合募俞配穴治疗功能性肠病的双向调节作用

摘要

目的 观察电针合募俞配穴治疗功能性肠病的双向调节作用.方法 总病例数为125例,其中功能性便秘63例,功能性腹泻62例,采用随机对照研究方法,将63例功能性便秘患者随机分为合募俞组(n1=33)和药物组(n2=30);将62例功能性腹泻患者随机分为合募俞组(n1=32)和药物组(n2=30).合募俞组取曲池、上巨虚、天枢、大肠俞,采用左右交替取穴;功能性便秘药物组口服枸橼酸莫沙必利片,功能性腹泻药物组口服盐酸洛哌丁胺胶囊.所有患者均连续治疗4周,同病种患者均比较合募俞组和药物组在基线期、治疗后第2周、治疗后第4周总排便次数、粪便性状.结果 经过4周的治疗,两组的周总排便次数、粪便性状均较治疗前明显改善,差异有统计学意义(P<0.05);电针合募俞穴对改善功能性便秘和功能性腹泻患者的周排便次数、粪便性状优于口服枸橼酸莫沙必利片、盐酸洛哌丁胺胶囊,差异有统计学意义(P<0.05).结论 电针合募俞配穴治疗功能性肠病具有良好的双向调节作用.%Objective To observe the two-way regulation effect of He-Mu-Shu matching acupoint on functional bow-el disorders. Methods The 125 cases of patients include 63 cases of functional constipation and 62 cases of function-al diarrhea. By a randomized controlled clinical trial, 63 cases of functional constipation patients were randomly divided into He-Mu-Shu group (33 cases) and medicine group (30 cases), 62 cases of functional diarrhea patients were randomly divided into He-Mu-Shu group (32 cases) and medicine group (30 cases). He-Mu-Shu group was treated with acupuncture at Quchi, Shangjuxu, Tianshu, Dachangshu around the turn to take unilateral. The medicine group of functional constipation pharmaceu-tical was given the oral mosapride citrate tablets, while the medicine group of functional diarrhea was orally administrated with loperamide hydrochloride capsules. Both groups were treated continuously for 4 weeks. Defecation frequency and excre-ment character were observed at baseline, 2 weeks and 4 weeks after treatment. Results After treatment for 4 weeks, the defecation frequency, excrement character were significantly improved in both groups (P<0.05). The effect He-Mu-Shu acupoint in improving defecation frequency and excrement character of functional constipation and functional diarrhea patients was better than that with oral mosapride citrate tablets and loperamide hydrochloride capsules, the difference was statistically significant (P<0.05). Conclusion He-Mu-Shu matching acupoint shows good two-way regulation effect on treatment of func-tional bowel disorders.