针刺与西药治疗肠易激综合征疗效对照观察

发布时间：2018-07-29 15:10

【摘要】：目的:比较针刺天枢、大肠俞为主与口服西药马来酸曲美布汀治疗肠易激综合征的疗效差异。方法:将40例患者随机分针刺组和西药组,每组20例。针刺组针刺天枢、大肠俞为主,采用子午捣臼法,每天1次;西药组口服马来酸曲美布汀胶囊,每次2粒,每日3次,两组均治疗4周后评定疗效。结果:两组患者治疗后腹痛时间、腹痛频率、排便形状异常比率、排便通过异常比率、黏液便比率、排便时腹胀或腹痛积分均较治疗前降低(均P0.01),且针刺组较西药组降低更显著(总积分:16.70±2.40 vs 15.70±3.01,P0.01)。针刺组总有效率为95.0%(19/20),优于西药组的70.0%(14/20)(P0.05)。结论:针刺天枢、大肠俞为主可明显改善肠易激综合征患者的临床症状,其疗效优于口服西药马来酸曲美布汀。
[Abstract]:Aim: to compare the therapeutic effects of acupuncture on Tianshu, Dachang Shu and oral trimebutine maleate in the treatment of irritable bowel syndrome. Methods: 40 patients were randomly divided into acupuncture group and western medicine group, 20 cases in each group. In the acupuncture group, Tianshu and Dachangshu were mainly needled, and the effect was evaluated after 4 weeks of treatment in the western medicine group, 2 tablets of trimebutine maleate were taken orally, 3 times a day, and 2 tablets of trimebutine maleate were taken orally in the western medicine group after 4 weeks of treatment. Results: after treatment, the time of abdominal pain, the frequency of abdominal pain, the abnormal rate of defecation shape, the rate of abnormal defecation passage, the ratio of mucus stool, The scores of abdominal distension and abdominal pain in defecation group were lower than those before treatment (all P0.01), and that in acupuncture group was significantly lower than that in western medicine group (total score: 16.70 卤2.40 vs 15.70 卤3.01 P0.01). The total effective rate of acupuncture group was 95.0% (19 / 20), which was better than that of western medicine group (70.0%) (14 / 20) (P0.05). Conclusion: acupuncture of Tianshu and Dachang Shu can obviously improve the clinical symptoms of irritable bowel syndrome patients, and the curative effect is better than that of trimebutine maleate.
【作者单位】：唐山市中医医院消化科;
【基金】：河北省中医药管理局科研基金资助项目:2009213
【分类号】：R246.6

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