灸法治疗肠易激综合征的临床证据

发布时间：2018-01-21 07:10

本文关键词： 灸法肠易激综合征临床证据证据等级　出处：《时珍国医国药》2014年03期 　论文类型：期刊论文

【摘要】：目的评估灸法治疗肠易激综合征的临床研究,提炼与灸法临床实践高度相关的临床证据,为临床医生决策提供有效依据。方法系统全面检索当前可得到的临床研究文献,按照循证医学五级标准从高到低选用能够解决对应的临床问题证据,采用RevMan5.0.20统计结局指标。结果有27篇合格文献。1项A级证据说明灸法的临床疗效优于常规西药;1项B级证据表明隔药灸与隔淀粉灸改善泄泻明显优势;不同刺法灸法之间改善临床症状积分有疗效差异;2项C级证据表明灸法配合西药比单纯西药效果可能要好或者相当。结论灸法治疗肠易激综合征是有效的,且较西药安全副作用小;针药并用的效果可能更佳,尚需高质量试验证实。
[Abstract]:Clinical study on moxibustion for treatment of irritable bowel syndrome objective assessment, refine clinical evidence is highly correlated with Moxibustion in clinical practice, provide an effective basis for clinicians. Methods to retrieve the current comprehensive decision system of clinical research literatures available, in accordance with the five standards of evidence-based medicine to solve the problem of the corresponding clinical evidence from high to low by selection the RevMan5.0.20 statistical outcome. Results 27 eligible studies with.1 evidence that the clinical efficacy of moxibustion is superior to conventional western medicine; 1 level B evidence that moxibustion with farina partitioned moxibustion ameliorate diarrhea obvious advantages; between different acupuncture and moxibustion improve clinical symptom curative effect difference; 2 level C evidence that moxibustion combined with western medicine may be better or rather than simple western medicine. Conclusion moxibustion for treatment of irritable bowel syndrome is effective, safe and less side effects than western medicine; Chinese medicine and acupuncture effect It can be better, and it is still necessary to confirm the high quality test.

【作者单位】：江西中医药大学;江西中医药大学附属医院;
【基金】：国家自然科学基金(No.81160453;No.81202854)
【分类号】：R246.1
【正文快照】： 肠易激综合征(IBS)是肠道动力学与内脏感觉异常的胃肠功能性疾病,是指一组包括有排便习惯改变(腹泻/便秘)、粪便性状异常(稀便、勃液便或硬结便)、腹痛及腹胀等临床表现的证候群,症状持续存在或间歇发作。国内调查研究显示,IBS患者占消化科门诊量的30%~50%。北京地区符合罗马

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