脐灸疗法治疗腹泻型肠易激综合征肝郁脾虚证30例临床观察

Clinical Observation on Umbilical Moxibustion Therapy Treating 30 Cases of Diarrhea Type Irritable Bowel Syndrome with Stagnation of Liver Qi and Spleen Deficiency

目的观察脐灸疗法治疗腹泻型肠易激综合征肝郁脾虚证的临床疗效。方法将60例患者随机分为治疗组和对照组各30例。治疗组取神阙穴隔药饼灸,每日1次,每周治疗5次。对照组口服匹维溴铵片,每次50 mg,每日3次。两组均4周为1个疗程。治疗结束后观察全身症状并进行焦虑自评量表和抑郁自评量表评分,评价临床疗效。随访3个月观察复发情况。结果治疗组临床疗效总有效率为93. 3%(28/30)高于对照组的73. 3%(22/30)(P <0. 05)。治疗组复发率42. 9%(12/28),明显低于对照组的90%(18/20)(P <0. 05);两组治疗后全身症状、焦虑自评量表及抑郁自评量表积分均较治疗前明显降低(P <0. 05)。治疗组治疗后全身症状、焦虑自评量表及抑郁自评量表积分均低于对照组(P <0. 05)。结论脐灸疗法治疗腹泻型肠易激综合征肝郁脾虚证疗效优于匹维溴铵片,可以改善患者情志因素,且复发率较低。

Objective To observe the clinical efficacy of umbilical moxibustion therapy on diarrhea type irritable bowel syndrome with stagnation of liver qi and spleen deficiency.Methods A total of 60 patients were randomly divided into a treatment group and a control group,with 30 cases in each group.The treatment group took the Shenque acupoint(RN8) moxibustion with medicinal cake,once a day,5 times a week.The control group was given oral administration of pivibromide,50 mg each time,3 times a day,and both groups were treated 4 weeks as a course.After treatment,the systemic symptoms were observed and the self-rating anxiety scale and self-rating depression scale were scored to evaluate the clinical efficacy.The recurrence was observed after 3 months of follow-up.Results The total effective rate of the treatment group was 93.3%(28/30),which was superior to that of the control group(73.3%,22/30,P<0.05).Recurrence rate after 3 months was 42.9% of treatment group(12/28),which was significantly lower than that of the control group(90%,18/20,P<0.05).The scores of systemic symptoms,anxiety self-rating scale and depression self-rating scale after treatment were significantly lower than those before treatment(P<0.05).The scores of systemic symptoms,anxiety self-rating scale and depression self-rating scale after treatment in the treatment group were lower than those in the control group(P<0.05).Conclusion Umbilical moxibustion therapy for diarrhea type irritable bowel syndrome with stagnation of liver qi and spleen deficiency is superior to pivalobromide tablets,and it can improve patients’ emotional factors and have a low recurrence rate.