针刺夹脊穴治疗肠易激综合征..docVIP

针刺夹脊穴治疗肠易激综合征临床观察 孙远征 宋晶 （1．黑龙江中医药大学附属第二医院针灸科二病房，哈尔滨150001；2.黑龙江中医药大学针灸推拿学院，哈尔滨150001） 【摘　要】目的：评价针刺夹脊穴治疗肠易激综合征的临床疗效。方法：将60例肠易激综合征患者随机分为针刺组30例和药物组30例。针刺组取第11胸椎、第12胸椎、第1腰椎夹脊穴，加电针刺激，日1次，每次留针30分钟，每周治疗5天，药物组采用口服匹维溴铵（得舒特），每次50ｍｇ，每日3次，两组均治疗3周。根据患者治疗前后肠道症状尺度表（BSS）评分标准进行评分，应用改善率进行统计，并对统计结果进行分析。结果：两组治疗后BSS评分与治疗前比较，差异均有统计学意义（P＜＜＜Sun yuan-zheng, Song jing (1.The ward of Acupuncture of Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin 150001,China; 2.The college of Acupuncture and Massage of Heilongjiang University of Traditional Chinese Medicine, Harbin 150040,China) 【ABSTRACT】Objective To observe the clinical efficacy of acupuncture Jiaji points in treating irritable bowel syndrome. Methods sixty patients with irritable bowel syndrome were equally randomized into acupuncture group and medicine group. Patients of the acupuncture group were treated by acupuncturing the 11th thoracic vertebra、the 12th thoracic vertebra and the first lumbar vertebra Jiaji points with electroacupuncture stimulation, once a day, needle retaining 40 minutes，only treating 5 days a week. Patients of the medicine group were only conducted by Pinaverium (Dicetel) was prescribed for oral administration, 50mg each time, 3 times a day. Treatment is conducted 6 weeks. The patients ’ clinical condutions were evaluated by using the bowel symptom scale (BBS) was adapted to sore symptoms before and after the treatment, the improvement rate was adopted and results were analyzed. Results After the treatment, both of the two groups had statistical significance on the difference of BSS score (P＜＜Conclusion Acupuncture at Jiaji points in treating irritable bowel syndrome is meaningful, and the efficacy is superior to the medicine group. 【KEY WORDS】 acupuncture，Jiaji points, irritable bowel syndrome 肠易激综合征（irritable bowel syndrome,IBS）是临床常见的一类功能性胃肠疾病，由于缺乏器质性病因，又没有结构性异常及明显的病理变化，但因为其迁延日久，且反复发作，严重影响患者的生活质量[1]。夹脊穴被用于治疗消化系统疾病已有报道，生理解剖学证实，夹脊穴周围是脊神经所在，深层分布着脊神经节，它们借节间支连成交感神经，交感