疏肝健脾针法治疗胆囊切除术后肝郁脾虚型腹泻的临床观察

Clinical Observation on Soothing the Liver and Strengthening the Spleen Acupuncture in the Treatment of Diarrhea Due to Liver Stagnation and Spleen Deficiency after Cholecystectomy

目的:观察疏肝健脾针法治疗胆囊切除术后肝郁脾虚型腹泻的临床疗效。方法:研究纳入2020年9月—2023年1月长沙市中医医院收治的胆囊切除术后肝郁脾虚型腹泻患者共62例。按随机数字表法分为观察组及对照组,每组各31例。对照组予以双歧三联活菌胶囊治疗,观察组在对照组基础上加用疏肝健脾针法治疗,均治疗3周后比较2组疗效,治疗前后大便频次、排便量、粪便性状评分以及中医证候积分的改变情况,治疗前后血清胃泌素、血管活性肠肽指标水平变化情况。结果:观察组有效率高于对照组;治疗后,观察组大便频次、排便量、粪便性状评分、中医证候积分均低于对照组;治疗后,观察组血清胃泌素、血管活性肠肽指标水平均低于对照组,差异均有统计学意义。结论:疏肝健脾针法治疗胆囊切除术后肝郁脾虚型腹泻,可以加速患者肠道功能的恢复,减轻腹泻症状的同时调节胃肠激素指标,疗效确切。

Objective:To observe the clinical efficacy of soothing the liver and invigorating the spleen acupuncture in the treatment of diarrhea due to liver stagnation and spleen deficiency after cholecystectomy.Methods:The study included 62 patients with post-cholecystectomy diarrhea of liver stagnation and spleen deficiency type who were admitted to Changsha Traditional Chinese Medicine Hospital from September 2020 to January 2023.According to the random number table method,they were divided into observation group and control group,with 31 cases in each group.The control group was treated with Bifidobacterium triple live bacteria capsules,and the observation group was treated with soothing liver and spleen acupuncture on the basis of the control group.After 3 weeks of treatment,the efficacy of the two groups was compared,including stool frequency,stool volume,stool character scores and scores before and after treatment.Changes in TCM syndrome scores,changes in serum gastrin and vasoactive intestinal peptide index levels before and after treatment.Results:The effective rate of the observation group was higher than that of the control group;after treatment,the observation group’s stool frequency,defecation volume,stool character score,and TCM syndrome score were all lower than those of the control group;after treatment,the observation group’s serum gastrin and vasoactive intestinal peptide The index levels were lower than those of the control group,and the differences were statistically significant.Conclusion:Soothing the liver and invigorating the spleen acupuncture can accelerate the recovery of intestinal function in patients with liver stagnation and spleen deficiency type diarrhea after cholecystectomy,reduce diar-rhea symptoms while regulating gastrointestinal hormone indicators,and has definite efficacy.