摘要
目的:应用中医证候量表评价经皮穴位电刺激法(TEAS)治疗腹泻型肠易激综合征(IBS-D)的相关性。方法:110例IBS-D患者随机分为两组,治疗组予TEAS刺激太冲、阴陵泉和天枢三穴,每天2次;对照组予TEAS模拟治疗,疗程4周。评价中医证候量表积分与肠道症状积分、生活质量积分的相关性,并评估治疗前后受试者的中医证候改善情况。结果:肠道症状总积分以及腹痛程度、腹痛天数、腹胀情况、排便满意度、生活干扰度、排便次数、急迫天数等与中医证候呈正相关(P<0.05,P<0.01);生活质量总积分以及睡眠质量、精力改变、工作影响等与中医证候积分呈负相关(P<0.05,P<0.01)。治疗结束后,TEAS治疗组对主症大便泄泻、腹痛、胸胁胀闷,次症脘腹胀满、抑郁烦躁、肠鸣矢气、嗳气、太息,以及中医证候总积分的改善优于TEAS模拟组(P<0.05,P<0.01)。结论:中医证候与IBS-D患者的肠道症状、生活质量相关,采用中医证候量表能反映IBS-D肝气乘脾证的证候改善情况,TEAS能有效改善IBS-D肝气乘脾证患者的中医证候。
Objective：To evaluate the relevances in the treatment of irritable bowel syndrome with diarrhea（IBS -D） patients by transcutaneous electrical acupoint stimulation（TEAS） adopting Traditional Chinese Medicine pattern effect scale（TCM -PES）.Methods：110.IBS -D patients were randomly divided into 2 groups.The treatment group was stimulated 3 acupoints（Taichong.Yinlingquan and Tianshu）by TEAS twice a day.The control group was simulated for TEAS by stimulating the same acupoints.The treatment lasted for 4 weeks for each group.IBS bowel symptom severity scale （IBS-BSS）,IBS defecation state questionnaire（IBS-DSQ）,IBS quality of life questionnaire（IBS-QOL） were measured to evaluate the relevances with TCM-PES.The TCM pattern effect was evaluated by TCM-PES before and 4 weeks after the treatment respectively.Results：The result showed IBS-BSS,abdominal pain severity,abdominal pain days,abdominal distensions,bowel habit satisficing and life interference had the positive correlation with TCM -PES（P0.05,P0.01）.And IBS-QOL,sleep,energy and social role had the negative correlation with TCM-PES（P0.05, P0.01）.The TCM-PES result showed TEAS group had more effective than control group in the aspects of primary symptoms（diarrhea,abdominal pain,sternocostal flatulence） and secondary symptoms（abdominal fullness and distention, depression and irritability,borborygmus and fart gas,belching,sighs）（P0.05,P0.01）.Conclusion：For IBS-D patients, bowel symptom severity and quality of life had the correlations with TCM pattern.TCM-PES could evaluate the pattern effect of IBS-D patients with pattern of the liver-qi invading the spleen.TEAS could improve the pattern effect of IBS-D patients.
出处
《中华中医药学刊》
CAS
2013年第1期130-133,共4页
Chinese Archives of Traditional Chinese Medicine
基金
浙江省科技厅资助项目(2010F20021)
杭州市卫生科技计划项目(2009B063)
关键词
中医证候量表
经皮穴位电刺激法
腹泻型肠易激综合征
肝气乘脾证
Traditional Chinese Medicine pattern effect scale
transcutaneous electrical acupoint stimulation
irritable bowel syndrome
pattern of the liver-qi invading the spleen
