不同腧穴配伍针刺治疗腹泻型肠易激综合征的平行对照研究

目的:观察常用针刺疗法,即子午流注刺法、辨证体针治疗腹泻型肠易激综合征的临床疗效与差异。方法:患者150例随机分为3组:子午流注刺法组、辨证体针组和空白对照组,每组50例。3组均接受消化科常规护理及治疗;子午流注组用子午流注纳甲法择时选穴;辨证体针组选取天枢、足三里、公孙、肝俞、脾俞、太冲,空白对照组只接受消化科常规护理及治疗。治疗8周后,采用胃肠症状评估量表评定临床疗效,采用健康状况调查问卷简表-36评价生活质量。结果:子午流注组、辨证体针组、空白对照组临床疗效的总有效率分别为94%、80%、50%,比较有显著性差异(P<0.05)。治疗后子午流注组、辨证体针组与空白对照组生活质量积分比较有统计学意义(P<0.05),治疗后子午流注组与辨证体针组生活质量积分比较有显著性差异(P<0.05)。结论:子午流注刺法能够明显改善腹泻型肠易激综合征患者的临床症状,提高生活质量,安全性高,为腹泻型肠易激综合征针刺治疗的系统化、标准化、规范化提供临床参考依据。

Clinical Study on Simple Obesity Treated with Abdomen Acupuncture

Objective： To observe the clinical effects of simple obesity treated with abdomen acupuncture. Methods： Sixty patients with simple obesity were allocated to abdomen acupuncture group and body acupuncture group based on the randomized and controlled principle, 30 patients in each group. Fifteen treatments made up one course. The cases were treated for 2 courses. The clinical effects were evaluated by body mass index （BMI） and the declining of body height. Result： The change of BMI and clinical effects were of no significant difference between two groups after 1 course, but there were significant differences after two courses. Conclusion： The clinical effect of abdomen acupuncture treating simple obesity is better, and the effect is persistent and stable.