摘要
目的:观察健脾化浊通络法配合口针疗法治疗腹泻型肠易激综合征(D-IBS)的临床疗效。方法:将165例D-IBS患者随机分为4组,中药组40例口服自拟健脾化浊通络方;针刺组40例给予口针疗法;针药组45例给予口服自拟健脾化浊通络方配合口针疗法;对照组40例口服丽珠肠乐。4组均连续治疗4周后观察各组临床疗效、治疗前后临床症状积分及复发情况。结果:针药组总有效率与其余3组比较,差异有统计学意义(P<0.05),其余3组间比较,差异无统计学意义(P>0.05)。针药组治疗前临床症状积分与其余3组比较,差异均无统计学意义(P>0.05),4组治疗后临床症状评分分别与本组治疗前比较,差异均有统计学意义(P<0.05或P<0.01),治疗后针药组与其余3组比较,差异均有统计学意义(P<0.05或P<0.01);其余3组间比较,差异无统计学意义(P>0.05)。针药组复发次数及复发率与其余3组比较明显下降,差异有统计学意义(P<0.05),其余3组间比较,差异无统计学意义(P>0.05)。结论:健脾化浊通络法配合口针疗法治疗D-IBS有良好的临床疗效,且能明显降低患者复发率及复发次数。
Objective：The clinical effects of Jianpi Huatan Tongluo Decoction combined with mouth acupuncture treating diarrhea type of IBS were observed.Methods：165 cases of D-IBS were randomly divided into four groups： 40 cases in Chinese medicine group were given Jianpi Huazhuo Tongluo Decoction orally;40 cases in acupuncture group were treated with mouth acupuncture;40 cases in drug and acupuncture group were given Jianpi Huazhuo Tongluo Decoction orally combined with mouth acupuncture;40 cases in control group were given Lizhu Changle orally.After four weeks continuous treatment,clinical effects including symptom scores and recurrence were compared.Results： The total effective rate of drug and acupuncture group was significantly different from other groups（P0.05）;the comparison among the other three groups had no significant differences（P0.05）.After treatment,symptom score in drug and acupuncture group had no significant difference compared with other three groups（P0.05）;comparisons of symptom score before and after treatment in all four groups were significantly different（P0.05）.Recurrence of drug and acupuncture group had obviously decreased compared with other groups with significant difference（P0.05）;there was no significant difference among the other three groups of recurrence（P0.05）.Conclusion： Jianpi Huazhuo Tongluo Decoction combined with mouth acupuncture has good clinical effects on treating D-IBS and can obviously decreased recurrence times and rate.
出处
《中华中医药学刊》
CAS
2012年第1期222-224,共3页
Chinese Archives of Traditional Chinese Medicine
关键词
肠易激综合征
腹泻型
中医疗法
针灸疗法
健脾化浊通络法
口针疗法
IBS
diarrhea type
TCM therapy
acupuncture and moxibution therapy
Jianpi Huazhuo Tongluo Decoction
mouth acupuncture
