艾灸治疗腹泻型肠易激综合征临床研究

目的观察艾灸对腹泻型肠易激综合征的临床疗效。方法将符合纳入标准的60例患者随机分为2组：治疗组（30例）和对照组（30例）分别采用艾灸和西药洛哌丁胺治疗。观察两组临床疗效、治疗前后症状积分变化。结果治疗组总体临床疗效显著优于对照组（P〈0.05）。治疗后对照组腹痛、腹胀或不适、大便性状、大便次数积分显著降低（P〈0.01）,治疗组腹痛、腹胀或不适、大便性状、大便次数、黏液便、胃纳减少、大便不尽感积分均显著降低（P〈0.05,或P〈0.01）。治疗前后胃纳减少、大便不尽感、腹痛、腹胀或不适的积分差值比较,治疗组显著高于对照组（P〈0.05,或P〈0.01）。结论艾灸对腹泻型肠易激综合征的临床疗效优于西药洛哌丁胺。

Moxibustion for Diarrhea-type Irritable Bowel Syndrome: A Clinical Study

Objective To observe the clinical effects of moxibustion in the treatment of diarrhea-type irritable bowel syndrome(D-IBS).Methods A total of 60 patients,according to the inclusion standard,were randomly divided into two groups.Thirty patients in the treatment group and other 30 patients in the control were treated with moxibustion and western medicine loperamide,respectively.The clinical efficacy and the changes of scores of symptoms before and after treatment were observed and compared between the two groups.Results The overall clinical efficacy in the treatment group was significantly better that in the control group(P<0.05).After treatment,the scores of abdominal pain,abdominal distension or discomfort,stool properties,and stool frequency were significantly decreased in the control group(P<0.05),while the scores of all symptoms,including abdominal pain,abdominal distension or comfort,stool properties,defecation frequency,lack of appetite,and a sense of endless defecation,were significantly decreased in the treatment group(P<0.05,or P<0.01).The differences in scores of symptoms(including lack of appetite,a sense of endless defecation,abdominal pain,and abdominal distension or discomfort) between pretreatment and posttreatment in the treatment group were significantly higher than those in the control group(P<0.05,or P<0.01).Conclusion The clinical efficacy of moxibustion is superior to that of loperamide in treating D-IBS.