葛根芩连汤灌肠结合针灸治疗腹泻型肠易激综合征的疗效观察

Enema with Gegen Qinlian Tang plus Acupuncture & Moxibustion in the Treatment of Diarrhea-predominant Irritable Bowel Syndrome:Effect Observation

为探讨葛根芩连汤灌肠结合针灸治疗腹泻型肠易激综合征(D-IBS)的临床效果,将52例D-IBS患者随机分为观察组和对照组,各26例,观察组患者接受葛根芩连汤灌肠和针灸治疗,对照组患者单纯口服西药匹维溴铵片治疗,2组均治疗4周。比较2组总体疗效及治疗前后患者生活质量。结果显示,观察组治疗总有效率(92.30%)明显高于对照组(73.07%),P<0.05。治疗后,2组在行为障碍、食物回避、社会功能、性行为、人际关系方面评分比较差异均无统计学意义,P>0.05;但是在焦虑不安、躯体意识和健康忧虑方面评分,观察组均明显低于对照组,P<0.05。结果表明,与单纯西药治疗相比,葛根芩连汤灌肠结合针灸治疗D-IBS效果更好,患者生活质量更高。

This study was to investigate the clinical effect of Gegen Qinlian Tang(a TCM formula,shorthy named to Tang)plus acupuncture&moxibustion in the treatment of diarrhea-predominant irritable bowel syndrome(D-IBS),randomly divided 52 D-IBS patients into observation group(26 cases,adopted Tang plus acupuncture&moxibustion,for 4 weeks)and control group(26 cases,only orally administered prinaverium bromide tablets,for 4 weeks);then compared whole effect and quality of life before and after treatment between the two groups.As results,in total effective rate observation group was significantly higher than control group(92.30%vs 73.07%,P<0.05);after treatment in the score on behavior disorder,food avoidance,social function,sex-behavior,and interpersonal relationship there was no statistical difference between the two groups(P>0.05);but in the score on anxiety&uneasy,somatic consciousness and worry about health observation group was all significantly lower than control group(P<0.05).Results show that compared with alone western medicine,Tang for enema plus acupuncture&moxibustion has more better effect,patients’quality of life is more higher.