VAS）评分、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、简明汉化版健康调查简表（SF-36）生活质量量表评分、肛门直肠测压、各组患者临床疗效及不良反应。结果 联合组的临床总有效率为85.00%,显著高于电针组的62.50%、中药组的42.50%(P <0.05);治疗后各组的VAS评分、SAS评分、SDS评分、肛门直肠测压评分均较治疗前降低（P <0.05）,SF-36生活质量量表评分均较治疗前升高（P <0.05）,联合组的VAS评分、SAS评分、SDS评分、肛门直肠测压评分显著低于电针组及中药组（P <0.05）,SF-36生活质量量表评分高于电针组及中药组（P <0.05）;各组研究对象均未发生明显不良反应及相关并发症。结论 电针董氏奇穴联合舒肛安痛方中药坐浴治疗功能性肛门直肠痛临床效果显著,可有...     

中医挂线配合对口引流疗法治疗高位肛瘘的临床研究

目的:观察高位肛瘘利用中医挂线配合对口引流疗法的效果.方法:选择该院2016年10月至2016年12月收治的高位肛瘘患者126例,随机分为A组和B组,每组63例,A组采用中医挂线配合对口引流治疗,B组采用传统手术治疗,观察临床治疗效果,对比术后伤口愈合时间、创面面积.结果:两组患者临床疗效相近,无统计学意义(P>0.05);A组术后伤口愈合时间、创面面积低于B组,差异具有统计学意义(P<0.05).结论:高位肛瘘采用中医挂线配合对口引流治疗后,可缩短伤口愈合时间,减少创面面积,治疗效果良好.     

疏肝健脾化湿法治疗腹泻型肠易激综合征体会

肠易激综合征(IBS)是一种结肠功能紊乱性疾病,发病率较高,尽管不危及人的生命,却可不同程度地影响工作与生活,降低生活质量。目前,本病仍被认为是消化道功能性疾病,为消化道、神经、精神因素相互作用而引起的症候群。现代医学将其分为腹泻     

董氏奇穴穴位电刺激治疗膝关节单髁置换术后疼痛疗效观察

目的：观察董氏奇穴经皮穴位电刺激治疗膝关节单髁置换术后早期疼痛的疗效。方法：50例随机分为治疗组和对照组各25例。两组术后均采取多模式镇痛治疗方案,治疗组联合董氏奇穴经皮穴位电刺激。结果：两组VAS评分、膝关节主动活动度均较治疗前改善（P<0.05）,治疗组改善较对照组更明显（P<0.05）。结论：董氏奇穴经皮穴位电刺激能减轻膝关节炎膝关节单髁术后早期疼痛,改善膝关节活动功能,促进早期康复。     

动气针法针刺董氏奇穴治疗急性踝关节内翻扭伤的临床研究

目的 观察动气针法针刺董氏奇穴治疗急性踝关节内翻扭伤的临床疗效.方法 将60例急性踝关节内翻扭伤患者随机分为治疗组和对照组各30例.对照组在基础治疗(休息、冰敷、加压包扎、抬高患肢)上口服塞来昔布胶囊.治疗组在基础治疗上采用动气针法针刺董氏奇穴.两组疗程均为7 d.观察并比较两组治疗前后疼痛视觉模拟量表(VAS)评分、...     

复方黄柏液坐浴辅助内口封闭联合负压封闭引流技术治疗高位肛周脓肿的疗效

目的 探讨复方黄柏液坐浴辅助内口封闭联合负压封闭引流技术(vacuum sealing drainage, VSD)治疗高位肛周脓肿的效果。方法 选取128例高位肛周脓肿患者，采用随机数字表法分为2组，各64例。2组均给予内口封闭联合VSD治疗，对照组术后给予高锰酸钾坐浴治疗，观察组术后给予复方黄柏液坐浴治疗。比较2组疗效、创面恢复情况、炎症因子[C-反应蛋白(C-reactive protein, CRP)、白细胞介素-6(interleukin-6, IL-6)和肿瘤坏死因子-α(tumor necrosis factor-α, TNF-α)]、疼痛因子[五羟色胺(5-hydroxytryptamine, 5-HT)、P物质(substance P, SP)和去甲肾上腺素(norepinephrine, NE)]、血清转化生长因子β(transforming growth factor beta, TGF-β)、表皮细胞生长因子(epidermal growth factor, EGF)和血管内皮细胞生长因子(vascular endothelial cell growth fac...