芒针深刺与中药结合治疗肠易激综合征临床观察

Clinical observation on treating irritable bowel syndrome in TCM and acupuncture

目的:对比芒针深刺与中药口服汤剂联合应用与单纯口服西药匹维溴铵片治疗肠易激综合征的疗效差异。方法:把60例患者随机分为针刺与中药结合组和对照组,每组30例,针刺与中药结合组运用芒针深刺中脘、天枢、足三里等穴,中药运用痛泻要方加减。芒针每天1次,中药每天口服1剂,对照组口服匹维溴铵片,1片/次,3次/d,两组患者均治疗20d后评定疗效。结果:两组患者治疗后各项观察指标积分均较治疗前降低且针刺与中药结合组积分降低更显著,针刺与中药结合组总有效率为96.7%(29/30),优于对照组的70.0%(21/30)(P<0.05)。结论:芒针深刺与中药口服联合应用可明显改善肠易激综合征的临床症状,其疗效优于匹维溴铵片。

Objective： To investigate the difference between TCM decoction plus acupuncture and pinaverium bromide tablets in treating irritable bowel syndrome. Methods： 60 patients were randomly divided into TCM group and control group, 30 cases in each group; TCM group took TCM decoction and acupuncture. Results： In the TCM group, the score decreased significantly; the total efficiency 96.7% （29/30）, better than that in the control group （70.0%） （21/30） （P〈0.05）. Conclusion： TCM decoction plus acupuncture can improve the clinical symptoms of irritable bowel syndrome.