腹针与中药联合治疗气虚型功能性便秘的临床疗效分析

Clinical Efficacy Analysis of Abdominal Acupuncture Combined with Traditional Chinese Medicine on Qi-Deficiency Functional Constipation

摘要: 目的：探讨腹针联合中药治疗气虚型功能性便秘的临床疗效及其对胃肠激素水平、生活质量的影响。方法：选取2023年3月~2025年10月于天津市河西区挂甲寺街社区卫生服务中心诊治的72例气虚型功能性便秘患者作为研究对象，按随机数字表法分为对照组与观察组，各36例。对照组采用补中益气汤加减治疗，观察组在对照组的基础上联合腹针治疗。比较两组临床疗效、治疗前后血清P物质、胃泌素、胃动素水平及生活质量量表(GQOL-74)评分。结果：观察组治疗总有效率(94.44%)高于对照组(77.78%)，差异具有统计学意义(p = 0.041)。治疗后两组血清P物质、胃泌素、胃动素水平均较治疗前升高，且观察组高于对照组，差异均具有统计学意义(p < 0.001)。治疗后两组GQOL-74各维度评分均较治疗前升高，且观察组高于对照组，差异均具有统计学意义(p < 0.001)。结论：腹针联合中药治疗气虚型功能性便秘疗效确切，可显著改善患者胃肠激素水平并提升生活质量，值得临床推广应用。但研究样本量较小、观察周期较短，结果尚需大样本、长周期研究进一步验证。

Abstract: Objective: To investigate the clinical efficacy of abdominal acupuncture combined with traditional Chinese medicine (TCM) in the treatment of qi-deficiency functional constipation, and its effects on gastrointestinal hormone levels and quality of life. Methods: Seventy-two patients with qi-deficiency functional constipation treated at the Community Health Service Center of Guajia Temple Street, Hexi District, Tianjin, from March 2023 to October 2025 were enrolled and randomly assigned to a control group (n = 36) and an observation group (n = 36) using a random number table. The control group received modified Buzhong Yiqi Decoction, whereas the observation group received abdominal acupuncture on top of the same TCM therapy. Clinical efficacy, and serum levels of substance P, gastrin, and motilin before and after treatment, as well as the GQOL-74 quality-of-life scores, were compared between the two groups. Results: The total effective rate in the observation group (94.44%) was significantly higher than that in the control group (77.78%, p = 0.041). After treatment, serum substance P, gastrin, and motilin levels increased in both groups compared with baseline, and the observation group showed significantly higher levels than the control group (all p < 0.001). All four dimensions of the GQOL-74 scores improved after treatment in both groups, and the observation group scored significantly higher than the control group (all p < 0.001). Conclusion: Abdominal acupuncture combined with TCM is effective for qi-deficiency functional constipation; it can significantly improve gastrointestinal hormone levels and quality of life, and is worthy of clinical promotion. Nevertheless, the limited sample size and short follow-up period warrant further validation through larger, longer-term studies.