经络推拿+针灸腧穴治疗精神分裂症合并肠易激综合征患者的疗效观察  

Observation on the efficacy of meridian massage combined with acupuncture at acupoints in treating patients with schizophrenia and irritable bowel syndrome

作　　者：付康 严伟良[2] 董莹盈 蒋新新 FU Kang;YAN Weiliang;DONG Yingying;JIANG Xinxin(Department of Acupuncture and Massage,Shaoxing Seventh People′s Hospital in Zhejiang Province,Shaoxing 312000,China;Department of Psychiatry,Shaoxing Seventh People′s Hospitalin Zhejiang Province,Shaoxing 312000,China;Department of Traditional Chinese Medicine and Brain,Shaoxing Seventh People′s Hospital in Zhejiang Province,Shaoxing 312000,China)

机构地区：[1]浙江省绍兴市第七人民医院针灸推拿科,浙江绍兴312000 [2]浙江省绍兴市第七人民医院精神心理科,浙江绍兴312000 [3]浙江省绍兴市第七人民医院中医脑科,浙江绍兴312000

出　　处：《中国现代医生》2020年第35期140-143,共4页China Modern Doctor

基　　金：浙江省中医药科学研究基金项目(2017ZA140);浙江省绍兴市卫生计生科技计划项目(2017CX013)。

摘　　要：目的提高IBS-D患者的治疗康复率。方法采用随机数字表法将2018年1~12月入住本院精神科符合“精神和行为障碍诊断标准(ICD-10)”之精神分裂症诊断标准和罗马Ⅳ标准之IBS-D诊断标准的患者85例随机分为观察组(n=43)和对照组(n=42),观察组采用经络推拿+针灸腧穴治疗,对照组给予口服米氮平治疗,并在治疗40 d末、随访6个月末对两组IBS-D患者进行症状康复、心理康复、安全性评价。结果症状康复:观察组治疗40 d末有效率为95.35%;随访6个月末有效率为83.72%。对照组治疗40 d末有效率为76.19%;随访6个月末有效率为62.79%,两组比较差异有统计学意义(U=2.05、2.04,P<0.05)。心理康复:各组随着治疗时间的推移SAS、SDS的分值均逐渐下降,两组间,治疗40 d末和随访6个月末比较,差异均无统计学意义(SAS:t=1.05、1.93;SDS:t=0.56,0.37,P>0.05);安全性:治疗40 d末和随访6个月末,发生不良反应发生例观察组(分别为2例和1例)比对照组(分别为14例和16例)少(χ2=11.44、16.99,P<0.05)。结论经络推拿+针灸腧穴对IBS-D的症状康复效果明显,且安全性高,值得临床推广应用。Objective To improve the therapeutic recovery rate of patients with IBS-D. Methods A total of 85 patients admitted to the psychiatric department of our hospital from January to December 2018, who met the diagnostic criteria for schizophrenia of the Diagnostic Criteria for Mental and Behavioral Disorders(ICD-10) and the IBS-D diagnostic criteria for Rome Ⅳ criteria, were randomly divided into the observation group(n=43) and the control group(n=42) by random number table method. The observation group was treated with meridian massage +acupuncture at acupoints. The control group was treated with oral mirtazapine. At the end of 40 days and 6 months of follow-up, symptomatic rehabilitation, psychological rehabilitation, and safety were evaluated in both groups. Results Symptom recovery: in the observation group, the effective rate at the end of 40 days of treatment was 95.35%;the effective rate at the end of 6 months of follow-up was 83.72%. In the control group, the effective rate at the end of 40 days was 76.19%;the effective rate at the end of 6 months of follow-up was 62.79%. The difference between the two groups was statistically significant(U=2.05, 2.04, P<0.05). Psychological rehabilitation: the scores of SAS and SDS tended to decrease gradually with the treatment time. There was no significant difference between the two groups at the end of 40 days of treatment and 6 months of follow-up(SAS: t=1.05, 1.93 SDS: t=0.56, 0.37, P>0.05). Safety: At the end of 40 days of treatment and at the end of 6 months of follow-up, the number of adverse reactions in the observation group(2 cases and 1 case respectively) was less than that in the control group(14 cases and 16 cases respectively)(χ~2=11.44, 16.99, P<0.05). Conclusion Meridian massage and acupuncture at acupoints have obvious effect on the recovery of symptoms of IBS-D, with high safety, and are worthy of clinical application.

关 键 词：腹泻型肠易激综合征(D-IBS) 经络 腧穴 针灸 效果 安全性 

分 类 号：R246.6[医药卫生—针灸推拿学]