“活血散风,调和肝脾”针刺法对高血压合并腹泻型肠易激综合征症状改善的临床观察  

Clinical observation of‘activating blood circulation and dispersing wind,harmonizing liver and spleen’acupuncture for improvement of symptoms of hypertension and diarrhea-type IBS

作　　者：李会娟[1] 高鹤[2] 申鹏飞[1] LI Hui-juan;GAO He;SHEN Peng-fei(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300111,China;Second Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China)

机构地区：[1]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津300111 [2]天津中医药大学第二附属医院,天津300150

出　　处：《中华中医药杂志》2022年第11期6859-6863,共5页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:观察“活血散风,调和肝脾”针刺法对于高血压合并腹泻型肠易激综合征(IBS)患者血压、症状严重程度、临床疗效、生活质量的影响。方法:将68例高血压合并腹泻型IBS患者随机分为观察组34例,采用“活血散风,调和肝脾”针刺法治疗,每日1次,每周5次,共治疗8周;对照组34例,采用药物治疗,观察两组患者治疗前和治疗后4、8周白天、夜间及24 h血压、症状严重度评分(IBS-SSS)、临床疗效改善、生活质量量表疗效评价(IBS-QOL)变化。结果:治疗4、8周后,两组患者白天、夜间及24 h平均收缩压、舒张压均较治疗前显著降低(P<0.05),治疗8周时观察组较对照组血压下降更为显著(P<0.05)。治疗4周后,观察组患者腹痛程度、频率、腹胀程度、排便满意度、生活干扰度及总积分均较治疗前显著改善(P<0.05),对照组患者除腹胀程度外,其余较治疗前均显著改善(P<0.05),治疗8周时观察组较治疗组在腹痛程度、腹痛频率、排便满意度、总积分和腹胀程度、生活干扰度改善方面效果更显著(P<0.05);观察组总有效率(85.29%,29/34)显著高于对照组(61.76%,21/34)(P<0.05)。治疗4周后,两组患者IBS-QOL量表积分均较治疗前显著增高(P<0.05);治疗8周后,两组患者IBS-QOL量表积分均较治疗前增高(P<0.05),且观察组较对照组改善更为显著(P<0.05)。结论:“活血散风,调和肝脾”针刺法可显著改善高血压合并腹泻型IBS患者血压水平及临床症状,提高患者生活质量,总体疗效优于药物。Objective:To observe the effect of‘activating blood circulation and dispersing wind,harmonizing liver and spleen’acupuncture method on blood pressure,severity of symptoms,clinical efficacy,and quality of life in patients with hypertension and diarrhea-type IBS.Methods:Sixty-eight patients with hypertension and diarrhea-type IBS were randomly divided into observation group of 34 cases.They were treated with acupuncture method of‘activating blood circulation and dispersing wind,harmonizing liver and spleen’,once a day,5 times a week,for a total of 8 weeks;34 cases in the control group were treated with drugs.The two groups of patients before treatment,4 weeks after treatment,8 weeks after treatment,daytime,night and 24-hour blood pressure,symptom severity score(IBS-SSS),clinical efficacy improvement,and changes in the efficacy evaluation of the quality of life scale(IBS-QOL)were observed.Results:After 4 and 8 weeks of treatment,the average systolic and diastolic blood pressure of the two groups during the day,night and 24 hours were significantly lower than those before treatment(P<0.05),and the blood pressure in the observation group decreased more significantly than that in the control group during 8 weeks of treatment(P<0.05).After 4 weeks of treatment,the degree of abdominal pain,frequency,abdominal distension,satisfaction with defecation,life disturbance and total score in the observation group were significantly improved compared with those before treatment(P<0.05),and the control group except for the degree of abdominal distension was significantly improved compared with that before treatment(P<0.05),and the observation group had abdominal pain degree,abdominal pain frequency,bowel satisfaction and total score compared with the treatment group and the degree of abdominal distension and the degree of life disturbance were more significant(P<0.05).The total effective rate of the observation group(85.29%,29/34)was significantly higher than that of the control group(61.76%,21/34)(P<0.05).After 4 weeks of

关 键 词：针刺 高血压 腹泻型肠易激综合征 活血散风 调和肝脾 临床观察 

分 类 号：R246.1[医药卫生—针灸推拿学]