针刺联合穴位贴敷治疗腹泻型肠易激综合征的临床研究

Clinical study on acupuncture with acupoint sticking treating IBS with diarrhea

[目的]观察针刺联合穴位贴敷治疗腹泻型肠易激综合征(IBS-D)的临床疗效。[方法]将80例患者随机分成2组,治疗组给予针刺及穴位贴敷治疗,对照组给予美常安及得舒特口服,疗程为4周,观察2组疗效,并随访半年后的疗效。[结果]治疗后,治疗组总有效率为87.8%,对照组总有效率为69.2%,治疗组的疗效优于对照组,差异有统计学意义(P<0.05)。主要症状疗效上,在大便次数及大便性状上治疗组疗效优于对照组,差异有统计学意义(P<0.05),在腹痛或腹部不适上2组疗效相当,差异无统计学意义。半年后随访32例患者,其中治疗组18例,复发4例(复发率22.2%);对照组14例,复发6例(复发率42.9%),但2组间差异无统计学意义。[结论]针刺联合穴位贴敷治疗腹泻型肠易激综合征较西药疗效显著,且远期疗效值得肯定。

[Objective]To observe the clinical effect of acupuncture with acupoint sticking in treating irritable bowel syndrome with diarrhea.[Methods]Eighty patients were randomly divided into two groups.The treatment group were given acupuncture and acupoint sticking therapy,and the control group were given oral pills of hay duplex living bacterium and pinaverium bromide.4weeks was one treatment course,then observe the clinical effect and the recurrence rate after six months of follow-up between the two groups.[Results]The treatment group total effectiveness was 87.8%,the control group total effectiveness was 69.2%.There were significant differences between two groups（P〈0.05）.Among the main symptoms,the treatment group is better than control group on the curative effect on the defecate frequency and traits,and there were no differences between the two groups of abdominal pain or discomfort.Following-up after six months of 32 patients,among the 18 cases of treatment group,4cases relapse（recurrence rate was22.2%）,and 14 cases of control group,6cases relapse（recurrence rate was 42.9%）,but there were no statistical significant differences between two groups.[Conclusion]Acupuncture with acupoint sticking therapy of IBS with diarrhea is better than the medicine curative effect,which has the long-term effect.