脊柱手法治疗肠易激综合征105例临床研究  

Irritable Bowel Syndrome Treated by Spinal Orthopedic Manipulation:A Clinical Observation on 105 Cases

作　　者：屈留新[1] 陈洪[1] 邢丽阳[1] 高嵩[1] 

机构地区：[1]东南大学附属中大医院,江苏省南京市丁家桥87号210009

出　　处：《中医杂志》2011年第6期496-499,共4页Journal of Traditional Chinese Medicine

基　　金：江苏省中医药局科技项目资助(LZ09085)

摘　　要：目的评价脊柱手法治疗肠易激综合征的临床疗效。方法选取210例肠易激综合征正在发病的患者,随机分为研究组和对照组各105例。研究组由专人施行脊柱手法治疗;对照组采用口服得舒特(匹维溴铵片)50mg,每日3次治疗,两组均治疗2周。采用肠道症状尺度表(BSS)评分标准进行治疗前后症状评分,并应用BSS积分改善率进行疗效评价。结果两组患者治疗后BSS评分差异有统计学意义(P<0.01),两组患者临床疗效的BSS积分改善率,研究组优于对照组(P<0.01)。结论胸腰椎椎间盘移位与肠易激综合征的发病可能有直接关系,脊柱手法纠正胸腰椎椎间盘移位对其周围神经或血管的压迫或刺激是治疗肠易激综合征简便而且疗效肯定的方法。Objective To evaluate the clinical effect of Chinese Spinal Orthopedic Manipulation on irritable bowel syndrome（IBS）.Methods Totally 210 IBS cases in affecting condition were randomized into spinal orthopedic manipulation group（research group）and medicinal group（control group）with 105 in each.The research group was treated with Chinese Spinal Orthopedic Manipulation,and the control group was administered Dicetel（pinaverium bromide）for oral taking,50mg each time,three times a day.Both groups were treated for 2 weeks.The symptoms of pre-and post-treatment were scored by Bristol Stool Scale（BSS）,and the improvement rate BSS was used to evaluate the therapeutic effect.Results The difference of BSS scres between the two groups after treatment was significant（P0.01）,and the improvement rate of BSS scores of research group were significantly higher than that of the control group（P0.01）.Conclusion The displacement of intervertebral disc of thoracic and lumbar vertebrae may be directly related with the incidence of IBS.Correcting the displacement of intervertebral disc of thoracic and lumbar vertebrae for relieving the stimulation or oppression to nerves and vessels is an effective treatment for IBS.

关 键 词：肠易激综合征 脊柱手法 椎间盘移位 肠道症状尺度表 

分 类 号：R259[医药卫生—中西医结合]