上海针灸杂志2018，Vol.37Issue(2)：165-169,5.DOI:10.13460/j.issn.1005-0957.2018.02.0165
常规针刺加支沟和照海治疗帕金森病阴虚便秘临床观察
Clinical Observation of Ordinary Acupuncture plus Zhigou (TE6) and Zhaohai (KI6) for Constipation Due to Yin Deficiency in Parkinson's Disease
摘要
Abstract
Objective To observe the clinical efficacy of ordinary acupuncture plus Zhigou (TE6) and Zhaohai (KI6) in treating constipation due to yin deficiency in Parkinson's disease. Method Sixty eligible patients were randomized into a control group and a treatment group, 30 cases each. The control group was intervened by ordinary acupuncture by selecting the Dance-tremor Control Zone, Baihui (GV20), Fengchi (GB20), Fengfu (GV16), Quchi (LI11), Yanglingquan (GB34), Taixi (KI3) and Taichong (LR3). Based on the ordinary acupuncture, Zhigou (TE6) and Zhaohai (KI6) were added in the treatment group. The treatment was given three times a week, 12 sessions as a course, and the therapeutic efficacy was evaluated after 2 successive treatment courses by using Patient Assessment of Constipation Quality of Life Scale (PAC-QOL), Bristol Stool Scale (BSS), Cleveland Clinic Score (CCS) and Unified Parkinson's Disease Rating Scale (UPDRS) as the observation indexes. Result Before the intervention, there were no significant differences in comparing the PAC-QOL, Bristol, CCS and UPDRS scores between the two groups (P>0.05);after the treatment, the scores of PAC-QOL, Bristol, CCS, and motor function and activities of daily living in UPDRS dropped significantly in the two groups (P<0.05); the PAC-QOL, Bristol and CCS scores in the treatment group were significantly lower than those in the control group after the treatment (P<0.05); the treatment group had a significantly higher effective rate in improving constipation symptoms than the control group (P<0.05); there was no significant difference in comparing the UPDRS score between the two groups after the intervention (P>0.05). Conclusion Ordinary acupuncture plus Zhigou and Zhaohai can significantly improve the quality of life, stool form and difficulty in defecation in constipation of yin-deficiency type in Parkinson's disease, and the therapeutic efficacy is superior to that of ordinary acupuncture.关键词
针刺/头针刺激区/穴,支沟/穴,照海/帕金森病/便秘/PAC-QOL/Bristol/CCS/UPDRSKey words
Acupuncture/Scalp stimulation areas/Point,Zhigou (TE6)/Point,Zhaohai (KI6)/Parkinson's disease/Constipation/PAC-QOL/Bristol/CCS/UPDRS分类
医药卫生引用本文复制引用
张雯舒,宗蕾,顾侃..常规针刺加支沟和照海治疗帕金森病阴虚便秘临床观察[J].上海针灸杂志,2018,37(2):165-169,5.基金项目
上海市中医、中西医结合临床重点扶持项目(ZY3-JSFC-1-1023) （ZY3-JSFC-1-1023）
上海市卫生和计划生育委员会项目(201204) （201204）
