温针灸对功能性便秘患者临床症状及焦虑抑郁的改善作用
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北京市科技计划项目(2016FD010)


Improvement of Clinical Symptoms and Anxiety-Depression in Patients with Functional Constipation Using Warming Acupuncture
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    摘要:

    目的:探讨温针灸对功能性便秘(FC)患者临床症状及焦虑抑郁的改善作用。方法:选取2017年1月至2017年12月中国中医科学院广安门医院南区收治的FC患者70例作为研究对象,随机分为观察组和对照组,每组35例。对照组采用常规针刺治疗,观察组采用温针灸治疗,比较治疗前后2组患者便秘临床症状积分、首次排便时间、中医证候评分、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果:观察组有效率96.00%,对照组有效率68.00%,差异有统计学意义(P<0.05)。治疗后2组患者的周排便次数、粪便性状积分和排便困难程度均改善,中医证候评分、SAS和SDS评分下降,较治疗前差异有统计学意义(P<0.05)。治疗后,观察组患者的周排便次数、粪便性状积分高于对照组,中医证候评分、SDS和SAS评分、首次排便时间以及排便困难程度积分小于对照组,差异有统计学意义(P<0.05)。结论:温针灸治疗能调节胃肠道运动、润湿肠道、显著改善便秘等临床症状,对FC患者有显著临床效果。

    Abstract:

    To evaluate the improvement of clinical symptoms and anxiety-depression in patients with functional constipation (FC) using warming acupuncture.Methods:A total of 70 patients with FC in Guang'anmen Hospital South District,China Academy of Chinese Medical Sciences from January 2017 to December 2017 were randomly divided into the observation group and the control group,with 35 cases in each group.The observation group was treated with warming acupuncture,while the control group was treated with conventional acupuncture.The constipation clinical symptom score,first defecation time,TCM syndrome score,SAS and SDS score were compared between the 2 groups before and after treatment.Results:The total effective rate was 96.00% in the observation group,and 68.00% in the control group,with statistically significant difference (P<0.05).After treatment,the weekly defection times,fecal character score,the difficulty in defecation of the 2 groups were improved.The TCM syndrome score,SAS and SDS score in the 2 groups were decreased than before treatment,with statistically significant difference (P<0.05).After treatment,the weekly defection times and fecal character score of the observation group were higher than the control group.TCM syndrome score,SAS and SDS score,first defecation time,and the difficulty in defecation in the observation group were significantly lower than those in the control group,with statistically significant difference (P<0.05).Conclusion:Warm acupuncture can regulate gastrointestinal movement,moisten the intestines and significantly improve the constipation and other clinical symptoms.Also,it has significant clinical effect on FC.

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杜炳林,郭明浩.温针灸对功能性便秘患者临床症状及焦虑抑郁的改善作用[J].世界中医药,2019,(04).

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  • 收稿日期:2018-12-21
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  • 在线发布日期: 2019-05-09
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