Efficacy observation of Yangyin Runchang formula and acupuncture on elderly slow transit constipation
Objective:To observe the clinical efficacy of Yangyin Runchang formula and acupuncture on elderly slow transit constipation.Methods:84 cases of elderly patients with slow transit constipation were selected and randomly divided into two groups,42 cases in each group.The control group was treated with acupuncture,while the treatment group was treated plus with Yangyin Runchang formula on the basis of control group.For both groups,the course of treatment was 4 weeks.Clinical efficacy,TCM syndrome score,level of serum gastrointestinal hormone,change of colonic motility,number of detected intestinal flora and score of Patient-Assessment of Constipation Quality Of Life(PAC-QOL)of patients were observed in two groups before and after treatment.Results:The total effective rate of treatment group was 92.86%,which was higher than 76.19%of control group(P<0.05).In both groups after treatment,TCM syndrome score,levels of serum VIP and 5-HT,right-sided colon transit time,left-sided colon transit time,total colon transit time,average number of Escherichia coli and PAC-QOL score were significantly decreased compared with before treatment(P<0.05),and the level of each index of treatment group was lower than that of control group(P<0.05).In both groups after treatment,number of lactobacilli,number of bifidobacterium and level of serum SP were increased compared with before treatment(P<0.05),and the treatment group was higher than control group(P<0.05).Conclusion:Yangyin Runchang formula and acupuncture for treating elderly slow transit constipation can enhance the intestinal motility,improve the levels of intestinal flora and gastrointestinal hormone,effectively relieve the clinical symptoms and improve patients'quality of life.
slow transit constipationelderly patientsYangyin Runchang formulaacupuncturetherapy of TCM