循经感传扶阳灸治疗腹泻型肠易激综合征(脾肾阳虚证)的临床疗效观察  

Randomized controlled study on Yang-supplementing Moxibustion of Propagated Sensation along Meridian to the diarrhea type irritable bowel syndrome(spleen kidney yang deficiency syndrome)

作　　者：屈玉华[1,2] 范润平 陈敏[2] 陈凤鸣[2] QU Yuhua;FAN Runping;CHEN Min(Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610075,China;Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu Sichuan 610072,China)

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610072

出　　处：《四川中医》2023年第11期216-220,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省中医药管理局科学技术研究专项课题—中医学临床(编号:2100601-CKY2021115)。

摘　　要：目的:评价循经感传扶阳灸对脾肾阳虚证腹泻型肠易激综合征(IBS-D)患者的临床疗效及对血清脑肠肽的影响。方法:将129例在成都市某三甲医院就诊的脾肾阳虚证IBS-D患者,随机分为A组(43例),B组(43例)和C组(43例)。A组给予IBS-D常规治疗和护理,B组在A组的基础上给予传统灸法,C组在A组的基础上给予循经感传扶阳灸法。观察三组治疗后肠易激综合征患者症状严重程度量表(IBS-SSS)评分,生活质量(IBS-QOL)评分,中医证候评分,血清5-HT和P物质水平。结果:干预后,C组IBS-SSS评分、IBS-QOL评分,中医证候评分,血清5-HT和P物质水平均优于A组和B组,差异有统计学意义(P<0.05)。结论:循经感传扶阳灸可有效改善IBS-D患者临床症状,提高其生活质量,降低血清5-HT和SP水平,是临床可以推荐应用于治疗脾肾阳虚型IBS-D的一种中医特色治疗。Objective To evaluate the effects of Yang-supplementing Moxibustion of Propagated Sensation along Meridian on Diarrhea-Type Irritable Bowel Syndrome(Spleen and Kidney Deficiency Syndrome).Methods A total of 129 Diarrhea-Type Irritable Bowel Syndrome(Spleen and Kidney Deficiency Syndrome)were randomly assigned to group A(routine therapy and nursing care),group B(traditional moxibustion)and group C(Yang-supplementing Moxibustion of Propagated Sensation along Meridian).The IBS symptom severity scale(IBS-SSS),quality of life score,the score of TCM syndrome index,serum 5-HT and SP level were all observed.Results After intervention,the IBS-SSS,quality of life score,the score of TCM syndrome index,serum 5-HT and SP level in group C were better than those in the other 2 groups(P<0.05).Conclusion The Yang-supplementing Moxibustion of Propagated Sensation along Meridian can improve clinical symptoms and patients’quality of life,and reduce serum 5-HT,SP level.It is a traditional Chinese medicine treatment that can be recommended for the treatment of Spleen and Kidney Deficiency IBS-D.

关 键 词：腹泻型肠易激综合征 循经感传 扶阳灸 脑肠肽 

分 类 号：R246.1[医药卫生—针灸推拿学]