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| 基于俞募配穴理论探讨电针大肠募俞穴对功能性肠病的双向调节作用 |
| Discussing the bidirectional regulation of electro-acupuncture at Shu and Mu of large intestine in regulation of functional bowel disease based on Shu-Mu?acupoint theory |
| 投稿时间：2019-07-05 录用日期：2019-08-23 |
| DOI： |
| 中文关键词: 功能性肠病 天枢 大肠俞 针刺 俞募配穴 |
| 英文关键词: functional enteropathy Tianshu Dachangshu Electro-acupuncture Shu-Mu acupoint |
| 基金项目:国家重点基础研究发展计划（973计划） |
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| 中文摘要: |
| 摘要: 目的：基于俞募配穴理论取天枢、大肠俞治疗两种不同状态（腹泻、便秘）的功能性肠病，观察其临床疗效、探讨其作用机理。方法：将所招募符合功能性肠病诊断的患者分为腹泻组和便秘组，两组均选取双侧天枢、大肠俞，得气后辅以电针治疗，连续治疗4w；两组均以1周内自主排便总次数及粪便性状评分（1周平均分）为观测指标，以治疗第3w、5w、7w、9w（一周内）为观测节点，分别于各观测节点记录观测指标，对数据进行统计、分析。结果：腹泻组和便秘组的有效率分别为95.0%和91.4%，两组相比有统计学差异（P<0.05）；治疗第3w，两组周排便次数、大便性状均得到有效改善，与同组治疗前相比有统计学差异（P<0.05）；治疗第5w，两组周排便次数、大便性状均有明显改善，与同组治疗前相比有明显统计学差异（P<0.01）；治疗第7w、9w随访，与同组治疗第5w相比，无统计学差异（P>0.05），与同组治疗前相比，统计学差异明显（P<0.01）。结论：电针天枢、大肠俞电针对功能性肠病具有双向调节作用；对功能性腹泻及功能性便秘的近、远期疗效均显著,但其对功能性腹泻的治疗作用较功能性便秘更为明显。 |
| 英文摘要: |
| Abstract: Objective To treat functional enteropathy of Tianshu and Dachangshu in two different states (diarrhea and constipation) based on the theory of Shu-Mu acupoint, observe its clinical efficacy and explore its mechanism.Methods The patients enrolled in the diagnosis of functional bowel disease were divided into diarrhea group and constipation group. Both groups were treated with bilateral Tianshu and Dachangshu. After gas-effective, they were treated with electro-acupuncture for 4 weeks. Observation of the two groups the indexes were the total number of spontaneous defecation and the fecal trait score (1 week average score) within 1 week. All the observations were 3w, 5w, 7w, 9w (within one week) as observation nodes, and the observation indexes were recorded at each observation node，statistics and analysis of the data at the same time.RESULTS The effective rates of diarrhea group and constipation group were 95.0% and 91.4%,there was significant difference between the two groups (P<0.05); On the third week of treatment, the number of weekly bowel movements and stool characteristics were effectively improved,there was a statistically significant difference between the two groups before treatment (P<0.05);The number of weekly defecation and stool characteristics were significantly improved in the 5th week after treatment, and there was significant statistical difference between the two groups (P<0.01). There was no statistical difference (P>0.05) between the 7th week and 9th week of treatment, compared with the 5th week treatment of the same group (P<0.01).Conclusion Electro-acupuncture Tianshu and Dachangshu have two-way regulation effects on functional bowel disease; the short-term and long-term effects on functional diarrhea and functional constipation are significant, but their therapeutic effect on functional diarrhea is more functional than constipation. |
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