运用子午流注理论指导雷火灸及穴位贴敷治疗腹泻型肠易激综合征50例临床观察

Clinical Observation on 50 Cases of Diarrhea Predominant Irritable Bowel Syndrome Treated by Thunder Fire Moxibustion and Acupoint Application Guided by Midnight Noon Ebb Flow Theory

目的:评价运用子午流注理论指导雷火灸及穴位贴敷治疗腹泻型肠易激综合征的疗效。方法:选取100例腹泻型肠易激综合征患者随机分为对照组和观察组,每组50例。对照组采用雷火灸结合穴位贴敷治疗,观察组运用子午流注理论指导雷火灸及穴位贴敷治疗,两组均给予匹维溴铵(50 mg/次,3次/d)及双歧四联活菌(1.5 g/次,3次/d)口服,2组疗程均为4周。观察并比较两组的总体疗效、肠易激综合征严重程度、生活质量、血清25-(OH)D值。结果:观察组总有效率为92.00%(46/50),对照组总有效率为72.00%(36/50)。观察组患者总体疗效优于对照组(Z=-2.248,P<0.05)。观察组患者治疗后肠易激综合征严重程度评分低于对照组(t=-2.45,P<0.05);观察组患者治疗后生活质量量表评分优于对照组(t=11.49,P<0.05);观察组患者血清25-(OH)D值数值高于对照组(t=3.804,P<0.05)。结论:运用子午流注理论指导雷火灸及穴位贴敷治疗腹泻型肠易激综合征可以提高临床疗效,改善患者的腹泻、腹痛等症状,且可以提高患者的生活质量。

Objective:To evaluate the efficacy of the treatment of diarrhea predominant irritable bowel syndrome with thunder fire moxibustion and acupoint application guided by midnight noon ebb flow theory.Methods:A total of 100 patients with diarrhea predominant irritable bowel syndrome were randomly divided into control group and observation group,with 50 cases in each group.The control group was treated with thunder fire moxibustion combined with acupoint application,and the observation group used midnight noon ebb flow theory to guide thunder fire moxibustion and acupoint application therapy.Both groups were given pinaverium bromide(50 mg/time,3 times/d)and bifidobacterium tetragenate(1.5 g/time,3 times/d)orally.The course of treatment for both groups was 4 weeks.The overall efficacy,severity of irritable bowel syndrome,quality of life and serum 25-(OH)D value of the two groups were observed and compared.Results:The total effective rate was 92.00%(46/50)in the observation group and 72.00%(36/50)in the control group.The overall efficacy of the observation group was better than that of the control group(Z=-2.248,P<0.05).The severity score of irritable bowel syndrome in the observation group after treatment was lower than that in the control group(t=-2.45,P<0.05).The score of quality of life scale in the observation group after treatment was better than that in the control group(t=11.49,P<0.05).The value of serum 25-(OH)D in the observation group was higher than that in the control group(t=3.804,P<0.05).Conclusion:Using midnight noon ebb flow theory to guide thunder fire moxibustion and acupoint application in the treatment of diarrhea predominant irritable bowel syndrome can improve the clinical curative effect,improve the symptoms of diarrhea and abdominal pain,and improve the quality of life of patients.