Clinical Efficacy Of Acupoint Catgut Embedding Combined With Abdominal Massage In Treating Functional Constipation

Objective:In this clinical study,patients with functional constipation were taken as the research object.The effectiveness of catgut embedding combined with abdominal massage in the treatment of FC was evaluated based on the number of weekly Complete Spontaneous Bowel Movements(CSBMs),Bristol Stool Form Score(BSFS),and the improvement of cleveland clinic score(CCS)and each symptom score,providing clinical basis for the application and promotion of this treatment method.Method:66 patients with functional constipation who met the inclusion criteria were randomly divided into study group and control group,with 30 cases in each group.Acupoint catgut embedding combined with abdominal massage was used in the study group,while abdominal massage was used in the control group.Weishu(BL21)Dachangshu(BL25)Sanjiaoshu(BL22)Zusanli(ST36)Shangjuxu(ST37)and Xiajuxu(ST39)were both selected in two groups,and the acupoints were taking alternately.In the study group,the patients were treated with abdominal massage first,and then treated with catgut embedding for the first time every week.The patients were treated with catgut embedding once a week and abdominal massage 5 times in a week,and the control group was treated 5 times weekly.Both groups were treated and followed up for 4 weeks.In this study,the patients with functional constipation were evaluated one week before admission,4 weeks after treatment and 4 weeks of follow-up.The clinical efficacy of acupoint catgut embedding and general acupuncture in the treatment of functional constipation was compared with that of CSBMs in a week,Bristol Stool Form Score(BSFS),CCS score of constipation and each symptom score.Result:1.Before treatment,the two groups had no statistical discrepancy in age,gender,course of disease,disease patterns,the number of CSBMs in a week,Bristol stool score(BSS),CCS score and each symptom score(P>0.05).2.After treatment,both treatment methods can increase the number of patients' CSBMs in a week and improve the Bristol stool score,but the efficacy of the study group was better than that of the control group,and both of the differences were statistically significant(P<0.05).Both groups can improve the CCS of functional constipation,especially in the frequency of defecation,defecate difficulty,assist defecate,24 hours of the score on the number of bowel movements which were not successful,and have statistically significant difference(P< 0.05).Study group curative effect was better than that of control group(P<0.05).However,there was no statistical difference in improving other constipation-related symptoms: incomplete emptying,abdominal pain,defecation time(P>0.05).3.After 4 weeks of follow-up,the two groups had statistical significance in improving the number of CSBMs in a week of FC patients(P<0.05).The control group had statistically significance in the number of CSBMs of FC patients when compared with those after the treatment(P>0.05),while the study group had no statistical significance(P>0.05).The two groups had statistical difference in improving the Bristol stool score(P<0.05).The study group had no statistical significance in improving the Bristol stool score when compared with that after the treatment(P>0.05),while the control group had statistical difference(P<0.05).4.There was no significant difference in the number of adverse reactions and the safety level between the two groups,and the two groups had no significant difference in compliance.Conclusion:1.Catgut embedding combined with abdominal massage can improve the character of stool and improve constipation-related symptoms of FC patients,especially in defecation frequency,defecation difficulty degree,defecation assistance,24 hours defecation unsuccessful times.2.Catgut embedding combined with abdominal massage can effectively increase the frequency of patients' complete spontaneous defecation and the stool property,and had good long-term efficacy.3.Catgut embedding combined with abdominal massage was convenient,safe and effective,and had good compliance for functional constipation,which was worth of further promotion in clinic.