雷火灸治疗腹泻型肠易激综合征临床观察
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摘要
目的探讨腹泻型肠易激综合征治疗中雷火灸的临床疗效,分析雷火灸治疗腹泻型肠易激综合征的深层内涵。方法将172例腹泻型肠易激综合征患者随机分为试验组(86例)和对照组(86例)。对照组给予每天三次50 mg的匹维溴铵口服。试验组用雷火灸治疗(选穴:足三里(双)、天枢(双)、三阴交(双)、脾俞、肾俞、大肠俞、中脘、关元),1周为一疗程,连续治疗4个疗程。结果治疗4周后,对照组和试验组均取得良好效果,总体疗效可当(P>0.05)。但在症状的改善方面,试验组优于对照组(P<0.05)。结论雷火灸治疗腹泻型肠易激综合征可提升患者的治疗效果和预后,特别是在大便次数、便溏方面,改善明显。
Objective To explore the clinical efficacy of Leihuo moxibustion in the treatment of diarrhea-predominant irritable bowel syndrome, and to analyze the deep connotation of diarrhea-type irritable bowel syndrome. Methods 172 patients with diarrhea-type irritable bowel syndrome were randomly divided into the experimental group(86 cases) and the control group(86 cases). The control group was given 50 mg of pivavironium three times a day. The experimental group was treated with Leihuo moxibustion(selection points: Zusanli(double), Tianshu(double), Sanyinjiao(double), spleen, Shenshu, Dachangshu, Zhongyu, Guanyuan), one week for one course of treatment, continuous treatment for 4 courses. Results After 4 weeks of treatment, the total efficacy of the test group and the control group was comparable(P>0.05), but the test group was better than the control group in improvement of quality of life and improvement in symptoms(P<0.05). Conclusion In the treatment of diarrhea-predominant irritable bowel syndrome, Leihuo moxibustion may improve the treatment effect and prognosis of patients especially in terms of stool frequency and loose stool, the improvement is obviously.
Objective To explore the clinical efficacy of Leihuo moxibustion in the treatment of diarrhea-predominant irritable bowel syndrome, and to analyze the deep connotation of diarrhea-type irritable bowel syndrome. Methods 172 patients with diarrhea-type irritable bowel syndrome were randomly divided into the experimental group(86 cases) and the control group(86 cases). The control group was given 50 mg of pivavironium three times a day. The experimental group was treated with Leihuo moxibustion(selection points: Zusanli(double), Tianshu(double), Sanyinjiao(double), spleen, Shenshu, Dachangshu, Zhongyu, Guanyuan), one week for one course of treatment, continuous treatment for 4 courses. Results After 4 weeks of treatment, the total efficacy of the test group and the control group was comparable(P>0.05), but the test group was better than the control group in improvement of quality of life and improvement in symptoms(P<0.05). Conclusion In the treatment of diarrhea-predominant irritable bowel syndrome, Leihuo moxibustion may improve the treatment effect and prognosis of patients especially in terms of stool frequency and loose stool, the improvement is obviously.
引文
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[6] 李湘力,蔡敬宙,薛丹,等.精灸联合匹维溴铵治疗脾肾阳虚证腹泻型肠易激综合征的临床疗效[J].世界中医药,2017,12(9):2179-2182.
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[10] 李湘力,林泳,蔡敬宙.辨证针刺治疗腹泻型肠易激综合征60例[J].广州医药,2014,45(3):67- 68.
[11] 高丽红,胡雪艳,路学荣.雷火灸对面瘫患者血浆中免疫球蛋白的影响[J].中国医药指南,2014,12(36):256-256,259.
[12] 冯群星,庙春颖,陈萍.雷火灸的临床应用机理研究进展[J].浙江中医杂志,2017,52(7):544-545.
[13] 李艳,徐兰凤,刘兰英,等.赵氏雷火灸治疗痛证疗效评价及效应机制研究[J].吉林中医药,2016,36(6):619- 622.
[14] 陈盼碧,邹君,王士嘉,等.雷火灸对膝骨性关节炎模型大鼠抗炎作用的实验研究[J].光明中医,2017,32(5):647- 649.
[15] 亚东,李玉春,王晓岩,等.雷火灸治疗复发型慢性结肠炎脾肾阳虚证60例临床观察[J].中国处方药,2016,14(12):104-105.
[16] 黄月莲.针灸结合雷火灸临床应用举隅[J].针灸临床杂志,2012,28(7):24-26.
[17] 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.
[2] 杨云生,彭丽华.功能性胃肠病罗马诊断标准与研究现状[J].解放军医学院学报,2013,34(6):541-543.
[3] 中华中医药学会脾胃病分会.肠易激综合征中医诊疗共识意见[J].中华中医药杂志,2010,25(7):1062-1065.
[4] 郑筱萸,主编:中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002.
[5] 杨春波,劳绍贤,危北海,等.胃肠疾病中医症状评分表(中国中西医结合学会消化系统疾病专业委员会,2010,苏州)[J].中国中西医结合消化杂志,2011,19(01):66- 68.
[6] 李湘力,蔡敬宙,薛丹,等.精灸联合匹维溴铵治疗脾肾阳虚证腹泻型肠易激综合征的临床疗效[J].世界中医药,2017,12(9):2179-2182.
[7] Brian E.Lacy A,FerminM ,Lin C,et al.Bowel Disorders[J].J Gastroenterol,2016,150:1393-1407.
[8] LOVELL R M,FORDAC.Global prevalence of and risk factors for irritable bowel syndrome:a meta-analysis[J].Clini Gastroenterol Hepatol,2012,10:712-721.
[9] 廖展梅,黄春英.雷火灸临床应用的研究进展[J].临床医学,2015,28(45):449- 450,451.
[10] 李湘力,林泳,蔡敬宙.辨证针刺治疗腹泻型肠易激综合征60例[J].广州医药,2014,45(3):67- 68.
[11] 高丽红,胡雪艳,路学荣.雷火灸对面瘫患者血浆中免疫球蛋白的影响[J].中国医药指南,2014,12(36):256-256,259.
[12] 冯群星,庙春颖,陈萍.雷火灸的临床应用机理研究进展[J].浙江中医杂志,2017,52(7):544-545.
[13] 李艳,徐兰凤,刘兰英,等.赵氏雷火灸治疗痛证疗效评价及效应机制研究[J].吉林中医药,2016,36(6):619- 622.
[14] 陈盼碧,邹君,王士嘉,等.雷火灸对膝骨性关节炎模型大鼠抗炎作用的实验研究[J].光明中医,2017,32(5):647- 649.
[15] 亚东,李玉春,王晓岩,等.雷火灸治疗复发型慢性结肠炎脾肾阳虚证60例临床观察[J].中国处方药,2016,14(12):104-105.
[16] 黄月莲.针灸结合雷火灸临床应用举隅[J].针灸临床杂志,2012,28(7):24-26.
[17] 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.