针灸治疗肠易激综合征取穴规律初探

搜集近10年来针灸治疗肠易激综合征的临床报道近50篇,总结其取穴规律,发现天枢、足三里、中脘为使用率最高的主穴;局部取穴以腹部穴位及相关脏腑背俞穴为主;循经取穴以足阳明胃经经穴为主,肝脾两经穴位不可忽视;配穴多以八纲、脏腑辨证取穴,并注重宁心安神。并对取穴规律从中西医角度进行了分析,为针灸治疗IBS的临床取穴提供了理论依据。     

Clinical evaluation of Soothing Gan (肝) and invigorating Pi (脾) acupuncture treatment on diarrhea-predominant irritable bowel syndrome

Objective:To explore the effect of Soothing Gan(肝) and invigorating Pi(脾)(SGIP) acupuncture treatment on the clinical symptoms and quality of life(QOL) in patients with diarrhea-predominant irritable bowel syndrome(IBS-D).Methods:With a single-blinded randomized control study adopted,63 patients who met the inclusion criteria were assigned by a random number table to two groups,31 in the treatment group and 32 in the drug control group.The treatment group received SGIP acupuncture therapy; while the control group was treated orally with pinaverium bromide.The treatment duration of both groups was 28 days.The clinical efficacy was evaluated and compared by scoring patient’s symptom and QOL.Results: A significant difference was found by variance analysis in efficacies between the two groups(P<0.01),shown as the quicker initiation of effect(P<0.05) and the more evident clinical improvement in symptoms along the increase in treatment duration,as well as the more significant elevation of QOL in the acupuncture treatment group(P<0.01).SGIP displayed its superiority especially in improving dysphoria,conflict behavior,dietary restrictions,and social responses.Conclusion:SGIP acupuncture treatment could effectively alleviate the degree and frequency of symptoms’ attack in IBS-D patients,such as abdominal pain,diarrhea,abdominal distension,etc.,markedly relieve the tenesmic sensation,with the efficacy better than that of pinaverium bromide,showing a preponderance in improving patient’s QOL.     

GMs评估技术对6月龄婴儿运动发育迟缓的预测研究

目的 研究GMs评估技术在运动发育迟缓方面的临床应用,为临床有效诊治提供参考依据。方法 2016年1月1日—2017年6月31日期间,本院康复科对93例婴儿进行全身运动(GMs)评估,并且随访到6月龄,应用Peabody运动发育量表-2(PDMS-2)评定6月龄婴儿的运动发育能力,以6月龄运动发育是否迟缓作为标准来计算GMs评估对运动发育结局的预测效度。结果 93例随访到了6月龄的婴儿中运动发育迟缓儿8例,其余85例6月龄时的评估结果均正常。扭动阶段异常GMs(CS+PR)对运动发育迟缓的预测效度为:敏感度100%、特异度58.7%;阳性预测值20.8%、阴性预测值100%。扭动阶段异常GMs(CS)对运动发育迟缓的预测效度为:敏感度60%、特异度93.5%;阳性预测值50%、阴性预测值95.6%。不安阶段异常GMs(F-)对运动发育迟缓的预测效度为:敏感度100%、特异度84.3%;阳性预测值38.9%、阴性预测值100%。结论 GMs评估技术可以作为一种高效的工具用于筛查运动发育迟缓的患儿。