灵龟八法择时取穴针刺治疗腹泻型肠易激综合征临床观察  

Clinical Observation of Ling Gui Ba Fa Time-based Acupuncture for Irritable Bowel Syndrome with Diarrhea

作　　者：李丽 王祖红[2] 郭春艳[2] 方永江[2] 宋冉 李艳[1] 包雄英 

机构地区：[1]云南中医学院针灸推拿康复学院,昆明650000 [2]昆明市中医医院,昆明650000 [3]云南圣约翰医院,昆明650000

出　　处：《上海针灸杂志》2017年第6期688-691,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：云南省教育厅科学研究基金研究生项目(2016YJS076)

摘　　要：目的比较灵龟八法针刺法与常规针刺法治疗腹泻型肠易激综合征的疗效差异。方法将60例患者随机分为治疗组、对照组,每组30例。治疗组采用灵龟八法针刺公孙、内关,对照组采用常规针刺公孙、内关。两组均加天枢、大肠俞、上巨虚、丰隆、脾俞。采用肠易激综合征临床症状积分、IBS特异性生活质量量表(IBS-QOL)评分,评价两组之间的临床疗效差别。每星期治疗3次,针刺10次为1个疗程,分别在治疗前后对两组患者进行量表评分和疗效评价,最后进行数据统计分析,评定两组疗效。结果治疗后两组量表评分均显著改善(P<0.05),且治疗组的改善程度优于对照组(P<0.05);治疗组总有效率为90%(27/30),优于对照组的80%(24/30)(P<0.05)。结论灵龟八法针刺法治疗腹泻型肠易激综合征疗效优于常规针刺,可明显提高患者生活质量,为临床提供优势治疗方法。Objective To compare the therapeutic efficacy between Ling Gui Ba Fa （eight magic turtle techniques） acupuncture and ordinary acupuncture in treating irritable bowel syndrome with diarrhea （IBS-D）. Method Sixty patients were randomized into a treatment group and a control group, 30 cases in each group. The treatment group was intervened by Ling Gui Ba Fa acupuncture at Gongsun （SP4） and Neiguan （PC6）, and the control group was intervened by ordinary needling Gongsun and Neiguan. For both groups, Tianshu （ST25）, Dachangshu （BL25）, Shangjuxu （ST37）, Fenglong （ST40）, and Pishu （BL20） were added. The clinical efficacies of the two groups were compared by evaluating the irritable bowel syndrome （IBS） clinical symptoms score and IBS Quality of Life （IBS-QOL） questionnaire. The two groups were treated 3 times a week, 10 sessions as a treatment course, and were evaluated by using the scales before and after the treatment followed by statistical analysis and determination of the therapeutic efficacy. Result The scales were significantly improved in both groups after the treatment （P〈0.05）, and the improvement in the treatment group was superior to that in the control group （P〈0.01）; the total effective rate was 90% （27/30） in the treatment group, higher than 80% （24/30） in the control group（P〈0.05）. Conclusion Ling Gui Ba Fa acupuncture can produce a more significant efficacy than ordinary acununcture in treating, 1RR-D and can obviously enhance the quality of life of the patients, providing an advantageous treatment scheme to clinic.

关 键 词：针刺 肠易激综合征 腹泻型 灵龟八法 时间医学 灵龟飞腾 肠易激综合征临床症状积分 IBS-QOL 

分 类 号：R246.1[医药卫生—针灸推拿学]