摘要
目的:观察健脾疏肝针刺法治疗腹泻型肠易激综合征(IBS-D)肝气乘脾证的临床疗效。方法:将110例IBS-D肝气乘脾证患者随机分为对照组和观察组各55例。对照组给予匹维溴胺片联合双歧杆菌三联活菌散治疗,观察组采用健脾疏肝针刺法治疗。治疗后评估临床疗效,观察2组治疗前后IBS症状严重程度量表(IBS-SSS)、IBS专用生活质量量表(IBS-QOL)、和肝气乘脾证评分的变化,记录复发率。结果:对照组治疗总有效率72.00%,观察组治疗总有效率90.74%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组IBS-SSS和肝气乘脾证评分均较治疗前下降(P<0.01),IBS-QOL评分均较治疗前上升(P<0.01);观察组IBS-SSS和肝气乘脾证评分均低于对照组(P<0.01),IBS-QOL评分高于对照组(P<0.01)。治疗后,2组每天排便次数及10天中排便急迫天数均较治疗前减少(P<0.01);观察组每天排便次数及10天中排便急迫天数均少于对照组(P<0.01)。随访3月,观察组复发22例,复发率44.90%(22/49);对照组复发23例,复发率63.89%(23/36)。2组比较,差异无统计学意义(P>0.05)。结论:健脾疏肝针刺法治疗IBS-D肝气乘脾证,能减轻患者的临床症状,提高生活质量,治疗效果优于西药。
Objective:To observe the clinical effect of acupuncture therapy of strengthening spleen and soothing liver for diarrhea-predominant irritable bowel syndrome(IBS-D) with liver-qi attacking spleen syndrome. Methods:Divided 110 cases of patients with IBS-D liver-qi attacking spleen syndrome into the control group and the observation group randomly, 55 cases in each group. The control group received pinaverium bromide tablets combined with live combined bifidobacterium,lactobacillus and enterococcus powder for treatment, while the observation group received acupuncture therapy of strengthening spleen and soothing liver. After treatment,evaluated the clinical effect,and observed changes of scores of IBS symptom severity scale(IBS-SSS), IBS quality of life(IBS-QOL) and liver-qi attacking spleen syndrome before and after treatment in both groups,as well as recorded recurrence rate. Results:The total effective rate was 72.00% in the control group and was 90.74% in the treatment group,the difference being significant(P〈0.05). After treatment,scores of IBS-SSS and liver-qi attacking spleen syndrome in both groups were decreased when compared with those before treatment(P〈0.01).Scores of IBS-QOL were increased when compared with those before treatment(P〈0.01). Scores of IBS-SSS and liver-qi attacking spleen syndrome in the observation group were lower than those in the control group(P〈0.01). Scores of IBS-QOL in the observation group were higher than those in the control group(P〈0.01). After treatment,daily defecation frequency and days of urgent defecation in 10 days in both groups were decreased when compared with those before treatment(P〈0.01). Daily defecation frequency and days of urgent defecation in 10 days in the observation group were less than those in the control group(P〈0.01). In the 3 months of follow-up,there were 22 recurrence cases in the observation group with the recurrence rate being 44.90%(22/49), and 23 recurrence cases in the control group with the recurrence rate being 63.89%(23/36),the difference was not statistically significant(P0.05). Conclusion:Acupuncture therapy of strengthening spleen and soothing liver for IBS-D with liver-qi attacking spleen syndrome can relieve clinical symptom and improve quality of life,and enhance better efficacy than western medicine.
出处
《新中医》
CAS
2018年第2期112-115,共4页
New Chinese Medicine
关键词
腹泻型肠易激综合征(IBS-D)
肝气乘脾证
健脾疏肝针刺法
IBS症状严重度量表(IBS-SSS)
生活质量
复发
Diarrhea-predominant irritable bowel syndrome(IBS-D)
Liver-qi attacking spleen syndrome
Acupuncture therapy of strengthening spleen and soothing liver
IBS symptom severity scale(IBS-SSS)
Quality of life
Recurrence