Abstract
Background: To compare the clinical efficacy of acupuncture combined with warm acupuncture and moxibustion and conventional acupuncture in the treatment of constipation with defecation disorder.Methods: By retrospective analysis, 60 patients with constipation with defecation disorder admitted to the Department of Acupuncture and Moxibustion in Daxing Hospital, Capital Medical University from January 2020 to March 2022 were selected. According to whether the treatment was combined with warm acupuncture therapy, 60 patients were divided into two groups, conventional acupuncture group and acupuncture combined with warm acupuncture group, with 30 cases in each group. The conventional acupuncture group was given conventional acupuncture treatment, and the acupoints were selected as follows: 1. Abdomen: Zhongwan, Qihai, Guanyuan, Tianshu (Shuang), abdominal knot (Shuang) 2. Limbs: branch groove (double), Zusanli (double), Juxu (double),Taichong (double); 3. Waist and back: Pishu (double), Danshu (double), middle (double), lower (double), needle 30min, 1 time a day. Each course was treated for 5 days with a rest for 2 days, and a total of 4 courses were treated. On the basis of the treatment in the conventional acupuncture group, warm acupuncture and moxibustion therapy was performed on the middle and lower scales (Shuang) at 1d, 3d and 5d of each course. Wexner scale and PAC-QOL scale were used to compare the constipation symptom score, quality of life score, in the two groups after treatment were lower than those before treatment (P < 0.05), and the scores in the acupuncture combined with warm acupuncture group were more ideal than those in the conventional acupuncture group (P < 0.05). After treatment, both groups achieved certain clinical efficacy, and the acupuncture combined with warm acupuncture group was better than the conventional acupuncture group (P < 0.05). Conclusion: Acupuncture combined with warm acupuncture is better than conventional acupuncture in the improvement of constipation symptoms, quality of life and effective rate.
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