Clinical observation of electroacupuncture at Zusanli and Baliao acupoints in treating fecal incontinence after complex anal fistula surgery

DONG Qingjun; LIANG Hongtao; WANG Chen; YI Jin; CAO Yongqing; LU Jin

doi:10.16305/j.1007-1334.2018.10.018

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Clinical observation of electroacupuncture at Zusanli and Baliao acupoints in treating fecal incontinence after complex anal fistula surgery

更新时间：2022-08-31

- Clinical observation of electroacupuncture at Zusanli and Baliao acupoints in treating fecal incontinence after complex anal fistula surgery
- Shanghai Journal of Traditional Chinese Medicine Vol. 52, Issue 10, Pages: 67-69(2018)
- 作者机构：
  
  1. 上海中医药大学附属龙华医院肛肠科,上海,200032
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2018.10.018
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DONG Qingjun, LIANG Hongtao, WANG Chen, et al. Clinical observation of electroacupuncture at Zusanli and Baliao acupoints in treating fecal incontinence after complex anal fistula surgery. [J]. Shanghai Journal of Traditional Chinese Medicine 52(10):67-69(2018)
DOI：

DONG Qingjun, LIANG Hongtao, WANG Chen, et al. Clinical observation of electroacupuncture at Zusanli and Baliao acupoints in treating fecal incontinence after complex anal fistula surgery. [J]. Shanghai Journal of Traditional Chinese Medicine 52(10):67-69(2018) DOI： 10.16305/j.1007-1334.2018.10.018.

摘要

目的：观察电针足三里及八髎穴治疗复杂性肛瘘术后大便失禁的临床疗效。方法：将70例复杂性肛瘘术后大便失禁患者随机分为治疗组和对照组,每组35例。对照组采用电刺激治疗,治疗组采用电针足三里及八髎穴治疗。两组均治疗21天,观察临床疗效、治愈时间及复发率,比较大便失禁评分、肛门直肠压力的变化情况。结果：①=1\*GB3最终完成试验者69例,治疗组34例,对照组35例。②=2\*GB3治疗组、对照组总有效率分别为100.0%、97.1%；组间临床疗效比较,差异无统计学意义(P>0.05)。③=3\*GB3治疗前后组内比较,两组大便失禁评分均较治疗前减少(P<0.05)；组间治疗后比较,治疗组大便失禁评分低于对照组(P<0.05)。④=4\*GB3治疗前后组内比较,治疗组肛管静息压、肛管收缩压均较治疗前升高(P<0.05),对照组仅肛管收缩压较治疗前升高(P<0.05)；组间治疗后比较,治疗组肛管静息压高于对照组(P<0.05)。⑤=5\*GB3治疗组治愈时间短于对照组(P<0.05),复发率低于对照组(P<0.05)。结论：电针足三里及八髎穴治疗复杂性肛瘘术后大便失禁疗效满意,较电刺激能更好地改善患者的临床症状,提高肛门直肠压力,缩短病程,且不易复发。

Abstract

Objective:To observe the clinical efficacy of electroacupuncture at Zusanli and Baliao acupoints on fecal incontinence after complex anal fistula surgery. Methods70 patients with fecal incontinence after complex anal fistula surgery were randomly divided into the treatment group and control group, 35 cases in each group. The control group was treated with electrical stimulation, and the treatment group was treated with electroacupuncture at Zusanli and Baliao acupoints, with a course of 21 days. The clinical efficacy, healing time and recurrence rate were observed. The changes on fecal incontinence score and anorectal pressure were compared. Results:① A total of 69 patients completed the clinical trial, among 34 cases in the control group and 35 cases in the treatment group. ② The total effective rates were 100% in the treatment group and 97.1% in the control group respectively, and there was no statistically significant difference on the clinical efficacy between the two groups (P>0.05). ③ In both groups, the fecal incontinence score was reduced after treatment compared with treatment before (P<0.05). After treatment, the fecal incontinence score in the treatment group was lower than that in the control group (P<0.05). ④ Compared with treatment before, the resting pressure and systolic pressure of anal canal were both increased in the treatment group after treatment (P<0.05), and only systolic pressure of anal canal was increased in the control group (P<0.05). After treatment, the resting pressure of anal canal in the treatment group was higher than that in the control group (P<0.05). ⑤ The healing time in the treatment group was shorter than that in the control group (P<0.05), and the recurrence rate in the treatment group was lower than that in the control group (P<0.05). Conclusion:Electroacupuncture at Zusanli and Baliao acupoints in treating fecal incontinence after complex anal fistula surgery shows satisfactory efficacy. Compared with electrical stimulation, it can better improve the clinical symptoms and increase the anorectal pressure, shorten the course of disease and reduce the recurrence rate.

关键词

大便失禁复杂性肛瘘手术后电刺激电针足三里八髎穴

Keywords

fecal incontinencecomplex anal fistulapost operationelectrical stimulationelectroacupunctureZusanli acupointBaliao acupoint

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