伏灸法治疗腹泻型肠易激综合征的临床探讨

Effect of Moxibustion on Diarrhea-dominant Irritable Bowel Syndrome Patients in Dog Days

目的:观察伏灸法对腹泻型肠易激综合征的临床疗效。方法:将65例患者随机分为两组,治疗组33例,运用体针结合伏灸法,以灸中脘、气海、关元、脾俞、胃俞、肾俞为主,每日1次,治疗3疗程;对照组32例,口服马来酸曲美布汀,100mg/次,3次/天,饭前半小时温开水送服,治疗4周。观察大便性状评分,腹部综合症状等级评分和疗效评价。结果:两组Bristol评分及腹部症状评分均较治疗前明显降低(P<0.05),治疗组随访2月在改善Bristol评分及腹部症状评分方面均优于对照组(P<0.05)。在临床疗效观察中两组之间无明显差异(P>0.05)。结论:伏灸法能较好的改善腹泻型肠易激综合征患者的症状。

Objective：To observe the curative effect of moxibustion in dog days in relieving symptoms in patients with diarrhea-dominant irritable bowel syndrome （D-IBS）. Methods：65 cases of D-IBS were randomly divided into two groups. Among them 33 cases had been treated with moxibustion in dog days for 4 weeks. The other 32 cases had been treated with Trimebutine-Maleate served as a control group. The Bristol stool scale and abdominal symptom scores of both groups were documented respectively before/after treatment and 2 months follow-up visit,as well as the curative effect. Results：After treatment the score of Bristol stool and abdominal symptom in both groups had significant decreased（P〈0.05）;the score of the treated group was lower than the controlled group in 2 months follow-up visit（P〈0.05）;and there is no significant difference between these two groups in curative effect. Conclusion：Moxibustion in Dog Days can great improve the symptom of D-IBS Patients.