Clinical Study Of Electroacupuncture In The Treatment Of Puborectalis Syndrome

Objective:To evaluate the efficacy and safety of electroacupuncture in the treatment of outlet obstruction constipation caused by puborectalis syndrome.Methods: In this study,60 patients in the Second Affiliated Hospital of Hunan University of Chinese Medicine who met the diagnostic criteria of puborectalis syndrome were selected and randomly assigned(1:1).The experimental group was treated with standard acupuncture combined with electrical stimulation,while the control group was treated with visual electromyographic biofeedback therapy for muscle activity and relaxation.Both groups received intervention once a day for 7 consecutive days for a total of 4 courses.All patients were given a basic lifestyle intervention before treatment.After treatment,exit obstruction syndrome score(Longo ODS),total major symptom score,single symptom score and anorectal pressure measurement were recorded in detail before and after treatment to evaluate the efficacy and observe the safety.One month after the end of treatment,patients who were not ineffective in the two groups were interviewed for their condition,and the Longo ODS scale was recorded to observe whether there was a difference in recurrence rate between the two groups.Results:1.There was no significant difference in gender,age and course of disease between the two groups(P>0.05),indicating comparability.2.The effective rate after treatment was 86.67% in the experimental group and76.67% in the control group,and there was no statistical significance between the two groups(P>0.05).3.Longo ODS scoring scale showed that there was no statistical significance between the two groups after treatment(P>0.05),indicating that the two methods had the same efficacy in improving the obstruction of defecation.4.The total symptom scores of both the experimental group and the control group were improved(P<0.05),and the difference between the two groups after treatment was statistically significant(P<0.05),indicating that the symptom improvement intensity of the experimental group was better than that of the control group.5.Within the two groups,single symptom scores were improved before and after treatment(P<0.05);Comparison between the two way,prior to treatment symptom integral is no statistical significance(P>0.05),strenuous and anus bowel obstruction after treatment,defecation time,defecation times,endless defecate on the comparison of difference was statistically significant(P<0.05),the experimental group is better than that of control group,the perineum belly uncomfortable on two groups of curative effect had no significant difference(P>0.05).6.After treatment,the anorectal pressure in both groups decreased(P<0.05),and the improvement of the anal canal resting pressure and the maximum anal canal systolic pressure in the experimental group was better than that in the control group(P<0.05),and there was no statistically significant difference between the two groups after treatment(P>0.05).7.There was no statistical significance in the recurrence rate between the two groups(P>0.05).8.In terms of safety,1patient in the experimental group suffered from needling sickness,and no serious accidents occurred,while no adverse reactions occurred in the control group.Conclusion:The combination of electroacupuncture therapy and biofeed back therapy with conventional treatment can effectively treat puborect-alis syndrome.However,inter-group differences showed that acupunctur ecombined with electrical stimulation was superior to biofeedback in t-erms of improvement of related symptoms and anal canal pressure.T herefore,electroacupuncture seems to be a better complementary way to treat PRS,and it is simple,safe and effective,which is suitable for general clinical diagnosis and treatment.