热敏灸治疗肠易激综合征不同灸量的临床疗效观察  

Clinical efficacy observation of heat-sensitive moxibustion with different doses for irritable bowel syndrome

作　　者：付勇[1] 章海凤[2] 熊俊[1] 李林[1] 康明非[1] 

机构地区：[1]江西中医药大学附属医院针灸科,南昌330006 [2]湖南中医药大学针灸推拿学院

出　　处：《中国针灸》2014年第1期45-48,共4页Chinese Acupuncture & Moxibustion

基　　金：国家重点基础研究发展计划(“973”计划)资助项目:2009CB 522902;国家自然科学基金资助项目:81360527;江西省自然科学基金资助项目:20122BAB 205084;江西省科技厅自然科学基金资助项目:20132BAB 205097

摘　　要：目的:比较热敏灸治疗肠易激综合征(irritable bowel syndrome,IBS)不同灸量的临床疗效差异。方法:将60例IBS患者随机分为饱和灸量组(30例)和传统灸量组(30例)。两组均采用热敏灸治疗,选择热敏灸感最强的腧穴实施艾条温和悬灸,饱和灸量组艾灸时间以热敏灸感消失为度,传统灸量组每次15min,两组均每日2次,共治疗5天,第6天起每日1次,连续治疗25次,共治疗30天。观察治疗前后两组患者临床症状评分变化情况及临床疗效。结果:治疗结束后,饱和灸量组愈显率为75.0%(21/28),传统灸量组愈显率为44.4%(12/27),饱和灸量组疗效优于传统灸量组(P<0.05);两组患者腹泻、腹胀、腹痛临床症状评分治疗后较治疗前均明显降低(均P<0.05),饱和灸量组腹泻、腹胀症状评分较传统灸量组降低更明显(0.87±0.13vs 1.27±0.21,P<0.01;1.12±0.41vs 1.32±0.26,P<0.05)。结论:消敏饱和灸量艾灸治疗IBS疗效优于传统灸量艾灸治疗,消敏定量是个体化的动态灸量,因人而异,是热敏灸取得最佳疗效的关键因素之一。Objective To compare differences of clinical therapeutic effect of heat-sensitive moxibustion with different doses for irritable bowel syndrome （IBS）. Methods Sixty cases of IBS were randomly divided into a sa- turated-dose group （30 cases） and a traditional-dose group （30 cases）. Heat-sensitive moxibustion was applied in both groups. The acupoints that had the strongest heat-sensitive feeling were selected and treated by warm and suspended moxibustion with moxa stick. Disappearance of heat-sensitive feeling was taken as the sign of treatment time in the saturated-dose group, while the traditional-dose group was treated for 15 rain each time. The treatment in both groups was given twice a day for first 5 days, and from the sixth day it was given once a day for continuous 25 times, totally 30 days. Clinical symptom scores and therapeutic effect before and after treatment in two groups were observed. Results After the treatment, the cured and markedly effective rate was 75.0% （21/28） in the sa- turated-dose group, which was inferior to 44.4% （12/27） in the traditional-dose group （P〈0.05）. The clinical symptom scores, including diarrhea, abdominal distension and pain, were obviously reduced in two groups compared with those before the treatment （all P〈0. 05）. Compared with the traditional-dose group, the symptom scores of diarrhea and abdominal distension in the saturated-dose group were obviously decreased （0.87±0.13 vs 1.27±0.21, P〈0.01; 1.12±0.41 vs 1.32±0.26, P〈0. 05）. Conclusion The moxibustion featured with disappearance of heat-sensitive feeling and saturated dose has better therapeutic effect than that with traditional-dose for treatment of IBS. As individual dynamic amount of moxibustion, disappearance of heat-sensitive and quantitation varies from person to person, which is one of the key factors to obtain the best curative effect.

关 键 词：肠易激综合征 灸量 热敏灸 

分 类 号：R246.1[医药卫生—针灸推拿学]