电针双侧天枢穴对功能性便秘患者自觉症状的影响及疗效满意度评价:一项单中心、前瞻性随机对照临床试验

目的:比较电针天枢穴和药物治疗对改善功能性便秘患者症状疗效与治疗满意度的差异,评价不同深度电针刺激的治疗效果。方法:采用单盲、随机、平行对照试验研究方法将纳入的95例患者随机分为药物组(杜秘克药物治疗)、浅刺组(电针浅刺双侧天枢穴)和深刺组(电针深刺双侧天枢穴组),治疗4周,以周排便次数达4次的实际人数、便秘症状积分和治疗满意度积分为疗效判定指标进行评价。结果:电针两组在提高周排便次数达4次的患者比例、部分改善便秘症状积分及治疗满意度积分方面优于药物组(P0.05);深刺组较浅刺组在改善大便不尽感积分、治疗满意度积分等方面起效更快(P0.05)。结论:电针天枢穴治疗功能性便秘临床疗效肯定,深刺治疗较浅刺治疗具有起效快、治疗期间作用稳定的优点。

Effect of electroacupuncture of Tianshu (ST 25) on the rational symptoms of functional constipation patients and evaluation on its efficacy satisfaction: a single-center, prospective, practical and randomized control trial

Objective To observe the effects of electroacupuncture(EA) of Tianshu(ST 25) and medication on the subjective symptoms and the satisfactory degree of functional constipation(FC) patients,and to evaluate the efficacy of different depth-needling.Methods Single-blind,randomized and parallel-controlled methods were adopted in the present study and a total of 95 FC patients were randomly divided into medication group(Lactulose,20-30 mL/d,n=24),deep needling(DN,about 45 mm beneath the skin) of ST 25 group(n=48),a...