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Short-term efficacy of non-implantable sacral nerve stimulation on expressions of NOS,CCK and symptom of patients with chronic functional constipation
Received:December 28, 2021  Revised:February 21, 2022  Click here to download the full text
Citation of this paper:ZHANG Bo,ZHENG Jian-yong,LI Shi-sen,SHEN Yun-tian,XIA Hang-xiao.Short-term efficacy of non-implantable sacral nerve stimulation on expressions of NOS,CCK and symptom of patients with chronic functional constipation[J].Chinese Journal of Clinical Medicine,2022,29(5):837-842
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Author NameAffiliationE-mail
ZHANG Bo Department of Digestive Surgery, Xijing Hospital, the Air Force Medical University, Xi'an 710032, Shaanxi, China  
ZHENG Jian-yong Department of Digestive Surgery, Xijing Hospital, the Air Force Medical University, Xi'an 710032, Shaanxi, China  
LI Shi-sen Department of Digestive Surgery, Xijing Hospital, the Air Force Medical University, Xi'an 710032, Shaanxi, China  
SHEN Yun-tian Department of Anorectal Surgery, Xi'an Mayinglong Coloproctological Hospital, Xi'an 710005, Shaanxi, China  
XIA Hang-xiao Department of Anorectal Surgery, Xi'an Mayinglong Coloproctological Hospital, Xi'an 710005, Shaanxi, China xiahangx2008@163.com 
Abstract:Objective To explore the effect of non-implantable sacral nerve stimulation (SNS) on the symptoms of patients with functional constipation (FC), in order to provide more basis for the establishment of clinical treatment plan for FC. Methods 132 FC patients hospitalized in the Department of Anorectal Surery, Xi'an Mayinglong Coloproctological Hospital from September 2016 to November 2020 were selected and divided into two groups. There were 65 patients treated with SNS in the SNS group, included 38 patients with outlet obstructive constipation(OCC) and 27 patients with mixed constipation(MIX); There were 67 patients treated with electroacupuncture at eight-liao point in the control group, included 37 patients with OCC and 30 patients with MIX. Wexner score, nitricoxide synthase(NOS) and cholecystokinin(CCK) levels were compared intra- and inter- groups. Results After treatment, Wexner score and CCK level decreased, and NOS level increased in both groups (P<0.05). There was no significant difference in the levels of NOS and CCK between the two groups before treatment, while the differences between the two groups after treatment were statistically significant (P<0.05). The levels of NOS and CCK in the two groups were abnormal (P<0.05). Conclusions Both treatments can improve the symptoms of constipation and regulate the levels of serum NOS and CCK, and the effect of non-implantable SNS is better, but two methods could not return NOS and CCKlevelsto normal.
keywords:functional constipation  sacral nerve stimulation  nitricoxide synthase  cholecystokinin
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