| Objective:To observe and evaluate the clinical curative effect of treating chronic constipation and the improvement of quality of life and mental state by regulating belt channel.Secondly,to explore whether the effect of this therapy is superior to conventional acupuncture treatment and whether this therapy is better to improve the quality of life and mental state of the patient compared to conventional acupuncture treatment.Lastly,to optimise the acupuncture treatment of constipation.Methods:In this study,60 cases were completed with randomised controlled trial.30 cases in the treatment group and 30 cases in the control group.The treatment group chooses acupuncture points including Daimai,Wushu,Weidao,Shangjuxu,Zhigou.While the control group using conventional acupuncture treatment,choosing acupoints including Tianshu,Dachangshu,Zhaohai,Shangjuxu,Zhigou.The needles,acupuncture manipulation and the course of treatment of two groups were the same.The patients are treated thrice a week,continuously in 4 weeks.The data of the defecation condition,quality of life and mental state of cases are collected before the treatment,on the second week and fourth week during the treatment.They are scored by Patient Assessment of Constipation Quality of Life(PAC-QOL)questionnaire,Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA).The descriptive statistics of data is performed with excel and analysed with statistical software SPSS 20.0 to observe the curative effect of both methods.The significant difference,P<0.05 suggests statistical difference while P<0.01 suggests obvious statistical significance.Result:(1)The comparison of curative effect of constipation between treatment group and control group:The rate of curative effect of constipation is 100%in treatment group and 90%in control group.The cure-remarkable-effectiveness rate is 93.3%in treatment group and 60%in control group.There exists statistical significance between the two groups(P<0.05)in cure-remarkable-effectiveness rate.(2)The comparison of curative effect of anxiety between treatment group and control group:The rate of curative effect of anxiety is 100%in treatment group and 84%in control group.There exists statistical significance between the two groups(P<0.05)in rate of curative effect of anxiety.(3)The comparison of quality of life(PAC-QOL)and anxiety(HAMA)test score in treatment group during treatment:The PAC-QOL,HAMA test score and subscales result make improvement on the second week of treatment compared to the first treatment,P<0.01.The results on the fourth week of treatment improve significantly compared to the second week of treatment,(P<0.01).The physical discomfort subscale score shows no significant difference between result on the fourth week compared to second week of treatment,but the HAMA test,PAC-QOL test total score and the rest subscales show significant improvement on the fourth week compared to second week,(P<0.01)(4)The comparison of quality of life(PAC-QOL)after treatment between treatment group and control group:The results show no significant difference between both groups on the second week of treatment but there is significant difference between both groups on the fourth week of treatment.Among them,the worries subscale(abnormal state of mental due to worry about illness)and satisfaction subscale(satisfaction with treatment and defecation condition)show obvious statistical significance,(P<0.01).(5)The comparison of anxiety(HAMA test)after treatment between treatment group and control group:There is no statistical significance between both groups on the second week of treatment.While the result shows significant difference between both groups on the fourth week of treatment(P<0.01).(6)The relationship between the relief of anxiety and the curative effect of chronic constipation:The correlation coefficient(r)=0.647(P=0.0003,<0.05)indicates positive correlation between the relief of anxiety and the curative effect of chronic constipation.Conclusion:(1)Both treatment upon regulating belt channel and conventional acupuncture are able to treat chronic constipation effectively.Results show that the patients of both groups improve on the second week of treatment,the conditions of patients gradually improve when the number of treatment increases,but the treatment upon regulating belt channel in chronic constipation is more significant than conventional acupuncture.(2)Both treatment upon regulating belt channel and conventional acupuncture in chronic constipation are able to improve the quality of life of patients.There is no significant difference between both groups on the second week of treatment,while the results of treatment upon regulating belt channel is better than conventional acupuncture on the fourth week,especially in worries subscale and satisfaction subscale.(3)Both treatment upon regulating belt channel and conventional acupuncture in chronic constipation are able to relieve anxiety.There is no significant difference between both groups on the second week of treatment,while the results of treatment upon regulating belt channel is better than conventional acupuncture on the fourth week.The treatment upon regulating belt channel shows better curative effect on anxiety compared to conventional acupuncture.(4)There is positive correlation between the curative effect of chronic constipation and the relief of anxiety.Suggesting that the anxiety of patients relieves when the curative effect improved while worsen when the treatment is ineffective. |
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