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中华消化病与影像杂志(电子版) ›› 2026, Vol. 16 ›› Issue (05) : 474 -480. doi: 10.3877/cma.j.issn.2095-2015.2026.05.014

论著

穴位贴敷联合益肠通秘汤治疗慢传输型便秘的疗效及对胃肠激素和肠道菌群的影响
曹丽静1,†(), 郭锦荣1, 包喜文2   
  1. 1201318 上海市浦东新区周浦医院(上海健康医学院附属周浦医院)中医科
    2201318 上海市浦东新区周浦医院(上海健康医学院附属周浦医院)消化科
  • 收稿日期:2025-11-20 出版日期:2026-10-01
  • 通信作者: 曹丽静
  • 基金资助:
    上海市浦东新区卫生健康委员会优秀青年医学人才培养计划项目(PWRq2022-42)

Efficacy of acupoint application combined with the Yichang Tongmi Decoction in treating slow-transit constipation and its effect on gastrointestinal hormones and intestinal flora

Lijing Cao1,†(), Jinrong Guo1, Xiwen Bao2   

  1. 1Department of Traditional Chinese Medicine, Shanghai Pudong New Area Zhoupu Hospital (Zhoupu Hospital Affiliated to Shanghai University of Medicine & Health Sciences), Shanghai 201318, China
    2Department of Gastroenterology, Shanghai Pudong New Area Zhoupu Hospital (Zhoupu Hospital Affiliated to Shanghai University of Medicine & Health Sciences), Shanghai 201318, China
  • Received:2025-11-20 Published:2026-10-01
  • Corresponding author: Lijing Cao
引用本文:

曹丽静, 郭锦荣, 包喜文. 穴位贴敷联合益肠通秘汤治疗慢传输型便秘的疗效及对胃肠激素和肠道菌群的影响[J/OL]. 中华消化病与影像杂志(电子版), 2026, 16(05): 474-480.

Lijing Cao, Jinrong Guo, Xiwen Bao. Efficacy of acupoint application combined with the Yichang Tongmi Decoction in treating slow-transit constipation and its effect on gastrointestinal hormones and intestinal flora[J/OL]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2026, 16(05): 474-480.

目的

探究穴位贴敷联合益肠通秘汤治疗对慢传输型便秘(STC)患者胃肠激素及肠道菌群的影响。

方法

采用前瞻性随机对照试验设计。选取2023年6月到2025年6月间上海市浦东新区周浦医院(上海健康医学院附属周浦医院)收治的180例脾肾阳虚型STC患者为研究对象。根据区组随机化将患者分为三组,各组60例。穴位贴敷组患者采用穴位贴敷,中药组患者采用中药汤剂益肠通秘汤,联合组患者采用穴位贴敷联合益肠通秘汤治疗。比较各组临床疗效、治疗前和治疗后症状评分、便秘患者生活质量自评量表(PAC-QOL)、胃肠激素(胃泌素及胃蛋白酶原Ⅰ、Ⅱ)水平及肠道菌群变化情况。

结果

联合组治疗总有效率90%,显著高于穴位敷贴组(70%)和中药组(75%)。联合组患者各项便秘症状评分及PAC-QOL评分均显著低于穴位贴敷组和中药组(均P<0.05)。联合组患者胃蛋白酶原Ⅰ、胃泌素水平显著高于穴位贴敷组和中药组,胃蛋白酶原Ⅱ水平低于穴位贴敷组和中药组(均P<0.05)。联合组患者肠道双歧杆菌、乳杆菌水平高于穴位贴敷组和中药组,大肠埃希菌、肠球菌水平显著低于穴位贴敷组和中药组(均P<0.05)。

结论

穴位贴敷联合益肠通秘汤治疗STC效果显著,对患者临床症状及结肠传输功能均有改善,并能调节肠道菌群及胃肠激素水平。

Objective

To explore the effect of acupoint application combined with Yichang Tongmi Decoction on gastrointestinal hormones and intestinal flora in patients with slow-transit constipation (STC).

Methods

A prospective randomized controlled trial design was used. A total of 180 patients with STC of spleen-kidney yang deficiency type admitted to Shanghai Pudong New Area Zhoupu Hospital (Zhoupu Hospital Affiliated to Shanghai University of Medicine & Health Sciences) from June 2023 to June 2025 were selected as the research subjects. According to the block randomization method, the patients were divided into three groups, with 60 patients in each group. The patients in the acupoint application group received acupoint application, the patients in the traditional Chinese medicine group received Yichang Tongmi Decoction, and the patients in the combined group received acupoint application combined with Yichang Tongmi Decoction. The clinical efficacy, symptom scores before and after treatment, patient assessment of constipation quality of life questionnaire (PAC-QOL), levels of gastrointestinal hormones (gastrin and pepsinogen Ⅰ and Ⅱ), and changes in intestinal flora were compared.

Results

The overall response rate in the combined group was 90%, which was significantly higher than that in the acupoint application group (70%) and the traditional Chinese medicine group (75%). The symptom scores and PAC-QOL score of the patients in the combined group were significantly lower than those in the acupoint application group and the traditional Chinese medicine group (all P<0.05). The levels of pepsinogen Ⅰ and gastrin in the combined group were significantly higher while the level of pepsinogen Ⅱ was lower than those in the acupoint application group and the traditional Chinese medicine group (all P<0.05). Bifidobacteria and lactobacillus in the combined group were higher while Escherichia coli and Enterococcus were significantly lower than those in the acupoint application group and the traditional Chinese medicine group (all P<0.05).

Conclusion

Acupoint application combined with Yichang Tongmi Decoction effectively treats STC, alleviating clinical symptoms, improving colonic transit function, and balancing intestinal flora and gastrointestinal hormone levels.

表1 三组慢传输型便秘患者一般资料比较
表2 三组慢传输型便秘患者临床疗效比较[例(%)]
表3 三组慢传输型便秘患者便秘症状评分比较(分)
表4 三组慢传输型便秘患者生活质量自评量表评分比较(分,±s)
表5 三组慢传输型便秘患者胃肠激素比较(±s)
表6 三组慢传输型便秘患者肠道菌群水平比较
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