世界中医药

目的：探讨眼针辅助治疗结肠慢传输型便秘的临床效果，总结经验，为临床应用提供参考。方法：从2012年6月至2014年6月沈阳医学院附属中心医院肛肠科门诊和住院患者中选择结肠慢传输型便秘患者100例，随机分为研究组和对照组，各50例，对照组患者给予通便灵胶囊治疗（1～1.5 g/d，1次/d）；研究组患者在上述治疗的基础上给予眼针治疗及护理，1次/d，2组患者均治疗2个月。治疗前后进行结肠传输功能试验，对比治疗前后试验结果变化情况；并观察治疗前后便秘症状总评分（排便间隔时间指数、粪便性状指数、排便费力指数、腹痛指数、腹胀指数），评价治疗效果进行组间比较。结果：治疗后结肠传输试验显示研究组患者48、72 h肠内残留标志物［（13.48±1.31）、（3.18±1.22）粒］明显少于对照组［（16.55±1.24）、（6.78±0.96）粒］，2组差异有统计学意义（t=4.306、4.791，P<0.05）；治疗后研究组患者便秘症状总评分［（2.03±0.87）分］也明显低于对照组［（5.14±1.65）分］（t=4.192，P<0.05）；研究组治疗总有效率高于对照组（86.0% vs 68.0%），差异有统计学意义（χ2=4.719，P<0.05）。结论：眼针辅助治疗结肠慢传输型便秘对提高治疗效果、改善便秘症状有积极作用。但是由于眼针部位的特殊性，治疗过程中要给予有效护理，防止出血或感染等情况发生，保证治疗的安全性，同时针对便秘要在饮食、运动方面给予有效护理指导，通过综合干预改善患者症状。

English Summary:

To investigate the clinical effect of eye acupuncture in the treatment of colonic slow transit constipation and summarize nursing experience; thus to provide reference for clinical treatment. Methods:A total of 100 cases of outpatient and hospitalized patients with colonic slow transit constipation from June 2012 to June 2014 in Center Affiliated Hospital of Shenyang Medical college were selected, and all patients were randomly divided into study group and control group, with 50 cases in each group. The control group was treated with Tongbianling capsule (1～1.5 g/d, 1 times/d) and the study group with eye acupuncture treatment on the basis of above, 1 times/d. Both groups of patients were treated for two months. Before and after treatment, colonic transit function tests were taken and the results changes were observed; the total constipation symptoms score ( defecation interval index, index stool, defecation effort index, abdominal pain index, bloating index ) were observed to evaluate the therapeutic effect of two groups. Results:After treatment, colonic transit function tests showed that 48 h, 72 h intestinal residue markers of study group［(13.48±1.31),(3.18±1.22)pieces］ was significantly lesser than the control group ［(16.55 ± 1.24),(6.78±0.96) pieces］, and the difference was statistically significant (t=4.306,4.791, P<0.05). The total constipation symptoms score ［(2.03±0.87)scores］ was significantly lower than the control group［(5.14±1.65)scores］(t=4.192, P<0.05). The total efficiency rate of study group was higher than control group(86.0% vs 68.0%), and the difference was statistically significant (χ2=4.719, P<0.05). Conclusion:Eye acupuncture adjuvant treatment has positive effect on improving treatment effect and symptoms constipation of colon slow transit constipation. However, due to the particularity of eye acupuncture, effective nursing care should be given during treatment process, such as to prevent bleeding or infection and to ensure the safety of the treatment. Besides, effective nursing instruction in terms of regular diet and exercise should be given to improve symptoms through comprehensive treatment.

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