电针曲池、上巨虚治疗功能性便秘的初步临床分析

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1、目录摘要···················································································1ABSTRACT············································································2前言···················································································41资料与方法··················

2、·····················································62结果··············································································113讨论··············································································204结论····························································

3、··················23参考文献············································································24综述·················································································27参考文献············································································35附录············

4、·····································································41致谢·················································································43华中科技大学硕士学位论文电针曲池、上巨虚治疗功能性便秘的初步临床研究学位申请人：王颖导师：黄光英教授摘要目的：观察电针曲池和上巨虚治疗功能性便秘的临床疗效。方法：将54例符合罗马Ⅲ标准的功能性便秘患者随机分为电针组（37例）和对照组（17例），电针组取双

5、侧曲池、上巨虚，治疗4周，前两周每周治疗5次，后两周每周治疗3次；对照组口服枸橼酸莫沙必利片，每次5mg，每天3次，连续服药4周。治疗前后共观察9周，治疗前1周为基线期，治疗4周，随访4周。采用患者日记卡记录每天自主排便次数、每次粪便性状及每次排便困难程度，使用便秘患者生活质量自评量表（PAC-QOL）分别于基线期、治疗期（第2周末、第4周末）、随访期（第8周末）评估患者生活质量，主要评估指标为周自主排便次数，次要评估指标包括每周正常性状大便比例、每周排便用力和非常用力比例及PAC-QOL评分。结果：电针组在治疗期和随访期各周均能增加自主排便次数，提高正常性状

6、大便比例，减少排便用力和非常用力比例，改善PAC-QOL总分及各维度评分，与治疗前相比差异均有统计学意义（P＜0.05）。电针组与对照组各项评估指标组间差异均尚无统计学意义（P＞0.05）。结论：电针曲池和上巨虚是治疗功能性便秘的有效方法，可以增加排便次数，改善便质，减轻排便困难症状，改善患者便秘相关生活质量。与口服枸橼酸莫沙必利相比，疗效尚无差异。关键词：电针；功能性便秘；曲池；上巨虚1华中科技大学硕士学位论文PilotStudyontheEfficacyofElectroacupunctureatQuchi(LI11)andShangjuxu(ST37)f

7、orFunctionalConstipationCandidate:YingWangSupervisor:Prof.GuangyingHuangAbstractObjective:Toinvestigatetheefficacyofelectroacupunctureatquchi(LI11)andshangjuxu(ST37)forthetreatmentoffunctionalconstipation.Methods:54patientswhosufferedfunctionalconstipation(RomeIIIcriteria)wererandom

8、lyassignedtoelectro