烧山火复式手法针刺治疗脾胃虚弱证腹泻型肠易激综合征的疗效观察

【目的】观察烧山火复式手法针刺治疗脾胃虚弱证腹泻型肠易激综合征(IBS-D)的临床疗效。【方法】将80例脾胃虚弱证IBS-D患者随机分为治疗组和对照组,每组各40例。治疗组给予烧山火复式手法针刺治疗,对照组给予单式提插补法针刺治疗。2组患者均隔天治疗1次,每周治疗3次,周日休息1 d,总疗程4周,共治疗12次。治疗4周后,评价2组患者的临床疗效,观察2组患者治疗前后中医证候评分、IBS严重程度评分的变化情况,并评价2组的安全性及不良反应的发生情况。【结果】(1)治疗后,2组患者的各个中医证候评分及证候总积分均较治疗前明显下降(P<0.05),治疗组患者大便稀溏、畏寒怕冷、精神疲乏证候评分及证候总积分均明显降低,与对照组比较,差异有统计学意义(P<0.05或P<0.01)。(2)治疗后,2组患者IBS严重程度评分均较治疗前明显下降(P<0.05),且治疗组对IBS严重程度评分的降低作用明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗组总有效率为92.5%(37/40),对照组为75.0%(30/40)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。(4)研究过程中,未发生严重不良反应以及患者脱落等情况。【结论】烧山火复式手法针刺治疗脾胃虚弱证腹泻型肠易激综合征,可有效改善患者的临床症状,提高患者生活质量,临床疗效显著。

Curative Observation on Shaoshanhuo Compound Manipulation in Treating Diarrhea-Predominant Irritable Bowel Syndrome of Spleen and Stomach Deficiency Type

Objective To observe the curative effect of Shaoshanhuo compound manipulation for diarrheapredominant irritable bowel syndrome(IBS-D)of spleen and stomach deficiency type.Methods Eighty patients who suffered from spleen and stomach deficiency type of IBS-D were randomly divided into treatment group and control group,40 cases in each group.The treatment group received Shaoshanhuo compound manipulation,and the control group received reinforcing by lifting and thrusting needle,once every other day,3 times a week,and one day off on Sunday.The total treatment course covered 4 weeks,for 12 treatment times.After 4 weeks of treatment,the clinical efficacy for the two groups of patients was evaluated,and the changes in the traditional Chinese medicine(TCM)syndrome scores and IBS symptom severity scale scores in the two groups were observed before and after treatment,and the safety and adverse reactions in the 2 groups were evaluated.Results(1)After treatment,the scores of each TCM symptoms and total symptoms scores for the two groups of patients were significantly lower than those before treatment(P<0.05),the loose stools symptom score,chill symptom score,mental fatigue symptom score and total symptoms scores in the treatment group were reduced,the difference being significant as comparison of the control group(P<0.05 or P<0.01).(2)After treatment,the IBS-SSS scores of the two groups were significantly lower than those before treatment(P<0.05),and the effect on lowing IBS-SSS scores in the treatment group was supeiror to that in the control group(P<0.05).(3)The total effective rate was 92.5%(37/40)in the treatment group,and was 75.0%(30/40)in the control group.The curative efficacy of the treatment group was superior to that of the control group(P<0.05).(4)During the trial,no seriously adverse reactions and patients dropping out occurred.Conclusion Shaoshanhuo compound manipulation is effective for improving the symptoms of the patients with spleen and stomach deficiency type of IBS-D,promoting quality of life.