| 电针足三里及八髎穴治疗复杂性肛瘘术后大便失禁的临床观察 |
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| 引用本文： | 董青军,梁宏涛,王琛,易进,曹永清,陆金根. 电针足三里及八髎穴治疗复杂性肛瘘术后大便失禁的临床观察[J]. 上海中医药杂志, 2018, 52(10): 67-69 |
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| 作者姓名： | 董青军 梁宏涛 王琛 易进 曹永清 陆金根 |
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| 作者单位： | 上海中医药大学附属龙华医院肛肠科 |
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| 基金项目： | 国家自然科学青年基金项目(81503577)；上海市卫计委中医药科研基金项目(2014LP087A)；国家中医药管理局中医药行业科研专项项目(201407001) |
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| 摘 要： | 目的观察电针足三里及八髎穴治疗复杂性肛瘘术后大便失禁的临床疗效。方法将70例复杂性肛瘘术后大便失禁患者随机分为治疗组和对照组,每组35例。对照组采用电刺激治疗,治疗组采用电针足三里及八髎穴治疗。两组均治疗21天,观察临床疗效、治愈时间及复发率,比较大便失禁评分、肛门直肠压力的变化情况。结果 (1)最终完成试验者69例,治疗组34例,对照组35例。(2)治疗组、对照组总有效率分别为100.0%、97.1%;组间临床疗效比较,差异无统计学意义(P0.05)。(3)治疗前后组内比较,两组大便失禁评分均较治疗前减少(P0.05);组间治疗后比较,治疗组大便失禁评分低于对照组(P0.05)。(4)治疗前后组内比较,治疗组肛管静息压、肛管收缩压均较治疗前升高(P0.05),对照组仅肛管收缩压较治疗前升高(P0.05);组间治疗后比较,治疗组肛管静息压高于对照组(P0.05)。(5)治疗组治愈时间短于对照组(P0.05),复发率低于对照组(P0.05)。结论电针足三里及八髎穴治疗复杂性肛瘘术后大便失禁疗效满意,较电刺激能更好地改善患者的临床症状,提高肛门直肠压力,缩短病程,且不易复发。
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| 关 键 词： | 大便失禁 复杂性肛瘘 手术后 电刺激 电针 足三里 八髎穴 |
| 收稿时间： | 2018-05-03 |
Clinical observation of electroacupuncture at Zusanli and Baliao acupoints in treating fecal incontinence after complex anal fistula surgery |
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| Affiliation: | Anorectal Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China,Anorectal Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China,Anorectal Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China,Anorectal Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China,Anorectal Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China and Anorectal Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China |
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| Abstract: | |
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| Keywords: | fecal incontinence complex anal fistula post operation electrical stimulation electroacupuncture Zusanli acupoint Baliao acupoint |
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