督脉灸治疗腹泻型肠易激综合征临床研究

Clinical Study on Du-meridian Moxibustion for Diarrhea-predominant Irritable Bowel Syndrome

目的:观察督脉灸治疗腹泻型肠易激综合征(IBS-D)的临床疗效。方法:选取60例IBS-D患者,按随机数字表法分为观察组和对照组各30例,观察组脱落1例,对照组脱落2例。对照组给予常规针刺治疗,观察组给予督脉灸治疗,2组患者均治疗4周。对比分析2组临床疗效,记录2组治疗前后的症状评分、汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分。结果:总有效率观察组96.56%,对照组71.43%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组症状评分均较治疗前降低(P<0.05),观察组症状评分比对照组下降更明显(P<0.05)。治疗后,2组HAMA及HAMD评分均较治疗前下降(P<0.05),观察组HAMA及HAMD评分均比对照组下降更明显(P<0.05)。结论:督脉灸治疗IBS-D具有良好的临床疗效,能改善患者的焦虑、抑郁状态,效果优于常规针刺治疗。

Objective : To observe the clinical effect of Du-meridian moxibustion for diarrhea-predominant irritable bowel syndrome( IBS-D). Methods : Selected 60 cases of patients with IBS-D, and divided them into the observation group and the control group randomly, 30 cases in each group. Among them, one case in the observation group dropped out, and two cases in the control group dropped out. The control group received routine acupuncture therapy, while the observation group received Du-meridian moxibustion. The treatment of both groups lasted for 4 weeks. Compared and analyzed the clinical effect in both groups, and recorded the symptom scores and scores of Hamilton anxiety rating scale( HAMA) and Hamilton depression rating scale( HAMD) in both groups before and after treatment. Results : The total effective rate was96. 56 % in the observation group and 71. 43 % in the control group, difference being significant( P < 0. 05). After treatment, the symptom scores in both groups were lower than those before treatment( P < 0. 05), and the symptom scores in the observation group were decreased more significantly than those in the control group( P < 0. 05). After treatment, the scores of HAMA and HAMD in both groups were lower than those before treatment( P < 0. 05), and the scores of HAMA and HAMD in the observation group were decreased more significantly than those in the control group( P< 0. 05). Conclusion : Du-meridian moxibustion has good clinical effect in treating IBS-D, which can improve the status of anxiety and depression of patients. It has better therapeutic effect than routine acupuncture therapy.