健脾化浊通络法配合口针疗法治疗腹泻型肠易激综合征临床的研究.docVIP

健脾化浊通络法配合口针疗法治疗腹泻型肠易激综合征临床的研究 　　 摘 要：目的：观察健脾化浊通络法配合口针疗法治疗腹泻型肠易激综合征（D-IBS）的临床疗效。方法：将165例D-IBS患者随机分为4组，中药组40例口服自拟健脾化浊通络方；针刺组40例给予口针疗法；针药组45例给予口服自拟健脾化浊通络方配合口针疗法；对照组40例口服丽珠肠乐。4组均连续治疗4周后观察各组临床疗效、治疗前后临床症状积分及复发情况。结果：针药组总有效率与其余3组比较，差异有统计学意义（P＜0.05），其余3组间比较，差异无统计学意义（P＞0.05）。针药组治疗前临床症状积分与其余3组比较，差异均无统计学意义（P＞0.05），4组治疗后临床症状评分分别与本组治疗前比较，差异均有统计学意义（P＜0.05或P＜0.01），治疗后针药组与其余3组比较，差异均有统计学意义（P＜0.05或P＜0.01）；其余3组间比较，差异无统计学意义（P＞0.05）。针药组复发次数及复发率与其余3组比较明显下降，差异有统计学意义（P＜0.05），其余3组间比较，差异无统计学意义（P＞0.05）。结论：健脾化浊通络法配合口针疗法治疗D-IBS有良好的临床疗效，且能明显降低患者复发率及复发次数。 　　 关键词：肠易激综合征；腹泻型；中医疗法；针灸疗法；健脾化浊通络法；口针疗法 　　中图分类号：R57 文献标识码：A 文章编号：1673-7717(2012)01-0222-03 　　Clinical Study on Spleen-Strengthening-Turbid-Resolving-Collaterals-Dredging Therapy Combined With Mouth Acupuncture Treating Diarrhea Type of IBS 　　HAN Shu?kai1,CAO Wen?jie1,YANG Xin?wei2,HOU Li?jun3 　　(1.Wangdu Hospital of TCM，Wangdu072450，Hebei，China；2. Baoding No. 1 Hospital of TCM，Baoding 071000，Hebei，China；3.No. 252 Hospital of PLA，Baoding 071000，Hebei，China) 　　Abstract:Objective:The clinical effects of Jianpi Huatan Tongluo Decoction combined with mouth acupuncture treating diarrhea type of IBS were observed. Methods:165 cases of D-IBS were randomly divided into four groups: 40 cases in Chinese medicine group were given Jianpi Huazhuo Tongluo Decoction orally; 40 cases in acupuncture group were treated with mouth acupuncture; 40 cases in drug and acupuncture group were given Jianpi Huazhuo Tongluo Decoction orally combined with mouth acupuncture; 40 cases in control group were given Lizhu Changle orally. After four weeks continuous treatment, clinical effects including symptom scores and recurrence were compared. Results: The total effective rate of drug and acupuncture group was significantly different from other groups （P＜0.05）；the comparison among the other three groups had no significant differences （P＞0.05）. After treatment, symptom score in drug and acupuncture group had no significant difference compared with other three groups（P＞0.