摘要
目的:观察针剌IBS患者有关穴位疼痛阈值的变化及针刺后临床症状改善情况,为指导临床针灸取穴、提高临床疗效提供依据.方法:选肠易激综合征IBS病人64例按随机数字表法分为2组,针刺组32例采用针刺治疗,经疼痛测量仪测量,选取穴位疼痛阈值较低以及临床常用穴位足三里、上巨虚、下巨虚、大肠俞、小肠俞、肝俞、三阴交、关元、天枢穴、合谷穴;药物对照组32例口服马来酸曲美布汀片和双歧杆菌三联活菌胶囊.结果:针刺组中医证候各项积分较治疗前均有改善;针刺组治疗后主症腹部不适、泄泻、便秘,次症肠鸣矢气证候积分优于对照组.结论:针刺治疗肠易激综合征患者采用足三里、上巨虚、三阴交等穴位可以有效改善IBS患者腹部不适、泄泻、便秘、肠鸣矢气等症状,提高其生活质量.
Abstract
Objective:The aim of this study is to detect effect of acupuncture on irritable bowel syndrome (IBS).Methods:64 IBS patients were selected in this study.Then the patients of the IBS were randomly divided into two groups,acupuncture group(N =32) and control group (N =32).In acupuncture group the points including Zusanli (ST36),Shangjuxu (ST),Xiajuxu (ST),Dachangshu (GB),Xiaochangshu (GB),Ganshu (GB),Sanyinjiao (SP6),Guanyuan (RE),Tianshu(GV),Hegu (LI4),and in control group Trimebutine Maleate Tablets and Bifidobacterium triple viable capsules were given routine to the patients.The data were collected and statistically analysed.Results:The symptom scores of IBS significantly improved in both acupuncture and control group after intervention than that before intervention.Conclusion:The results of this studysuggested that acupuncture improve clinical outcomes of IBS.
基金项目
国家自然科学基金(81273676)
北京市中医药科技发展资金项目(JJ2013-61)