电针治疗严重功能性便秘的临床观察
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1.湖北中医药大学,湖北武汉430060;2.中国中医科学院,北京110000;3.武汉市中西医结合医院,湖北武汉,430022

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R246

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基金项目:“十二五”国家科技支撑计划项目(2012BAI24B01);2013年湖北省卫生计生委科研项目(2013Z-Z05)收稿日期:2014-11-28作者简介:徐华芳(1989-),女,云南昭通人,在读硕士研究生,研究方向:针灸对心脑血管疾病和神经系统疾病研究。△通信作者:张红星,E-mail:zhxzjqq@yahoo.com.cn


Observation on Therapeutic Effect of Electro-acupuncture Treatment about Severe Functional Constipation
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1. Hubei TCM University, Wuhan 430060, China;2. Chinese Academy of Traditional Chinese Medicine, Beijing, 110000, China

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    摘要:

    目的观察电针治疗严重功能性便秘的临床疗效。方法选取2012年9月-2013年10月武汉市中西医结合医院针灸科门诊的严重功能性便秘患者80例,采用电针双侧天枢穴、腹结穴配双侧上巨虚穴进行治疗。观察患者治疗前后证候积分及疗效指数、血浆一氧化氮合酶(NOS)、血浆五羟色胺(5-HT)的变化。结果80例中,治愈47例,显效19例,有效8例,未愈6例,总有效率92.5%.治疗前后血浆NOS的含量分别为:(1.70±0.08)ng/mL和(0.83±0.22)ng/mL,血浆5-HT的含量分别为:(394.36±20.38)ng/mL和(496.97±25.53)ng/mL,治疗前后比较差异具有显著统计学意义(P<0.05)。结论电针疗法对严重功能性便秘疗效显著,值得临床深入研究并推广应用。

    Abstract:

    Objective To observe the clinical curative effect of electro-acupuncture treatment of functional constipation. Methods 80patients with functional constipation were selected from the acupuncture clinic of Wuhan Hospital of Integrated Chinese and Western Medicine from September 2012 to October 2013. By treating with electroacupuncture at bilateral Tianshu point, abdominal knot poit and with bilateral Shangjuxu poit, observing the changes of the symptom scores, curative effect index, plasma nitric oxide synthase(NOS) and plasma five hydroxytryptamine(5-HT) of the patients before and after treatment. Results In 80 cases, 47 cases were cured, 19 cases were markedly effective, 8 cases were markedly effective, 6 cases were ineffective, the total efficiency was 92.5%. The content of Plasma NOS before and after treatment was 1.70±0.08ng/mL and 0.83±0.22ng/mL, the content of 5-HT before and after treatment was 394.36±20.38ng/mL and 496.97±25.53ng/mL, There were Statistically significant difference before and after treatment(P<0.05). Conclusion Electro-acupuncture therapy has significant effect on functional constipation, worthy of further clinical researching and application.

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