针刺配合艾箱灸治疗腹泻型肠易激综合征48例(1)
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[摘要] 目的 探讨针刺配合艾箱灸治疗腹泻型肠易激综合征的临床疗效。 方法 将我院48例腹泻型肠易激综合征患者分为治疗组 25例和对照组23例。对照组给予药物治疗(胃肠解痉药、止泻药、抗焦虑药、肠道菌群调节药)和饮食治疗(忌食辛辣、刺激和产气的食物)，治疗组在对照组的基础上加用针刺配合艾箱灸治疗。比较两组临床疗效。 结果 治疗组总有效率为 88.0%，对照组总有效率为 60.9%，两组比较差异有统计学意义(P < 0.05)。 结论 针刺配合艾箱灸能显著提高腹泻型肠易激综合征的疗效。
[关键词] 针刺；艾箱灸；腹泻型肠易激综合征
[中图分类号] R256.3 [文献标识码] A [文章编号] 1673-7210(2012)01(c)-0096-02
Acupuncture combined with moxibustion in the treatment of 48 patients with diarrhea-predominant irritable bowel syndrome
SHANG Zhengqin XU Mingjun TIAN Lei
Taihe Hospital Affiliated of Hubei Medical College, Hubei Province, Shiyan 442000, China
[Abstract] Objective To investigate the clinical efficacy on acupuncture combined with moxibustion in the treatment of diarrhea-predominant irritable bowel syndrome. Methods 48 patients were divided into treatment group with 25 patients and control group with 23 patients. Control group was given drugs therapy (gastrointestinal antispasmodic drugs, antidiarrheal drugs, anti-anxiety drugs, intestinal flora regulating drugs) and dietary treatment (don't eat spicy food and gas production). Treatment group was given acupuncture combined with moxibustion based on the therapy of control group. The clinical effects of two groups were compared. Results The total effective rate of treatment group was 88.0%, and the total effective rate of control group was 60.9%, the difference between two groups was significant (P < 0.05). Conclusion Acupuncture combined with moxibustion can significantly improve the clinical effect of diarrhea-predominant irritable bowel syndrome.
[Key words] Acupuncture; Moxibustion in a box; Diarrhea-predominant irritable bowel syndrome
肠易激综合征(irritable bowe syndrome，IBS)属于胃肠功能紊乱性疾病，又称肠功能紊乱、过敏性结肠炎、痉挛性结肠炎等[1]。是一组包括腹痛、腹胀、排便习惯改变和大便性状异常、黏液便等表现的临床综合征。我院2010年5月~2011年7月采用针刺配合艾箱灸治疗腹泻型肠易激综合征 48 例，取得较好的临床疗效，现报道如下：
1 资料与方法
1.1 一般资料
选取2010 年 5 月~ 2011年 7月我院收治的肠易激综合征患者48例。其中，男20例，女28例；年龄 16～59岁。将所有患者随机分为治疗组(25例) 和对照组(23例)。两组在病情、年龄、性别、病程等方面比较，差异无统计学意义(P > 0.05)，具有可比性。
1.2 诊断标准
采用国际认同的罗马Ⅱ诊断标准[1]：在过去 12 个月内至少累计有 12 周可以是非连续性存在腹部不适或腹痛，伴有以下 3 种症状的 2 种：①便后缓解；②病初起病排便频率改变；③病初起时粪便性状改变。另外，支持 IBS诊断的有：①排便每周少于 3 次；②排便每周多于 3 次；③羊粪样或硬便；④稀(软)或水样便；⑤排便费力；⑥便急感；⑦排便不尽感；⑧排黏液；⑨腹胀 ......
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