| 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 |
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| 引用本文： | 惠小苏,徐月,梁海松,张桢.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[J].世界针灸杂志,2020,30(4):256-261. |
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| 作者姓名： | 惠小苏 徐月 梁海松 张桢 |
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| 作者单位： | 重庆市中医院肛肠科,重庆400021,中国;重庆市中医骨科医院骨伤科,重庆400010,中国 重庆市中医骨科医院骨伤科,重庆 重庆市中医骨科医院骨伤科,重庆400010,中国 |
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| 摘 要： |
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Efficacy evaluation of electroacupuncture at Dong's points combined with biofeedback in the treatment of functional anorectal pain |
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| Institution: | 1. Anorectal Department, Chongqing Hospital of Traditional Chinese Medicine, Chongqing 400021, China (重庆市中医院肛肠科, 重庆 400021);2. Orthopedics Department, Chongqing Orthopedics Hospital of Traditional Chinese Medicine, Chongqing 400010, China (重庆市中医骨科医院骨伤科, 重庆 400010);1. Gynecology Department of the First Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040, China (黑龙江中医药大学附属第一医院妇科, 哈尔滨 150040, 中国);2. Studio of National Eminent Veteran Physician of Traditional Chinese Medicine, the Second Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040, China (黑龙江中医药大学附属第二医院全国名老中医药专家工作室, 哈尔滨 150040, 中国);3. Department of Liver, Spleen and Stomach, the First Hospital of Heilongjiang University of Chinese Medicine, Harbin 150050, China (黑龙江中医药大学附属第一医院肝脾胃科, 哈尔滨 150040, 中国);1. The Third Department of Encephalopathy, Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei 230036, China (安徽中医药大学第二附属医院脑病三科, 合肥230036, 中国);2. Acupuncture and Massage Department, Mengcheng County Hospital of Traditional Chinese Medicine, Mengcheng 233500, Anhui Province, China(安徽省蒙城县中医院针灸科, 蒙城233500, 中国);3. Graduate School of Anhui University of Traditional Chinese Medicine, Hefei 230038, China(安徽中医药大学研究生学院, 合肥230038, 中国);4. Department of Neurology, First Affiliated Hospital of Anhui Medical University, Hefei 230022, China(安徽医科大学第一附属医院神经内科, 合肥230022, 中国);5. College of Acupuncture and Massage, Anhui University of Traditional Chinese Medicine, Hefei 230038, China(安徽中医药大学针灸推拿学院, 合肥230038, 中国);6. Department of Acupuncture and Moxibustion, First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei 230031, China(安徽中医药大学第一附属医院针灸科, 合肥230031, 中国);1. College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China (天津中医药大学中医学院, 天津301617, 中国);2. Experimental Acupuncture-Moxibustion Research Center, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China (天津中医药大学实验针灸学研究中心, 天津301617, 中国);3. School of Acupuncture-moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China (天津中医药大学针灸推拿学院, 天津301617, 中国);1. Bishinkai, Tokyo 108-0071, Japan;2. Medical Cosmetic Acupuncture Association, Tokyo 106-0045, Japan;3. Anti-Aging Biyouhari Kenkyukai, Nagoya city 466-0023, Japan;4. Seirin corporation, Sizhioka city 424-0037, Japan;5. Sichuan Yuanquan Technology Co., Ltd, Chengdu 610041, China (四川源泉医疗器械有限公司,成都 610041, 中国);1. Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China中国中医科学院针灸研究所, 北京100700, 中国;2. Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China中国中医科学院基础理论研究所, 北京 100700, 中国;3. China Association of Acupuncture and Moxibustion, Beijing 100700, China中国针灸学会, 北京100700, 中国 |
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| Abstract: | 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. |
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