| Background:Chronic functional constipation (CFC) is one of the most clinically common chronic digestive tract disease, which is the conduction disorders of the defecation.The defecation interval is prolonged characterized by more defecation effort, dry manure, poor stool and bowel obstruction which is mainly due to the improper daily life and emotional stress. Functional constipation disease is characterized by the functional bowel disorder without obvious organic disease. Epidemiological survey found that the incidence of functional constipation was about3%to17%, the ratio of male to female was1:3. the incidence of Chinese women functional constipation was about12.8%, and the prevalence of functional constipation increased significantly with the increased age. The recurrent attack and protraction of functional constipation seriously affected the health of people, whereas our doctors had to give them symptomatic treatment without other better therapy up to now. The therapy is ineffective with many side effects. For example, the long-time application of the catharsis could lead to laxatives dependent intractable constipation. So the treatment of constipation is not only heavy topically symptomatic treatment but also the overall dialectical treatment. Therefore, our traditional Chinese medicine is known as a holistic concept of diagnosis and treatment, which specializes in the overall conditioning.The constipation refers barrier and incomprehensible poor Syndrome in the traditional Chinese medicine theory.The studies suggest that the pathogenesis of constipation is related with the function of liver, kidney, lung and spleen. The stool in the intestinal organs for the long time could result in the formation of constipation caused by bleeding and blood stasis, which forms a vicious cycle.We apply the theory of traditional Chinese medicine and the overall concept to evaluate the effect of the traditional Chinese medicine combined with acupuncture on women patients with heat type chronic constipation. There are many adverse reactions in the course of currently western treatment methods and traditional Chinese medicine of chronic functional constipation, whereas traditional Chinese medicine combined with acupuncture treatment is safe, easy operation, and low cost with fewer adverse reactions, it is worth further exploration and promotion. Therefore, in order to serve the majority of female patients better to relieve pain, and to improve and enhance the quality of life for the majority of patients, the effect of the traditional Chinese medicine combined with acupuncture on women patients with heat type chronic constipation is studied.In this study, the effect of traditional Chinese medicine and traditional Chinese medicine combined with acupuncture was compared. It remains to be studied further that clinical studies on the effect of the traditional Chinese medicine combined with acupuncture on women patients with heat type chronic constipation. It could provide a research base for the diagnosis and treatment of women with chronic constipation.Objective:According to traditional Chinese medicine meridian theory, the scientific and objective evaluation of clinical efficacy was selected to investigate the clinical effect of acupuncture combined with Chinese medicine in treatment of heat type chronic constipation in women patients.Methods:80female patients with heat type chronic constipation from May2009to March 2013in the department of anorectal section and acupuncture in Zhujiang hospital of Southern Medical University were selected and were randomly divided into two groups:observation group(traditional Chinese medicine combined with acupuncture) and control group(traditional Chinese medicine). The observation group was given acupuncture combined with traditional Chinese medicine dialectical therapy while the control group was given traditional Chinese medicine. After a two-week course of treatment the occurrence of clinical effect and adverse reaction incidence were compared between two groups and sub-groups in observation group.Results:1. The efficacy of traditional Chinese medicine and acupuncture treatment on hot type chronic constipation in female patients was better than that of traditional Chinese medicine with a statistically significant difference (Z=8.037, P<0.005).2. The incidence of adverse reaction in the traditional Chinese medicine and acupuncture treatment group was less than that of the traditional Chinese medicine group with statistically significant (x2=8.386, P=0.004<0.05). there were one female patient with fainting, one case of gastrointestinal reaction, one case of vomiting and diarrhea, the incidence of adverse reaction was7.5%in the traditional Chinese medicine combined with acupuncture treatment group; There were three cases of vomiting, two cases of diarrhea, one case of stool with blood in the traditional Chinese medicine, the incidence of adverse reaction was15.0%in the traditional Chinese medicine.3. The incidence of vomiting and diarrhea in the traditional Chinese medicine combined with acupuncture treatment group was less than that of the traditional Chinese medicine (P<0.01)Conclusions:According to the clinical symptoms of chronic constipation, when chronic constipation were typed correctly, the effect of reasonable traditional Chinese medicine combined with acupuncture dialectical therapy was very obvious for female patients with hot type chronic constipation at the low incidence of adverse reactions, which should be popularized further. |
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