中药蒸脐疗法治疗肠易激综合征的效果
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摘要
目的探讨中药蒸脐疗法治疗肠易激综合征的效果。方法选取2017年1月～2018年7月于江西中医药大学附属医院脾胃肝胆科就诊的200例肠易激综合征患者作为研究对象,通过随机数字表法将其分为两组,每组各100例。对照组患者给予常规西药治疗,观察组患者给予蒸脐疗法。比较两组患者的胃动素(MTL)、血管活性肠肽(VIP)、生长抑素(SS)、胆囊收缩素(CCK)水平变化、中医症候积分及临床疗效。结果两组患者治疗后的MTL、VIP、SS、CCK水平低于治疗前,观察组患者治疗后的MTL、VIP、SS、CCK低于对照组,差异有统计学意义(P<0.05);两组患者治疗后的中医症候积分低于治疗前,观察组患者治疗后的中医症候积分低于对照组,差异有统计学意义(P<0.05);观察组患者的治疗总有效率为86%,高于对照组的55%,差异有统计学意义(P<0.05)。结论应用蒸脐疗法治疗肠易激综合征患者的效果突出,可减少患者的腹痛、腹胀等症状,促进良好排便,并对机体内的胃肠激素产生有利的影响,值得一定的推广。
Objective To explore the effect of traditional Chinese medicine(TCM) steaming umbilical cord method in the treatment of irritable bowel syndrome. Methods From January 2017 to July 2018, 200 patients with irritable bowel syndrome admitted to the Department of Spleen, Stomach, Liver and Gallbladder of the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine were selected as research objects. The patients were divided into two groups by random number table method, with 100 cases in each group. The control group was treated with routine western medicine, and the observation group was treated with umbilical steaming therapy. The levels of motilin(MTL), vasoactive intestinal peptide(VIP), somatostatin(SS), cholecystokinin(CCK), TCM symptom score and clinical efficacy were compared between the two groups. Results The levels of MTL, VIP, SS, CCK in the two groups after treatment were lower than those before treatment, and the levels of MTL, VIP, SS, CCK after treatment in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05). After treatment, the TCM symptom scores of the two groups were lower than those of the control group, while the TCM symptom score of the observation group after treatment was lower than that of the control group, the differences were statistically significant(P<0.05). The total effective rate of treatment in the observation group was 86%, which was higher than that in the control group(55%), the difference was statistically significant(P<0.05). Conclusion The treatment of irritable bowel syndrome with umbilical steaming therapy is effective in reducing abdominal pain and distention, promoting good defecation, and exerting favorable influence on gastrointestinal hormones in the body, which is worth popularizing.
Objective To explore the effect of traditional Chinese medicine(TCM) steaming umbilical cord method in the treatment of irritable bowel syndrome. Methods From January 2017 to July 2018, 200 patients with irritable bowel syndrome admitted to the Department of Spleen, Stomach, Liver and Gallbladder of the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine were selected as research objects. The patients were divided into two groups by random number table method, with 100 cases in each group. The control group was treated with routine western medicine, and the observation group was treated with umbilical steaming therapy. The levels of motilin(MTL), vasoactive intestinal peptide(VIP), somatostatin(SS), cholecystokinin(CCK), TCM symptom score and clinical efficacy were compared between the two groups. Results The levels of MTL, VIP, SS, CCK in the two groups after treatment were lower than those before treatment, and the levels of MTL, VIP, SS, CCK after treatment in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05). After treatment, the TCM symptom scores of the two groups were lower than those of the control group, while the TCM symptom score of the observation group after treatment was lower than that of the control group, the differences were statistically significant(P<0.05). The total effective rate of treatment in the observation group was 86%, which was higher than that in the control group(55%), the difference was statistically significant(P<0.05). Conclusion The treatment of irritable bowel syndrome with umbilical steaming therapy is effective in reducing abdominal pain and distention, promoting good defecation, and exerting favorable influence on gastrointestinal hormones in the body, which is worth popularizing.
