飞腾八法定时取穴针刺改善脾胃虚弱腹泻型肠易激综合征症状和焦虑状态的随机对照试验

RCTs of Feiteng Bafa Acupuncture Treating IBS-D of Deficiency of Spleen and Stomach

目的:比较飞腾八法定时取穴针刺法与常规针刺法治疗腹泻型肠易激综合征(IBS-D)的临床疗效差异。方法:按1∶1的比例将60例患者随机分为治疗组、对照组,每组各30例。治疗组取公孙、内关穴采用飞腾八法治疗,对照组取公孙、内关穴采用常规针刺,两组均加大肠俞、天枢、上巨虚、三阴交、脾俞和足三里穴针刺治疗。1周治疗3次,10次为一疗程,分别在治疗前后对两组患者进行肠易激综合征临床症状积分、焦虑自评量表(SAS)评分和疗效评价,评定两组疗效。结果:治疗后两组量表评分均显著改善(均P<0.01),且治疗组的改善程度优于对照组(均P<0.01);治疗组总有效率为90%(27/30),优于对照组的70%(21/30)。结论:飞腾八法定时取穴针刺法治疗IBS-D疗效优于常规针刺,可明显提高患者生活质量,为临床提供优势治疗方法。

Objective： To compare the clinical curative effect of Feiteng Bafa（ method of eight flight） acupuncture and conventional acupuncture in treatment of irritable bowel syndrome of diarrhea type（ IBS-D）.Methods： 60 IBS-D patients were randomly divided into the observation group（ n = 30） and the control group（ n = 30）. The observation group was treated with needling Neiguan（ PC6） and Gongsun（ SP4） with Feiteng Bafa; whereas,the control group was treated with conventional needling on these two points. Points of Dachangshu（ BL25）,Tianshu（ ST25）,Shangjuxu（ ST37）,Sanyinjiao（ SP6）,Pishu（ BL20）,and Zusanli（ ST36） were also applied in both groups. The treatment was three times per week for total ten times. The scores of clinical symptom score and self-rating anxiety scale（ SAS） were used to evaluate the difference of clinical efficacy before and after treatment in the two groups. Results： After treatment,the scores were significantly improved in both groups（ P〈0. 01）; in which,the observation group was superior to the control group（ P〈0. 01）. The total effective rate of the observation group was 90%（ 27/30）,which was significantly higher than 70%（ 21/30）of the control group（ P〈0. 05）. Conclusion： Feiteng Bafa acupuncture（ point selection according to time） is better than conventional acupuncture in treatment of IBS-D,which can significantly improve the life quality of the patients. It provides a preponderant therapy in clinical application.