针灸治疗腹泻型肠易激综合征肝郁脾虚证临床研究

Clinical Evaluation of Acupuncture Treating IBS-D Belonging to Liver Depression and Spleen Deficiency Sydrome

目的通过临床研究评价针灸治疗腹泻型肠易激综合征(IBS-D)肝郁脾虚证的临床疗效。方法采用简单数字随机表,将65例患者随机分为2组。治疗组33例,以针灸治疗,脱落3例;对照组32例,口服得舒特药物治疗,脱落2例。对比观察2组治疗前后临床症状评分,客观评价IBS-D肝郁脾虚证患者的针灸疗效。结果 2组治疗肝郁脾虚证IBS-D患者的临床疗效差异有统计学意义(P<0.05),针灸治疗该病证的总有效率为90.0%,优于药物对照组80.0%。2组治疗该病的主要单项症状疗效差异具有统计学意义(P<0.05)。结论针灸能够有效治疗IBS-D肝郁脾虚证患者,具有整体调节的优势。

OBJECTIVE To evaluate acupuncture＇s clinical effect on diarrhea predominant irritable bowel syndrome belonging to liver depression and spleen deficiency pattern. METHODS 65 patients were randomly divided into two groups by using simple random number table. 33 in treatment group were undertaken acupuncture, of which 3 cases defluxion; while, 32 in control group took Dicetel with 2 cases defluxion. Grades before and after treatment of two groups were observed and compared to make an objective evaluation of acupuncture for this condition. RESULTS Statistic significance was obtained （P〈0.05）, showing the total effective rate of acupuncture was 90.0%, superior to control group of 80.0%. There was also a significant difference in the therapeutic effect of single symptoms between two groups （P〈0.05）. CONCLUSION Acupuncture with the advantage of holistic regulation is effective on IBS-D patients belonging to liver depression and spleen deficieny syndrome.