摘要
目的:探讨电针刺激特定穴位不同的针刺时间、频率参数对上运动神经源性肠功能障碍患者的临床干预效应。方法:将60例患者随机分为A、B、C与D组,每组15例,常规针刺取穴支沟、大肠俞、足三里、次髎、气海、长强、天枢与上巨虚;针刺得气后电针治疗仪连接,以天枢、大肠俞为刺激电极,足三里、次髎为参考电极;A组:连续波5 Hz,辰时(7-9时)电针20 min;B组:连续波5 Hz,非辰时电针20 min;C组:连续波100 Hz,辰时(7-9时)电针20 min;D组:连续波100 Hz,非辰时电针20 min。各组针刺留针30 min。比较各组治疗前后国际脊髓损伤肠功能基础数据集评分、布里斯托尔大便分型(Bristol分型)、大肠标志物在肠内残余数量和生活综合评定量表(GQOL-74量表)。结果:与治疗前比较,各组患者治疗后国际脊髓损伤肠功能基础数据集评分、Bristol分型、大肠标志物在肠内残余数量与GQOL-74量表均有改善(P<0.05),其中国际脊髓损伤肠功能基础数据集评分、大肠标志物在肠内残余数量和GQOL-74量表C组患者改善程度均优于A组、B组和D组(P<0.05),A组与D组均优于B组(P<0.05),A组与D组疗效差异无统计学意义(P>0.05)。在Bristol分型中,C组改善程度均优于A组、B组和D组(P<0.05),A组、B组和D组疗效差异无统计学意义(P>0.05)。结论:在上运动神经源性肠功能障碍治疗上,高频辰时电针疗效最佳,能够有效缓解患者排便时间长、大便干燥与排便困难等症状,改善结肠传输功能,提高患者生活质量,疗效明确,值得临床推广。
Objective:To investigate the clinical intervention effect of different acupuncture time and frequency parameters to stimulate specific acupoints on patients with upper motor neurogenic intestinal dysfunction.Methods:60 patients were randomly divided into group A,group B,group C and group D,with 15 cases in each group.The points of Zhigou(SJ6),Dachangshu(BL25),Zusanli(ST36),Ciliao(BL32),Qihai(RN6),Changqiang(DU1),Tianshu(ST25)and Shangjuxu(ST37).After obtaining Qi feeling,ST25,BL25,ST36 and BL32 were connected to electrodes.Wave pattern,wave frequency,electro-acupuncture(EA)time and EA duration were as follows in each group;continuous wave,5Hz,Chen hour(7am-9am),20 minutes in group A;continuous wave,5Hz,not Chen hour,20 min in group B;continuous wave,100 Hz,Chen hour,20 min in group C;continuous wave,100Hz,not Chen hour,20 min in group D.International spinal cord injury basic intestinal function data set,Bristol stool typing,residual number of large intestine markers in intestine and generic quality of life inventory-74(GQOL-74 scale)were compared before and after the treatment in all groups.Results:Compared with those before the treatment,the scores of international spinal cord injury basic intestinal function data set,Bristol stool typing,intestinal residual number of large intestine markers and GQOL-74 scale of the patients were all improved after the treatment in all groups(P<0.05).Among them,the improvements in the scores of international spinal cord injury intestinal function basic data set,intestinal residual number of large intestine markers and GQOL-74 scale were more significant in group C than those in group A,group B and group D(P<0.05);and the improvements were more significant in group A and group D than those in group B(P<0.05);there were no statistical differences in the improvements between group A and group D(P>0.05).In terms of Bristol stool typing,the improvement was more significant in group C than that in group A,group B and group D(P<0.05),and there was no statistical difference among group A,group B and group D(P>0.05).Conclusion:In terms of the treatment for upper motor neurogenic intestinal dysfunction,high-frequency EA during Chen hour has the best curative effect,which can effectively relieve the symptoms of defecation time,dry stool and difficult defecation,improve transmission function of colon,and improve life quality of the patients.The curative effect of the therapy is clear and the therapy is worthy of clinical promotion.
作者
杨翔宇
李振兴
周宾宾
姚鑫宇
苏婷
李靖禹
YANG Xiangyu;LI Zhenxing;ZHOU Binbin;YAO Xinyu;SU Ting;LI Jingyu(Guangxi University of Chinese Medicine,Nanning 530001,China;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530001,China)
出处
《针灸临床杂志》
2023年第10期42-47,共6页
Journal of Clinical Acupuncture and Moxibustion
基金
国家自然科学基金,编号:81660814
广西高校中青年教师科研基础能力提升项目,编号:2021KY0302。
关键词
上运动神经源性肠功能障碍
纳支法
电针
随机对照试验
Upper motor neurogenic intestinal dysfunction
Hour-prescription of acupoints
Electro-acupuncture
Randomized controlled trial
