电针八髎穴对不协调型功能性排便障碍患者的肛管直肠动力学影响

罗宏标; 彭昌能; 李国民; 唐清珠; 陈鸣旺

doi:10.3969/j.issn.1671-038X.2020.09.12

电针八髎穴对不协调型功能性排便障碍患者的肛管直肠动力学影响

- 1. 郴州市第一人民医院肛肠外科, 湖南郴州 423000;
- 2. 郴州市第一人民医院消化内科, 湖南郴州 423000;
- 3. 郴州市第一人民医院针灸科, 湖南郴州 423000
基金项目:
湖南省技术创新引导计划临床医疗技术创新引导项目(No:2017SK51109)

湖南省郴州市科学技术局科技发展计划项目(No:zdyf201962)

湖南省中医药科研计划课题青年项目(No:202103)

湖南省中医药科研计划课题重点项目(No:202035)

详细信息

通讯作者: 陈鸣旺,E-mail:362893043@qq.com

中图分类号: R256.36

收稿日期: 2020-05-02

Effect of electroacupuncture at Baliao point on anorectal dynamics in patients with uncoordinated functional defecation disorder

- 1. Department of Anorectal Surgery, the First People's Hospital of Chenzhou, Chenzhou 423000, China;
- 2. Department of Gastroenterology, the First People's Hospital of Chenzhou, Chenzhou 423000, China;
- 3. Department of Acupuncture and Moxibustion, the First People's Hospital of Chenzhou, Chenzhou 423000, China

More Information

Corresponding author: CHEN Ming-wang, E-mail: 362893043@qq.com

Received Date: 02 May 2020

摘要

摘要: [目的]探讨电针八髎穴对不协调型功能性排便障碍患者肛管直肠动力学的影响。[方法]选取66例符合诊断的不协调型功能性排便障碍患者为研究对象,随机分为2个组,电针组(33例)采用电针八髎穴治疗;反馈组(33例)采用生物反馈治疗。2组均在4个疗程后,观察患者的肛管直肠动力学情况及克利夫兰便秘评分(CCCS)、ODS评分及便秘生活治疗量表(PAC-QOL)评分。[结果]治疗后,电针组与反馈组比较,CCCS评分、ODS评分及PAC-QOL评分差异有统计学意义。治疗后电针组肛管静息压、直肠静息压、最大收缩压、肛管高压区长度、初始感觉阈值、最大容量感觉阈值各项数据明显改善,优于反馈组,均差异有统计学意义(P<0.01)。[结论]电针八髎穴治疗对不协调型功能性排便障碍患者临床疗效显著,可有效提高患者的生存质量,其机制可能与改善患者肛管直肠动力学相关,远期疗效有待进一步研究。
- 电针 /
- 八髎穴 /
- 不协调 /
- 功能性排便障碍 /
- 肛管直肠动力学
Abstract: [Objective]To investigate the influence of electroacupuncture at Baliao point on anorectal dynamics in patients with uncoordinated functional defecation disorder.[Methods]Sixty-six patients with uncoordinated functional defecation disorder who met the diagnosis were selected as the research subjects.Randomly divided into two groups,33 patients in the electroacupuncture group were treated with electroacupuncture at Baliao point;33 patients in the feedback group were treated with biofeedback.After 4 courses of treatment in both groups,the anorectal dynamics and CCCS score,ODS score and PAC-QOL quality of life score were observed in the two groups.[Results]After treatment,CCCS score,ODS score and PAC-QOL quality of life score were significantly different between the electroacupuncture group and the feedback group.After treatment,the anal canal resting pressure,rectal resting pressure,maximum systolic pressure,length of anal canal high pressure zone,initial sensory threshold,and maximum volume sensory threshold were significantly improved,which was better than that of the feedback group(P<0.01).[Conclusion]Electroacupuncture at Baliao point has a significant clinical effect on patients with uncoordinated functional defecation disorder,which can effectively improve the quality of life of patients.The mechanism may be related to improving the anorectal dynamics of patients,and its long-term efficacy needs further study.
- electroacupuncture /
- Baliao point /
- anorectal /
- dynamics uncoordinated /
- functional defecation disorder

HTML全文

参考文献(9)

[1]	童卫东.成人便秘的外科治疗[J].中华结直肠疾病电子杂志,2015,4(2):5-7.
[2]	Drossman DA,Hasler WL.Rome Ⅳ-functional GI disorders:disorders of gut-brain interaction[J].Gastroenterology,2016,150(6):1257-1261.
[3]	Corman ML,傅传刚,汪建平,等.结直肠外科学[M].上海:上海科学技术出版社.2016:499-526.
[4]	中华医学会消化病学分会胃肠动力学组,功能性胃肠病协作组.中国慢性便秘专家共识意见(2019,广州)[J].中华消化杂志,2019,39(9):577-598.
[5]	张灵,丁雨,林琳.直肠敏感性异常在功能性排便障碍中的重要性[J].胃肠病学,2019,24(7):440-443.
[6]	陈友喜,谢贻祥,王传思,等.生物反馈联合电刺激治疗排便障碍型便秘的临床疗效[J].皖南医学院学报,2019,38(2):120-122.
[7]	Masahiro I,MatsushimaM,Nakade Y,et al.Electroacupuncture atST-36 accelerate colonic motility and transit in freely moving concious rats[J].Am J Physiol Gastrointest Liver Physiol,2006,290(2):285-292.
[8]	王渊.电针不同穴位对功能性肠病大鼠双向调节机制初探[D].南京:南京中医药大学,2013.
[9]	徐晶,杜玉茱,张选平,等.不同刺灸法对大鼠功能性便秘干预作用的比较研究[J].中国针灸,2017,37(5):527-533.