Efficacy observation of needling and respiratory training on elderly functional constipation
Objective:To observe the clinical efficacy of needling and respiratory training on elderly functional constipation with syndrome of deficiency of qi based on the theory of the lung and the large intestine being interior-exteriorly related.Methods:67 cases of elderly patients with functional constipation with syndrome of deficiency of qi were selected and randomly divided into two groups,including 34 cases in the control group and 33 cases in the treatment group.Both groups were given oral lactulose solution as basic treatment for 2 weeks.The control group was treated plus by needling on the basis of basic treatment,while the treatment group was treated plus by respiratory training on the basis of control group.Both groups were treated once every other day,in total for 2 weeks.The scores of chronic constipation severity scale(CSS)and Patient Assessment of Constipation quality of life questionnaire(PAC-QOL)of patients were compared between two groups before and after treatment.Results:After treatment,the total effective rates of treatment group and control group were 90.91％and 79.41％respectively,and the comparative difference between two groups was statistically significant(P＜0.05).In both groups,CSS score and PAC-QOL score were lower than before treatment(P＜0.01,P＜0.05),and the treatment group was better than the control group(P＜0.01,P＜0.05).After treatment in both groups,TCM syndrome score was lower than before treatment(P＜0.05),but the comparative difference between two groups was not statistically significant(P＞0.05).Return visit after 30 days showed that the recurrence rate of treatment group was 22.67％,which was lower than 55.56％of control group(P＜0.05).Conclusion:Needling and respiratory training can effectively improve the clinical symptoms of elderly patients with functional constipation,reduce the recurrence and improve the quality of life of patients.
functional constipationelderly patientsrespiratory trainingtherapy of needling
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