加味四逆散配合针刺鬼眼穴治疗腹泻型肠易激综合征(肝郁脾虚证)临床观察  

Clinical observation of Jia Wei Si ni Powder Combinaed with Acupuncture Ghost Eye Point to Treat Diarrhea-predominant Irritable Bowel Syndrome(Liver-stagnation and Spleen-deficiency Syndrome)

作　　者：蔡丽[1] 邱承智 郑帆 叶少情 何玲[2] 

机构地区：[1]成都中医药大学,四川成都610075 [2]成都中医药大学附属医院,四川成都610075

出　　处：《亚太传统医药》2017年第23期147-149,共3页Asia-Pacific Traditional Medicine

摘　　要：目的:观察加味四逆散配合针刺鬼眼穴治疗腹泻型肠易激综合征(肝郁脾虚证)的临床疗效及近期复发率。方法:将83例患者随机分组,治疗组44例予加味四逆散加针刺鬼眼穴治疗,对照组39例予加味四逆散治疗。比较治疗前后两组中医证候总积分、临床疗效及近期复发率。结果:治疗后中医证候总积分两组均较治疗前降低(P<0.05),治疗组降低更为显著,组间比较有统计学意义(P<0.05);两组总有效率比较无统计学意义(P>0.05),但中医单项症状改善情况两组比较,治疗组腹痛或(和)腹胀、情志诱发、急躁易怒及排便不爽改善更为显著(P<0.05);近期复发率比较两组有统计学意义(P<0.05)。结论:加味四逆散与针刺鬼眼穴结合改善IBS-D(肝郁脾虚证)临床症状疗效确切,且近期复发率低。Objective：To observe the clinical effects and recent recurrence rate of treatment about acupuncture combined with decoction in diarrhea predominant Irritable bowel syndrome （livevstagnation and spleen-deficiency syndrome）. Methods：The 83 patients were randomly divided into 2 groups. 44 cases in the treating group were treated by oral jia wei Si ni powder and acupuncture Ghost eye point , and 39 cases of the control group were treated with Jiawei sini powder. The total scores of TCM syndrome,clinical efficacy and the recent recurrence rate were compared between the two groups before and after treatment. Results：After treatment, the total scores of TCM syndrome in the two groups were lower than that before treatment （P^0.05）, and the difference between the two groups was statistically significant（P^0.05） ; The total efficiency of the two groups was not statistically significant（P〉0. 05）, but the curative effect of the two groups of treatment group on improving abdominal pain or （and） abdominal distension, emotion induced,impatient irritability and poor defecation was obvious（P〈0.05） ; Comparison of the recent recurrence rates between the two groups was statistically significant （P〈0.05）. Conclusion：The effect of Jia Wei Si ni Powder combination with Acupuncture Ghost eye point on improving IBS-D（liver-stagnation and spleen-deficiency syndrome） was accurate,and the recent recurrence rate was also low.

关 键 词：腹泻型肠易激综合征 四逆散 针刺疗法 

分 类 号：R246[医药卫生—针灸推拿学]