经皮穴位电刺激治疗糖尿病便秘的临床疗效研究

目的　探讨经皮穴位电刺激治疗糖尿病便秘的临床疗效。方法　选取2016年9月—2017年10月某三级甲等医院内分泌科收治的糖尿病便秘患者74例，采用随机数字表法分为对照组和试验组，每组37例。最终完成治疗的患者中，对照组35例、试验组34例。两组患者均给予便秘的基础治疗与健康教育，试验组在对照组基础上给予经皮穴位电刺激，于患者早餐后半小时治疗，治疗30 min/次，1次/d，7 d为1 个疗程，共治疗2个疗程。比较两组患者首次排便时间、便秘症状积分（排便间隔时间、排便速度、排便性状、排便难度、便意、兼证）、临床疗效。结果　试验组患者首次排便时间短于对照组，差异有统计学意义（P<0.05）。治疗前两组患者排便间隔时间、排便速度、排便性状、排便难度、便意、兼证评分比较，差异无统计学意义（P>0.05）；治疗后试验组患者排便间隔时间、排便速度、排便性状、排便难度评分低于对照组，差异有统计学意义（P<0.05）。治疗后两组患者排便间隔时间、排便速度、排便性状、排便难度、便意、兼证评分低于治疗前，差异有统计学意义（P<0.05）。试验组临床疗效优于对照组，差异有统计学意义（P<0.05）。结论　经皮穴位电刺激疗法可以改善糖尿病便秘患者的临床症状。

Transcutaneous Acupoint Electrical Stimulation for Diabetes-related Constipation

Objective　To observe the effectiveness of transcutaneous acupoint electrical stimulation（TAES） in the treatment of diabetes-related constipation.Methods　 Totals of 74 cases of diabetic inpatients with constipation from Endocrine Department of a grade A tertiary hospital in China from September 2016 to October 2017 were enrolled and equally divided into the control group and experimental group based on a random number table.Both groups received basic treatment for diabetes and constipation and health education about diabetes，the experimental group additionally received 2 courses of treatment with TAES〔delivered at half an hour after breakfast for 30 minutes，once daily，for consecutive 14 days（7-day treatment is a course）〕．The effectiveness of treatment was evaluated by the initial defecation time，constipation symptom scores in 6 aspects （defecation interval，speed of defecation，fecal properties，difficulty in defecation，defecation urge，and other accompanying symptoms） after receiving interventions.Results　69 cases（34 in the experimental group and 35 in the control group） who completed the treatment were included in the final analysis.After treatment，the constipation symptom scores in the aforementioned 6 aspects decreased significantly in both groups （P<0.05）.Better effectiveness of treatment was achieved in the experimental group（P<0.05），which was indicated by the following two aspects：（1） Initial defecation after treatment occurred in the experimental group earlier（P<0.05）.（2） Although baseline constipation symptom scores in all the 6 aspects were similar in both groups（P>0.05），after treatment，the experimental group showed significantly lower constipation symptom scores in defecation interval，speed of defecation，fecal properties，difficulty in defecation than the control group（P<0.05）.Conclusion　 TAES can enhance the clinical symptoms of diabetes-related constipation.