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目的通过穴位强化埋线法寻找治疗慢传输型便秘或混合型便秘的最佳疗法。方法采用分层对照的方法将310例便秘患者分为5组:观察1组(慢传输型62例)采用大肠俞、天枢、中极、足三里穴位强化埋线方法,观察2组(混合型62例)采用穴位强化埋线配合肛门局部手术;对照1组(慢传输型62例)口服中药四磨汤2周,对照2组(混合型62例)口服中药四磨汤2周,对照3组(混合型62例)单纯实施肛门局部手术。每天记录患者排便情况,治疗前后均进行胃肠通过实验(GITT)检查;于治疗后1、3、6个月各随访1次。结果观察1、2组124例中治愈(治疗5天可排便并≥1次/3天,症状消失,GITT正常,持续>6个月)52例(41.9%),大便基本正常;显效(治疗5天可排便并≥1次/3天,持续1～6个月)5例(4.0%),有时有排便不尽感。对照1、2组无显效及治愈病例。对照3组显效8例,无治愈病例。结论穴位强化埋线法治疗慢传输型便秘简便易行,配合肛门局部手术可治疗混合型便秘,其临床疗效比较令人满意。
Objective To find the best treatment for slow transit constipation or mixed constipation by acupoint intensive embedding method. Methods A total of 310 patients with constipation were divided into 5 groups according to the stratified control method. Group 1 (slow transit type 62) was treated with intensive intestine embedding, Tianshu, Zhongji and Zusanli acupoints, (Control group) (n = 62) received acupoint intensive catgut implantation combined with anal partial surgeries. The control group 1 (slow transit type 62) orally took SJR for 2 weeks and the control group 2 (mixed type 62) Three groups (mixed type 62 cases) simple implementation of anal partial surgery. The defecation of patients was recorded every day, before and after treatment were conducted gastrointestinal (GITT) examination; 1, 3, 6 months after treatment, each time a follow-up. Results In the observation group 1 and 2, 124 cases were cured (defecation for 5 days and defecation ≥ 1/3 days, symptom disappeared, GITT was normal for 6 months), 52 cases (41.9%) had normal stool, 5 days defecation and ≥ 1 times / 3 days, lasting 1 to 6 months) in 5 cases (4.0%), sometimes defecate endless feeling. Control group 1, 2 and no cure and cure cases. Control 3 group markedly effective in 8 cases, no cure cases. Conclusion The acupoint-enhanced embedding method is simple and easy to treat with slow-transit constipation. Combined with anal partial surgeries, it can treat mixed constipation. The clinical curative effect is satisfactory.