针刺治疗肠易激综合征随机对照研究  

Acupuncture Treatment of Irritable Bowel Syndrome Randomized Controlled Trial

作　　者：张赛 贾思涵 郑斌[3] 杨丽娟 晋志高 

机构地区：[1]仁和镇卫生院,北京101300 [2]北京中医药大学,北京100029 [3]北京首都医科大学附属北京朝阳医院针灸科,北京100043 [4]煤炭总医院针灸科,北京100028

出　　处：《中国中医基础医学杂志》2016年第3期404-406,425,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家自然科学基金资助项目(81273676)-人体及胚胎大鼠穴位感受器特性研究;北京市中医药科技发展资金项目(JJ2013-61)

摘　　要：目的:观察针刺IBS患者有关穴位疼痛阈值的变化及针刺后临床症状改善情况,为指导临床针灸取穴、提高临床疗效提供依据。方法:选肠易激综合征IBS病人64例按随机数字表法分为2组,针刺组32例采用针刺治疗,经疼痛测量仪测量,选取穴位疼痛阈值较低以及临床常用穴位足三里、上巨虚、下巨虚、大肠俞、小肠俞、肝俞、三阴交、关元、天枢穴、合谷穴;药物对照组32例口服马来酸曲美布汀片和双歧杆菌三联活菌胶囊。结果:针刺组中医证候各项积分较治疗前均有改善;针刺组治疗后主症腹部不适、泄泻、便秘,次症肠鸣矢气证候积分优于对照组。结论:针刺治疗肠易激综合征患者采用足三里、上巨虚、三阴交等穴位可以有效改善IBS患者腹部不适、泄泻、便秘、肠鸣矢气等症状,提高其生活质量。Objective：The aim of this study is to detect effect of acupuncture on irritable bowel syndrome （IBS）. Methods ：64 IBS patients were selected in this study. Then the patients of the IBS were randomly divided into two groups, acupuncture group（N = 32 ） and control group （N = 32 ）. In acupuncture group the points including Zusanli （ST36）, Shangjuxu （ ST）, Xiajuxu （ ST）, Dachangshu （ GB ）, Xiaochangshu （ GB ）, Ganshu （ GB）, Sanyinjiao （ SP6 ）, Guanyuan （RE）, Tianshu（GV）, Hegu （LI4）, and in control group Trimebutine Maleate Tablets and Bifidobacterium triple viable capsules were given routine to the patients. The data were collected and statistically analysed. Results：The symptom scores of IBS significantly improved in both acupuncture and control group after intervention than that before intervention. Conclusion ：The results of this studysuggested that acupuncture improve clinical outcomes of IBS.

关 键 词：肠易激综合征 针刺 随机临床实验 

分 类 号：R246.1[医药卫生—针灸推拿学]