热敏灸联合生物反馈治疗盆底失弛缓型便秘肺脾气虚证的疗效观察

洪燕秋; 张书信; 肖秋平; 耿学斯

doi:10.3969/j.issn.2095-6606.2021.05.003

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热敏灸联合生物反馈治疗盆底失弛缓型便秘肺脾气虚证的疗效观察

临床研究 | 更新时间：2021-10-19

- 热敏灸联合生物反馈治疗盆底失弛缓型便秘肺脾气虚证的疗效观察
- Therapeutic effect of heat-sensitive point moxibustion combined with biofeedback for dyssynergic constipation
- 现代中医临床 2021年28卷第5期页码：8-13
- 作者机构：
  
  1.北京中医药大学东直门医院　北京　 100700
  2.北京中医药大学厦门医院
- 作者简介：
  
  洪燕秋，女，在读博士生
  # 耿学斯，男，教授、主任医师，博士生导师，E-mail：xmgck@sina.com
- 基金信息：
  
  国家自然科学基金资助项目(81774306)
- DOI：10.3969/j.issn.2095-6606.2021.05.003
  中图分类号： R246.9
- 纸质出版日期：2021-09-30，
  
  收稿日期：2020-07-20，
- 稿件说明：
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洪燕秋, 张书信, 肖秋平, 等. 热敏灸联合生物反馈治疗盆底失弛缓型便秘肺脾气虚证的疗效观察[J]. 现代中医临床, 2021,28(5):8-13.

Yanqiu Hong, Shuxin Zhang, Qiuping Xiao, et al. Therapeutic effect of heat-sensitive point moxibustion combined with biofeedback for dyssynergic constipation[J]. Modern Chinese Clinical Medicine, 2021,28(5):8-13.
洪燕秋, 张书信, 肖秋平, 等. 热敏灸联合生物反馈治疗盆底失弛缓型便秘肺脾气虚证的疗效观察[J]. 现代中医临床, 2021,28(5):8-13. DOI： 10.3969/j.issn.2095-6606.2021.05.003.

Yanqiu Hong, Shuxin Zhang, Qiuping Xiao, et al. Therapeutic effect of heat-sensitive point moxibustion combined with biofeedback for dyssynergic constipation[J]. Modern Chinese Clinical Medicine, 2021,28(5):8-13. DOI： 10.3969/j.issn.2095-6606.2021.05.003.

摘要

目的

观察热敏灸联合生物反馈治疗盆底失弛缓型便秘肺脾气虚证的临床疗效。

方法

将60例盆底失弛缓型便秘肺脾气虚证患者随机分为治疗组30例、对照组30例。治疗组采用热敏灸联合生物反馈治疗，对照组采用单纯生物反馈治疗。观察临床疗效、便秘症状严重程度评分、中医症状评分、肛门括约肌静息压(resting anal sphincter pressure，RASP)、肛管括约肌最大缩榨压(squeeze anal sphincter pressure，SASP)、肛门括约肌松弛率(anal sphincter relaxation rate，ASRR)、直肠初始感觉阈值(first rectal sensation，FRS)、直肠排便阈值(constant rectal sensation，CRS)、直肠最大耐受阈值(maximum rectal tolerable sensation，MRTS)。

结果

2组治疗前后治疗组疗效优于对照组(

0.05)。2组1个月随访治疗组疗效优于对照组(

0.05)。2组治疗后排便不尽感、排便时间、如厕未排次数评分治疗组均较对照组降低明显，2组治疗前后评分差值比较，差异均有统计学意义(

0.05)。1个月随访对照组排便费力、排便不尽感、排便时间、排便辅助评分较治疗组升高明显，2组1个月随访与治疗后评分差值比较，差异有统计学意义(

0.05)。2组治疗后治疗组努挣汗出短气、便后乏力、神疲懒言评分较对照组降低明显，2组治疗前后症状评分差值比较，差异有统计学意义(

0.05)。1个月随访对照组有便意但排便困难、努挣汗出短气、便后乏力、神疲懒言评分较治疗组升高明显，2组1个月随访与治疗后评分差值比较，差异有统计学意义(

0.05)。2组ASRR，FRS，CRS治疗前后差值比较差异有统计学意义(

0.05)，治疗组优于对照组。

结论

热敏灸联合生物反馈可改善盆底失弛缓型便秘肺脾气虚证患者的临床症状、盆底肌不协调运动及直肠感觉功能，临床疗效稳定。

Abstract

Objective

To observe the clinical efficacy of heat-sensitive point moxibustion combined with the biofeedback therapy for the treatment of dyssynergic constipation of the lung and spleen qi-deficiency pattern.

Methods

Sixty outpatients were randomly assigned to the treatment group (30 cases) and control group (30 cases).The treatment group was treated with heat-sensitive point moxibustion combined with biofeedback therapy

while the control group was treated only with biofeedback therapy. The clinical efficacy

constipation symptom severity score

TCM syndrome score

resting anal sphincter pressure (RASP)

squeeze anal sphincter pressure(SASP)

anal sphincter relaxation rate (ASRR)

first rectal sensation(FRS)

constant rectal sensation(CRS) and maximum rectal tolerable sensation(MRTS) were observed.

Results

Before and after treatment

the curative effect was better in the treatment group than in the control group (

0.05). After treatment

the scores of incomplete sensation of defecation

defecation time and times of no defecation were significantly lower in the treatment group than in the control group

the scores of sweating shortness

fatigue after defecation

mental fatigue and lazy speech were significantly lower in the treatment group than in the control group

and differences of symptom score between the two groups before and after treatment were statistically significant (

0.05). The differences of ASRR

FRS and CRS between the two groups before and after treatment were statistically significant (

0.05)

better in the treatment group than in the control group. One month follow-up showed that the curative effect of the treatment group was better than that of the control group (

0.05)

the scores of defecation difficulty

sweating shortness

fatigue after defecation

mental fatigue and lazy speech were significantly higher in the control group than in the treatment group

and differences of score between the two groups in one month follow-up and after treatment were statistically significant (

0.05).

Conclusions

The therapy of heat-sensitive point moxibustion combined with biofeedback can significantly improve clinical symptoms

asynergic movement of pelvic floor muscles as well as rectal sensation in the treatment of patients

with stable curative effect.

关键词

热敏灸生物反馈盆底失弛缓型便秘肺脾气虚证

Keywords

heat-sensitive point moxibustion technologybiofeedback therapydyssynergic constipationlung and spleen qi deficiency pattern

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