浮针治疗功能性便秘的研究进展

Research Progress on Floating Needle Therapy for Functional Constipation

摘要: 本文综述了浮针疗法在治疗功能性便秘(FC)中的临床研究进展。功能性便秘是一种常见的慢性胃肠疾病，主要表现为排便次数减少、排便困难等症状。浮针疗法作为一种现代针灸技术，以“患肌理论”为核心，通过皮下扫散和再灌注活动等操作，改善局部肌肉缺血缺氧状态，调节肠道功能，从而有效缓解便秘症状。近年来，临床研究表明，浮针疗法无论是单纯应用还是联合西药、中药、盆底生物反馈等治疗方法，均能显著提高功能性便秘的治疗有效率，改善患者排便频率、粪便性状及生活质量。然而，浮针治疗FC仍存在样本量小、机制不明确、操作标准化不足等问题，未来需开展更多高质量临床与基础研究以进一步验证其疗效与机制。

Abstract: This review summarizes clinical research progress on floating needle therapy for functional constipation (FC). Functional constipation is a common chronic gastrointestinal disorder characterized by reduced bowel movement frequency and defecation difficulties. As a modern acupuncture technique centered on the “affected muscle theory”, floating needle therapy improves local muscle ischemia and hypoxia through subcutaneous sweeping and reperfusion activities, thereby regulating intestinal function and effectively alleviating constipation symptoms. Recent clinical studies indicate that floating needle therapy, whether used alone or in combination with Western medicine, Chinese herbal medicine, or pelvic floor biofeedback, significantly enhances treatment efficacy for functional constipation. It improves patients’ bowel movement frequency, stool consistency, and quality of life. However, challenges remain, including small sample sizes, unclear mechanisms, and insufficient procedural standardization. Future high-quality clinical and basic research is needed to further validate its efficacy and mechanisms.