PMID- 30733966 OWN - NLM STAT- MEDLINE DCOM- 20190527 LR - 20220408 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2019 DP - 2019 TI - Electroacupuncture for Women with Chronic Severe Functional Constipation: Subgroup Analysis of a Randomized Controlled Trial. PG - 7491281 LID - 10.1155/2019/7491281 [doi] LID - 7491281 AB - BACKGROUND: Acupuncture has been found to be effective for treating chronic constipation. OBJECTIVE: The objective of this exploratory study was to evaluate the efficacy of electroacupuncture (EA) in the subgroup of women with chronic severe functional constipation. METHODS: This is a subgroup analysis of the multicenter, randomized, sham-acupuncture (SA) controlled trial. The efficacy of 822 (76%) female patients of the 1075 randomized patients with chronic severe functional constipation was evaluated. Patients were randomly assigned to receive 28 sessions of EA or SA over 8 weeks with 12 weeks' follow-up. This study focused on sustained complete spontaneous bowel movements (CSBMs) responders over the 8-week treatment. RESULTS: The primary outcome which was percentage of the sustained CSBMs responders for the subset of women with severe constipation was significantly higher in the EA group (24.3%) than in the SA group (8.1%) with difference of 13.1% (95%CI, 6.5% to 19.7%; P<0.001). As for the secondary outcomes, responders for >/=9 of 12 weeks of follow-up were higher in the EA group than in the SA group. Additionally, EA had significantly better improvement in mean weekly CSBMs, mean weekly spontaneous bowel movements (SBMs), and mean score changes of stool consistency and straining as well as quality of life of patients. The incidence of adverse events (AEs) related to acupuncture was rare and no statistical significance was found between two groups. CONCLUSION: EA improved the spontaneity and the completeness of the bowel movement of women with severe functional constipation during 8-week treatment and the effect sustained for 12 weeks after stopping treatment. FAU - Zhou, Jing AU - Zhou J AD - Department of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. AD - China Academy of Chinese Medical Sciences, Beijing, China. FAU - Liu, Yan AU - Liu Y AD - Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Zhou, Kehua AU - Zhou K AD - Catholic Health System Internal Medicine Training Program, University at Buffalo, Buffalo, NY, USA. FAU - Liu, Baoyan AU - Liu B AUID- ORCID: 0000-0002-3281-3669 AD - China Academy of Chinese Medical Sciences, Beijing, China. FAU - Su, Tongsheng AU - Su T AD - Shaanxi Province Hospital of Traditional Chinese Medicine, Xi'an, China. FAU - Wang, Weiming AU - Wang W AUID- ORCID: 0000-0002-8403-2899 AD - Department of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. FAU - Liu, Zhishun AU - Liu Z AUID- ORCID: 0000-0001-7570-8917 AD - Department of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China. LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20190113 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 SB - IM MH - Aged MH - Chronic Disease MH - Constipation/*physiopathology/*therapy MH - *Electroacupuncture/adverse effects MH - Female MH - Humans MH - Intention to Treat Analysis MH - Male MH - Middle Aged MH - Treatment Outcome PMC - PMC6348848 EDAT- 2019/02/09 06:00 MHDA- 2019/05/28 06:00 PMCR- 2019/01/13 CRDT- 2019/02/09 06:00 PHST- 2018/08/18 00:00 [received] PHST- 2018/12/16 00:00 [accepted] PHST- 2019/02/09 06:00 [entrez] PHST- 2019/02/09 06:00 [pubmed] PHST- 2019/05/28 06:00 [medline] PHST- 2019/01/13 00:00 [pmc-release] AID - 10.1155/2019/7491281 [doi] PST - epublish SO - Biomed Res Int. 2019 Jan 13;2019:7491281. doi: 10.1155/2019/7491281. eCollection 2019.