合募俞配穴治疗功能性腹泻的疗效及对患者心理的影响

Therapeutic Effect of He-Mu-Shu Point Combination Acupuncture for Patients with Functional Diarrhea and Its Influence of Anxiety

【目的】观察电针合募俞配穴治疗功能性腹泻的临床疗效及其对患者心理的影响。【方法】采用随机对照研究方法将62例功能性腹泻患者随机分为合募俞组32例和药物组30例。合募俞组给予电针合募俞配穴(左右交替取单侧曲池、上巨虚、天枢、大肠俞)治疗,药物组给予口服盐酸洛哌丁胺胶囊治疗。2组均连续治疗4周,比较2组治疗前后总排便次数、粪便性状及焦虑积分的变化情况。【结果】治疗后,2组的周总排便次数、粪便性状、焦虑积分均较治疗前明显改善,差异均有统计学意义(P<0.05),且合募俞组对改善功能性腹泻患者的周排便次数、粪便性状及焦虑积分方面均优于药物组,差异均有统计学意义(P<0.05)。【结论】电针合募俞配穴治疗功能性腹泻的临床疗效及其改善焦虑的效果均优于口服盐酸洛哌丁胺胶囊。

Objective To observe the efficacy of electroacupuncture（EA） on the acupoint combination of He-（sea）points,front-mu points,and shu-points（abbrev. He-Mu-Shu）for the treatment of functional diarrhea,and to explore the effect of He-Mu-Shu point combination EA on the anxiety of patients. Methods A randomized controlled clinical trial was performed in 62 functional diarrhea patients. All of the patients were randomly divided into He-Mu-Shu group（32 cases） and medicine group（30 cases）. He-Mu-Shu group was treated with EA on unilateral Quchi,Shangjuxu,Tianshu,Dachangshu point alternatively,and medicine group was treated with oral use of Loperamide hydrochloride capsules. Both groups were treated for 4 continuous weeks. Defecation frequency, stool property and anxiety scores were observed before treatment and 2, 4 weeks after treatment.Results After treatment,weekly defecation frequency,stool property and anxiety scores were improved in both groups,and the differences were statistically significant compared with those before treatment（P〈0.05）. HeMu-Shu point combination EA had better effect on improving weekly defecation frequency, stool property and anxiety scores of functional diarrhea patients than Loperamide hydrochloride capsules,and the differences were statistically significant（P〈0.05）. Conclusion The clinical efficacy and anxiety-relief action of He-Mu-Shu point combination EA on functional diarrhea are superior to oral use of Loperamide hydrochloride capsules.