Clinical Research About Idiopathic Constipation Of Clyster Therapy By Zaojiaomi

Objective: To investigate the clinical effect of Zaojiaomi (Fructus Honey Clyster) in treating idiopathic constipation (IC) and explore the clinical superiority of zaojiaomi to Kaiselu (Glycerine Enema Clyster), in order to provide references for its further generalization and application.Method: 60 patients were randomly divided into three groups:5cm zaojiaomi treating group, 15cm zaojiaomi treating group, which were respectively treated with 20ml zaojiaomi at the depth of 5cm or 15cm from anus, the control group was treated with 20ml kaiselu. And then, the time, frequency, way of defecation, the shape of the sedes, as well as the abdominal pain, abdominal distention, Balloon Expelling Testing were observed after the treatment. All above data were statistically analyzed.Results: (1) The effective rate in 5cm zaojiaomi group, 15cm zaojaomi group, kaiselu group were 90%,95.24%,84.21% respectively. Significant difference existed among the three groups (P<0.05),the second effective rate was better than another groups. (2) The defecation time after clyster in 5cm zaojiaomi group, 15cm zaojiaomi group, control group were 12.58±6.58minutes, 9.52±3.17 minutes, 14.00±6.60 minutes respectively, the shortest time was 15cm zaojiaomi group, and the logest time was control group(P<0.05). (3) The masculine results of Balloon Expelling Testing: 5cm zaojiaomi group was 45%, 15cm zaojiaomi group was33.33%, kaiselu group was 42.11%,no significant difference existed among the three groups(P>0.05).(4)There were no significant difference of two treatment groups and control group about time from making clyster to defecating, the time were 4.70±2.27 minutes, 4.57±3.14 minutes, 4.63±2.71minutes respectively(P>0.05). (5)There were no any adverse effection among three groups. Conclusions: The effective rate, defecation time and frequency of 15cm zaojiaomi group all were better than another trial groups, clients of this group had no any feeling about abdominal pain and frequency defecation. There were no active contraction of rectum and anus duct in order to making defecation reflexion, because 5cm was too short depth. The clinical curative effect of kaiselu group of 5cm depth was worse than other groups. It was no value to treatment of 5cm depth.