针药联合治疗脾肾阳虚便秘型肠易激综合征的临床观察

发布时间：2018-06-08 13:30

本文选题：肠易激综合征 + 便秘　；参考：《中华中医药学刊》2017年02期

【摘要】：目的:探讨针刺联合中药治疗脾肾阳虚便秘型肠易激综合征的临床观察。方法:2013年8月—2015年7月选择在医院诊断治疗的便秘型肠易激综合征便秘型患者76例,随机分为对照组及观察组,各38例。两组患者均服用芪蓉润肠口服液,14 d为1个疗程,连续2个疗程。观察组在此基础上给予针刺治疗,留针30 min,14d为1个疗程,连续2个疗程。记录两组患者临床疗效,中医症状评分以及两组患者排便间隔时间以及粪便性质。结果:观察组总有效率89.48%,对照组总有效率为81.57%,观察组显著优于对照组,差异有统计学意义(P0.05)。治疗前,两组患者大便干结、排便困难、脘腹胀满、腹痛、四肢不温等症状积分水平比较,差异无统计学意义(P0.05)。治疗后,两组患者症状积分均大幅度下降,观察组积分下降幅度大于对照组,差异均具有统计学意义(P0.05)。治疗前,两组患者排便时间及粪便性质评分等水平比较,差异无统计学意义(P0.05)。治疗后,两组患者两项积分均大幅度下降,观察组积分下降幅度大于对照组,差异均具有统计学意义(P0.05)。两组患者无不良反应发生。结论:针刺疗法联合芪蓉润肠口服液治疗脾肾阳虚便秘型肠易激综合征患者,临床疗效显著,可以有效改善患者临床症状,且无明显不良反应发生,值得临床推广应用。
[Abstract]:Objective: to investigate the clinical effect of acupuncture combined with traditional Chinese medicine on irritable bowel syndrome of spleen and kidney yang deficiency constipation. Methods: from August 2013 to July 2015, 76 patients with irritable bowel syndrome were randomly divided into control group and observation group. The patients in both groups were treated with Qirong Runchang oral liquid for 14 days as a course of treatment. On this basis, the observation group was treated with acupuncture, with 30 mins and 14 days as a course of treatment for 2 consecutive courses. The clinical efficacy, TCM symptom score, defecation interval and fecal properties were recorded. Results: the total effective rate of the observation group was 89.48 and the total effective rate of the control group was 81.57. The observation group was significantly better than the control group, and the difference was statistically significant (P 0.05). Before treatment, the scores of dry stool, difficult defecation, abdominal distension, abdominal pain and unwarm limbs were not significantly different between the two groups (P 0.05). After treatment, the symptom scores of the two groups were significantly decreased, the decrease of the observation group was greater than that of the control group, and the difference was statistically significant (P 0.05). Before treatment, there was no significant difference in defecation time and fecal quality score between the two groups (P 0.05). After treatment, the two scores of the two groups were significantly decreased, the decrease of the observation group was greater than that of the control group, and the difference was statistically significant (P 0.05). No adverse reactions occurred in both groups. Conclusion: acupuncture combined with Qirong Runchang oral liquid in the treatment of irritable bowel syndrome of spleen and kidney yang deficiency constipation can effectively improve the clinical symptoms of the patients, and no obvious adverse reactions, which is worthy of clinical application.
【作者单位】：浙江省立同德医院针灸科;
【分类号】：R259

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