摘要
目的评价经皮穴位电刺激在腹泻型肠易激综合征(D-IBS)治疗的临床疗效。方法选择100例合并焦虑、抑郁的D-IBS患者分为观察组和对照组。观察组50例,对照组50例,在常规治疗的基础上观察组给予经皮电刺激足三里及内关穴,对照组口服氟哌噻吨美利曲辛片(黛力新),疗程4周,对比治疗前后二组的胃肠道症状积分(GIS)和焦虑抑郁自评量表积分(SAS/SDS),进行疗效评估。结果治疗后二组患者的GIS、SAS、SDS均较治疗前得到改善,治疗后观察组GIS改善显著优于对照组,差异有统计学意义(P<0.05),但治疗后对照组SAS、SDS评分降低优于观察组,差异有统计学意义(P<0.05)。结论经皮穴位电刺激治疗腹泻型肠易激综合征可显著改善患者总体症状,其疗效优于黛力新;在改善焦虑抑郁方面,黛力新优于经皮穴位电刺激。
Objective To evaluate the effect of transcutaneous electrical acupoint stimulation （TEAS） in the treatment of diarrheapredominant irritable bowel syndrome （D- IBS）. Methods One hundred patients of D- IBS with anxiety or depression were involved in and divided into experimental group and control group randomly. In addition to conventional treatment, experimental group received TEAS performed at PC6 （Neiguan） and ST36 （Zusanli）, while control group was given Flupentixol and Melitraeen tablets （Deanxit） for four weeks. For each group, the gastrointestinal symptoms integral questionnaire （GIS） and anxiety/depression self rating scale （SAS/SDS） were filled out and compared before and after treatment. Results After treatment, the GIS, SAS and SDS scores were both improved in the two groups. The GIS score of experimental group was more significantly decreased than that of control group and with a statisti-cally significant （P〈0.05）. However, the control group was with more obviously decrease in SAS and SDS scores than the experimental group （P〈0.05）. Conclusion TEAS therapy at PC6 and ST- 36 can improve D-IBS patients overall syndrome, while Deanxit is more effective in improving anxiety and depression.
出处
《中国煤炭工业医学杂志》
2016年第11期1636-1638,共3页
Chinese Journal of Coal Industry Medicine
基金
唐山市科技局项目(编号:1010204A-27)
关键词
腹泻型肠易激综合征
焦虑
抑郁
经皮穴位电刺激
氟哌噻吨美利曲辛片
Diarrhea- predominant irritable bowel syndrome （D- IBS）
Transcutaneous electrical acupoint stimulation （TEAS）
Anxiety
Depression
Deanxit
