朱琏针法联合清肝怡神法治疗肝郁气滞型便秘型肠易激综合征临床研究

Clinical Study of Constipation-dominant Irritable Bowel Syndrome of Liver Depression Qi Stagnation Type Treated by Zhulian Acupuncture and Qinggan Yishen Method

目的:探讨朱琏针法联合清肝怡神法治疗肝郁气滞型便秘型肠易激综合征(IBS-C)的效果。方法:选取100例肝郁气滞型IBS-C患者,经随机数字表法分为观察组与对照组各50例。对照组接受常规西药治疗,观察组接受常规西药+朱琏针法+清肝怡神法(疏香灸+五行音乐疗法)治疗,均治疗2周。治疗后评估临床疗效,比较两组结肠分段通过时间、直肠对容量刺激的感觉阈值及不良反应发生情况。结果:治疗后,观察组临床总有效率82.00%,对照组44.00%,观察组疗效优于对照组(P<0.05);观察组结肠分段通过时间短于对照组(P<0.05),直肠对容量刺激的感觉阈值小于对照组(P<0.05);两组不良反应发生情况比较,差异无统计学意义(P>0.05)。结论:朱琏针法联合清肝怡神法治疗肝郁气滞型IBS-C效果显著,可缩短结肠分段通过时间,降低直肠对容量刺激的感觉阈值,且未增加不良反应。

Objective:To investigate the effect of Zhulian acupuncture combined with Qinggan Yishen method in the treatment of liver depression qi stagnation type constipation-dominant irritable bowel syndrome(IBS-C).Methods:Total 100 patients with liver depression qi stagnation type IBS-C were divided into two groups by random number table method,50 cases in observation group,50 cases in control group.Paitents in control group were given conventional western medicine treatment,and the patients in observation group were given conventional western medicine,Zhulian acupuncture and Qinggan Yishen method(Shuxiang moxibustion and traditional Chinese medicine five tones therapy),both groups were treated for 2 weeks.For evaluating the clinical efficacy,the transit time of colon segment and the sensory threshold of rectum to volume stimulation were measured and compared.Adverse reactions of the two groups during treatment were recorded and compared.Results:After treatment,the effect rate of the observation group was 82.00%,higher than that of the control group,which was 44.00%.The difference was statistically significant(P<0.05).The colon segment transit time of the observation group was shorter than that of the control group(P<0.05).The sensory threshold of rectal volume stimulation in the observation group was lower than that in the control group(P<0.05).There was no statistically significant difference in the adverse effect between two groups(P>0.05).Conclusions:The effect of Zhulian acupuncture combined with Qinggan Yishen method in the treatment of patients with liver depression qi stagnation type IBS-C is significant,which can shorten the colon segment transit time,reduce the rectal sensory threshold of volume stimulation,with less adverse reactions.