温针灸治疗肝郁脾虚型肠易激综合征疗效观察

Observations on the Therapeutic Effect of Warm Needling Moxibustion on Irritable Bowel Syndrome of Liver Depression and Spleen Deficiency Type

目的观察温针灸治疗肝郁脾虚型肠易激综合征的临床疗效并探讨其作用机制。方法将92例肝郁脾虚型肠易激综合征患者随机分为治疗组和对照组,每组46例。两组取穴相同,治疗组采用温针灸治疗,对照组采用常规针刺治疗。观察两组治疗前后腹部综合症状等级评分,比较两组临床疗效。结果治疗组总有效率为95.6%,对照组为77.8%,两组比较差异有统计学意义(P<0.05)。两组治疗后及随访2个月腹部综合症状等级评分与同组治疗前比较,差异均有统计学意义(P<0.05)。治疗组治疗后及随访2个月腹部综合症状等级评分与对照组比较,差异均具有统计学意义(P<0.05)。对照组随访2个月腹部综合症状等级评分与同组治疗后比较,差异具有统计学意义(P<0.05)。结论温针灸是一种治疗肝郁脾虚型肠易激综合征的有效方法。

Objective To investigate the clinical efficacy of warm needling moxibustion in treating irritable bowel syndrome of liver depression and spleen deficiency type and explore the mechanism of its action.Methods Ninety-two patients with irritable bowel syndrome of liver depression and spleen deficiency type were randomly allocated to treatment and control groups, 46 cases each. The same acupoints were selected in the two groups. The treatment group received warm needling moxibustion and the control group, conventional acupuncture. The abdominal overall symptom grading score was observed before and after treatment. The clinical therapeutic effects were compared between the two groups.Results The total efficacy rate was 95.6% in the treatment group and 77.8% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. In the two groups, there was a statistically significant difference in the abdominal overall symptom grading score at the end of treatment and two months of follow-up compared with before treatment （P〈0.05）. There was a statistically significant difference in the Hamilton Depression Scale score at the end of treatment and two months of follow-up between the treatment and control groups （P〈0.05）. In the control group, there was a statistically significant difference in the abdominal overall symptom grading score at two months of follow-up compared with the end of treatment （P〈0.05）.Conclusion Warm needling moxibustion is an effective way to treat irritable bowel syndrome of liver depression and spleen deficiency type.