李园春　陈洪文

[摘要] 目的 探讨颈项部穴位治疗中老年便秘的临床疗效。 方法 整群选取该院2012年5月—2015年6月接诊的单纯性便秘患者49例，随机分为治疗组25例，和对照组24例，治疗组应用颈项部穴位进行针刺和按摩治疗，对照组采用腹背部穴位进行治疗，两组治疗均已7 d为1疗程，3个疗程以后观察治疗效果，并进行治疗后，2个月的跟踪随访。结果两组排便缩短时间比较，治疗组达到治愈标准率为84.5%，对照组为72.3%，治疗组明显高于对照组（P<0.05）；两组排便次数比较，治疗组达到治愈标准率为88.0%，对照组为62.5%，治疗组明显高于对照组（P<0.05）；两组复发率比较，治疗组为8.0%，对照组为58.3%，对照组明显高于治疗组（P<0.05）。三项比较均差异有统计学意义。 结论 采用颈项部穴位治疗中老年疗效确切可靠。

[关键词] 颈项部穴位；中老年；便秘；疗效观察

[中图分类号] R256.31 [文献标识码] A [文章编号] 1674-0742（2016）02（b）-0164-03

[Abstract] Objective To discuss the clinical curative effect of acupoints of neck in treatment of constipation of the middle and old people. Methods 49 cases of patients with simple constipation treated in our department from May 2012 to June 2015 were randomly divided into the treatment group with 25 cases and the control group with 24 cases， the treatment group were given acupuncture and massage through acupoints of neck， the control group were given treatment through acupoints of abdomen and back ， 7 days were a course of treatment for the two groups， the treatment effect was observed after 3 courses of treatment and the patients were followed up for 2 months. Results As far as the defecation shorten time was concerned， the cure standard rate in the treatment group was obviously higher than that in the control group （84.5% vs 72.3%）（P<0.05）， as far as the defecation times were concerned， the cure standard rate in the treatment group was obviously higher than that in the control group （88.0% vs 62.5%），（P<0.05）， the recurrence rate in the control group was obviously higher than that in the treatment group （58.3% vs 8.0%），（P<0.05），all differences were statistically significant. Conclusion The curative effect of acupoints of neck in treatment of constipation of the middle and old people is definite and reliable.

[Key words] Acupoints on the neck； Middle and old people； Constipation； Observation on curative effect

由于饮食结构[1]和生活方式的改变[2]导致便秘这种肠道疾病在中老年人群中呈多发趋势，患者多自行服用酚酞片或番泻叶等缓泻剂进行治疗，然而长期服用此类药物通常又会产生耐药性，甚至损伤胃肠道功能。为寻求更为安全有效的治疗方法，该院将2012年5月—2015年6月接诊的患者49例，分组采用针刺按摩颈项部穴位和采用针刺按摩腹、背部穴位进行对比治疗，现报道如下。

1 资料与方法

1.1 一般资料

整群选取2012年5月—2015年6月该院接诊的便秘患者49例，其中男23例，女26例；年龄46～69岁；平均年龄（58.2±4.3）岁；疗程8个月～3年，平均病程（14.6±5.2）。所有患者均有排便困难，每次排便时间均超过20分钟，每周排便都少于2次，将两组随机分为治疗组25例，男12例，女13例，平均年龄（58.3±4.5）岁，平均疗程为（14.5±3.5）月；对照组24例，男12例，女12例，平均年龄（58.1±4.8）岁，疗程平均为（14.7±4.6）月，两组资料差异无统计学意义（P>0.05），且有可比性。

1.2 诊断标准

所有病例均符合2013年《中国慢性便秘诊治指南》；经……