针灸配合隔姜灸治疗肝郁脾虚型肠易激综合征的疗效分析

Analysis on effect of acupuncture combined with ginger partitioned moxibustion on treating stagnation of liver qi and spleen deficiency type of irritable bowel syndrome

目的观察针刺配合神阙穴隔姜灸治疗肝郁脾虚型腹泻型肠易激综合征(IBS-D)的临床疗效及其对患者生活质量的影响。方法采用随机数字表法将60例肝郁脾虚型IBS-D患者分为观察组和对照组,各30例。观察组采用针刺配合神阙穴隔姜灸,对照组口服蒙脱石散(每次1包,每天3次)和氟哌噻吨美利曲辛片(每次1片,每天1次)对症治疗,两组均每周连续治疗5 d,休息2 d,1周为1个疗程,共治疗2个疗程。治疗结束后评价两组患者的临床疗效,采用健康调查简表(SF-36)评估治疗前后生活质量状况。结果与治疗前相比,两组治疗后SF-36各维度评分均明显增加(P<0.05);且观察组治疗后生理职能、精力、一般健康状况、精神健康、情感职能5个维度评分均明显高于对照组(P<0.05)。治疗2个疗程后,观察组总有效率高于对照组,差异有统计学意义(83.3%vs.56.67%,P<0.05)。结论针刺配合神阙穴隔姜灸治疗肝郁脾虚型IBS-D疗效优于药物治疗,能显著改善患者生活质量,值得推广。

Objective To observe the clinical efficacy of acupuncture combined with ginger partitioned moxibustion at Shenque Point in the treatment of stagnation of liver qi and spleen deficiency type of diarrhea predominant irritable bowel syndrome(IBS-D)and its influence on patients′quality of life.Methods Sixty cases of patients with stagnation of liver qi and spleen deficiency type of IBS-D were divided into the observation group and control group by adopting the random number table method,30 cases in each group.The observation group was treated with acupuncture combined with ginger partitioned moxibustion at Shenque Point,and the control group orally took Montmorillonite Powder(1 bag each time,3 times a day)and Flupentixol Melitracen Tablet(1 tablet each time,once a day)for symptomatic treatment.The two groups were successively treated for 5 d a week,with 2 d rest.One week was a course of treatment,with a total of 2 courses of treatment.After treatment,the clinical efficacy of the two groups was evaluated,and the medical outcomes study short form-36(SF-36)was adopted to evaluate the living quality status before and after treatment.Results Compared with before treatment,the score of each dimension of SF-36 after treatment in the two groups was significantly increased(P<0.05);moreover after treatment,the scores of 5 dimensions,including physical function,energy,general health status,mental health and emotional function,in the observation group were significantly higher than those in the control group(P<0.05).After two courses of treatment,the total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(83.3%vs.56.67%,P<0.05).Conclusion Acupuncture combined with ginger partitioned moxibustion at Shenque Point is more effective than the medication treatment in treating stagnation of liver qi and spleen deficiency type of IBS-D,and can significantly improve the quality of life of the patients,which is worthy of promotion.