指压夹脊穴治疗肠易激综合征临床观察  

Clinical observation on acupressure at Jiaji points for irritable bowel syndrome

作　　者：邢丽阳[1] 屈留新[2] 陈洪[3] 高嵩[2] 

机构地区：[1]东南大学附属中大医院针灸科,江苏南京210009 [2]东南大学附属中大医院中医骨伤科,江苏南京210009 [3]东南大学附属中大医院消化内科,江苏南京210009

出　　处：《中国针灸》2013年第8期739-742,共4页Chinese Acupuncture & Moxibustion

基　　金：江苏省中医药局科技项目:LZ 09085

摘　　要：目的:评价指压夹脊穴治疗肠易激综合征(IBS)的临床疗效,从中发现致病原理和治疗规律。方法:选取2010至2011年门诊诊治的60例肠易激综合征正在发病的患者,随机分为夹脊穴指压组(指压组)和药物得舒特口服组(药物组)各30例。指压组由专人施行指压夹脊穴治疗,IBS患者腹痛的部位主要为下腹痛,治疗部位主要为第11胸椎、第12胸椎和第1腰椎夹脊穴;药物组采用得舒特(匹维溴铵片)口服治疗。采用肠道症状尺度表(BSS)评分标准进行治疗前后症状评分,应用改善率进行统计,并对统计结果进行分析。结果:两组患者治疗后BSS评分与治疗前比较,差异有统计学意义(均P<0.01),指压组疗效明显优于药物组(P<0.01)。指压组BSS积分改善优良率90.0%(27/30),明显优于药物组的50.0%(15/30,P<0.01)。结论:夹脊穴指压治疗法可以平衡脊柱阴阳,迅速缓解肠易激综合征症状。肠易激综合征的发病可能与胸腰椎有一定关系。To evaluate clinical efficacy of acupressure at Jiaji points for irritable bowel syndrome （IBS） and ex- plore its pathogenesis and treatment law. Methods Sixty outpatient cases of IBS from 2010 to 2012 were selected and randomly divided into an acupressure group and a medication group, 30 cases in each one. The acupressure at Jiaji points was applied in the acupressure group while pinaverium bromide tablet was orally prescribed in the medi- cation group. The bowel symptom scale （BSS） was adapted to sore symptoms before and after the treatment, the improvement rate was adopted and results were analyzed. Results The difference of BSS score in two groups after the treatment had statistical significance （both P〈0.01）. The efficacy in the acupressure group was superior to that in the medication group, which had significant difference （P〈0.01）. The improvement rate was 90.0% （27/ 30） in the acupressure group, which was better than 50.0% （15/30） in the medication group （P〈0.01）. The lo- cation of abdominal pain in IBS was lower abdomen while treatment location was from llth thoracic vertebra to 1st lumbar vertebra. Conclusion The acupressure at Jiaji points could balance yin and yang in spine to quickly relive symptoms of IBS. The attack of IBS has some relationship with thoracic and lumbar vertebras.

关 键 词：肠易激综合征 肠道症状尺度表 病因 指压治疗 穴 夹脊 脊柱疗法 

分 类 号：R246.1[医药卫生—针灸推拿学]