引文
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[18]吴皓萌,徐志伟,敖海清.肠易激综合征中医证候分布与常见指标关系的研究[J].中华中医药杂志,2013,28(9):2534-2537.
[19]康丽丽,唐艳萍.腹泻型肠易激综合征中医治疗研究进展[J].中国中西医结合外科杂志,2016,22(4):414-416.
[20]张晓宁,马玉侠.脐疗法与匹维溴铵治疗脾虚型肠易激综合征的血液代谢组学机制研究比较[J].针灸临床杂志,2015,31(2):1-4.
[2]魏明.奥替溴铵与四联活菌联合治疗腹泻型肠易激综合征的疗效分析[J].当代医学,2018,24(5):96-97.
[3]杨德生,李福春,康玉华,等.乳果糖联合微生态制剂对便秘型肠易激综合征的疗效观察[J].临床消化病杂志,2016,28(1):32-35.
[4]许宝才,邱根祥,陈伟,等.雷氏补火生土法配合脐疗治疗腹泻型肠易激综合征临床研究[J].新中医,2018,50(6):195-198.
[5]李瑞琢.左金丸合四逆散辨证治疗肠易激综合征腹泻型临床疗效分析[J].现代诊断与治疗,2018,29(11):1703-1704.
[6]李军祥,陈誩,唐旭东,等.肠易激综合征中西医结合诊疗共识意见(2017年)[J].中国中西医结合消化杂志,2018,26(3):227-232.
[7]余玮,金奕.中西医结合治疗腹泻型肠易激综合征研究进展[J].现代中医药,2017,37(2):89-92.
[8]陈天良.痛泻要方合四君子汤加味治疗肠易激综合征腹泻临床研究[J].光明中医,2016,31(5):681-682.
[9]赖国平,吴耀南.腹泻型肠易激综合征的中医药治疗研究近况[J].中医药通报,2017,16(2):70-72.
[10]傅成伟,焦杨,惠真珍.穴位埋线治疗肠易激综合征meta分析[J].中国中西医结合消化杂志,2018,26(3):283-288.
[11]王倩,姚欣.肠易激综合征的研究进展[J].医学综述,2018,24(8):1596-1599,1605.
[12]李珏,陈立新,胡涛,等.益生菌对肠易激综合征患者外周血炎性因子水平的影响[J].现代医院,2017,17(7):1026-1028.
[13]李元红.安肠止痛汤结合西药治疗腹泻型肠易激综合征疗效观察[J].新中医,2015,47(6):69-70.
[14]黄胜.六磨汤联合氟哌噻吨美利曲辛治疗便秘型肠易激综合征临床研究[J].亚太传统医药,2015,11(18):123-124.
[15]解德雄.加味痛泻要方治疗腹泻型肠易激综合征的临床疗效分析[J].实用中西医结合临床,2015,15(10):73-74.
[16]侯政昆,李梅,谢地,等.肠易激综合征中医证候分布与神经内分泌机制的横断面临床研究[J].中国中药杂志,2016,41(7):1325-1337.
[17]于惠玲,鲁素彩,王阳阳,等.老年功能性消化不良重叠腹泻型肠易激综合征的胃肠激素水平变化[J].中国老年学杂志,2015,35(21):6175-6176.
[18]吴皓萌,徐志伟,敖海清.肠易激综合征中医证候分布与常见指标关系的研究[J].中华中医药杂志,2013,28(9):2534-2537.
[19]康丽丽,唐艳萍.腹泻型肠易激综合征中医治疗研究进展[J].中国中西医结合外科杂志,2016,22(4):414-416.
[20]张晓宁,马玉侠.脐疗法与匹维溴铵治疗脾虚型肠易激综合征的血液代谢组学机制研究比较[J].针灸临床杂志,2015,31(2):1-4.