针刺不同腧穴治疗腹泻型肠易激综合征的随机对照研究

目的:观察灵龟八法、子午流注、辨证体针针刺治疗腹泻型肠易激综合征的临床疗效差异。方法:180例患者随机分为3组:灵龟八法组、子午流注组、辨证体针组,每组60例。灵龟八法组采用患者就诊时灵龟八法所开穴位针刺;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,治疗8 w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、灵龟八法组和辨证体针组临床疗效的总有效率分别为93.33%、83.33%、70.00%,比较有显著性差异(P0.05)。治疗后子午流注组、灵龟八法组与辨证体针组生活质量积分比较有统计学意义(P0.05),治疗后子午流注组与灵龟八法组生活质量积分比较有显著性差异(P0.05)。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,提高其生活质量,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。

A Randomized Controlled Study of Irritable Bowel Syndrome by Acupuncture at Different Acupoints to Treat

Objective:To observe the clinical curative effect differetiation of the eight methods of intelligent turtle,Ziwuliuzhu and body acupuncture to treat diarrhea type irritable bowel syndrome.Methods:180 patients were randomly divided into three groups:Eight methods of intelligent turtle,Ziwuliuzhu group,body acupuncture.Body acupuncture group of 60 cases with syndrome differentiation.Eight methods of Intelligent Turtle group using acupuncture in patients with open when the eight methods of intelligent turtle.Ziwuliuzhu group with Ziwuliuzhu Najia method acupoint selection TCM acupuncture group selected Tianshu,Zusanli,Gongsun,Ganshu,Pishu,Taichong.After 8 weeks treatment,the clinical efficacy was assessed with the gastrointestinal symptom assessment scale,and the health status questionnaire was used to assess the quality of life of the patients with-36.Results:Ziwuliuzhu group,eight methods of Intelligent Turtle group and acupuncture group TCM clinical efficacy rate were 93.33％,83.33％,70％,compared with a significant difference (P ＜ 0.05).After the treatment of Ziwuliuzhu group,eight methods of Intelligent Turtle group and dialectical acupuncture group of quality of life scores were statistically significant (P ＜ 0.05),after treatment of Ziwuliuzhu group and eight methods of Intelligent Turtle groups of quality of life scores had significant difference (P ＜ 0.05).Conclusion:the clinical symptoms of Ziwuliuzhu acupuncture can significantly improve the diarrhea type irritable bowel syndrome patients,improve the quality of life,high safety,systematization,standardization,specification for diarrhea irritable bowel syndrome of acupuncture treatment to provide clinical reference.