针灸联合养生功法治疗便秘型肠易激综合征临床观察  

Acupuncture and Moxibustion Combine with Health Exercise in the Treatment of Irritable Bowel Syndrome with Constipation

作　　者：张全德[1] 李文英 王娜娜 胡文倩 马永剑[1] ZHANG Quande;LI Wenying;WANG Nana;HU Wenqian;MA Yongjian(Department of Traditional Chinese Medicine,People’s Hospital of Ningxia Hui Autonomus Region,Ningxia,Yinchuan 750002,China;Department of Health Care,Ningxia Hui Autonomous Region Physical Examination,Rehabilitation and Health Care Center,Ningxia,Yinchuan 750000,China)

机构地区：[1]宁夏回族自治区人民医院中医科,宁夏银川750002 [2]宁夏体检康复保健中心保健科,宁夏银川750000

出　　处：《中国中医药现代远程教育》2024年第23期106-109,共4页Chinese Medicine Modern Distance Education of China

基　　金：宁夏自然科学基金项目【No.2021AAC03317】。

摘　　要：目的观察应用针灸联合养生功法治疗便秘型肠易激综合征(IBS-C)的临床效果。方法选择符合标准的IBS-C患者200例,分为治疗组和对照组,治疗组予针刺联合养生功法六字诀、腹部按摩的方法治疗,对照组给予口服西沙必利片。两组疗程均为21 d,记录两组患者治疗前后的中医证候积分、腹痛评分、便秘评分量表(CSS)评分、汉密尔顿焦虑量表(HAMA)评分,进行疗效评价。结果治疗后,两组患者中医证候积分、腹痛评分、CSS评分、HAMA评分均较治疗前降低(P<0.05),且治疗组各项指标均低于对照组(P<0.05)。治疗组总有效率95.00%(95/100)明显高于对照组的83.00%(83/100),差异具有统计学意义(P<0.05)。结论针刺联合养生功法六字诀、腹部按摩治疗IBS-C,能有效缓解腹痛、纠正便秘,减轻患者焦虑情绪等,远期效果显著,防治结合,优势明显,具有很高的临床价值及社会效益。Objective To observe the clinical effect of the application of health exercises combined with acupuncture in the treatment of irritable bowel syndrome with constipation(IBS-C).Methods Two hundred patients with IBS-C who met the criteria were divided into treatment group and control group.The treatment group was treated with acupuncture combined with six-character exercise and abdominal massage,and the control group was treated with oral Cisaprid tablets.The treatment course of both groups lasted for 21 days.TCM syndrome score,abdominal pain score,constipation score Scale(CSS)score and Hamilton Anxiety Scale(HAMA)score of patients in both groups were recorded before and after treatment,and the efficacy was evaluated.Results After treatment,TCM syndrome score,abdominal pain score,CSS score and HAMA score were all lower than before treatment(P<0.05),and all indexes in the treatment group were lower than those in the control group(P<0.05).The total effective rate of the treatment group was 95.00%(95/100),which was significantly higher than that of the control group(83.00%,83/100),and the difference was statistically significant(P<0.05).Conclusion Six-character exercise of health qigong exercises,abdominal massage combined with acupuncture for IBS-C can effectively relieve abdominal pain,correct constipation,and relieve patients’anxiety.It has obvious advantages and high clinical value and social benefits.

关 键 词：腹痛 便秘型肠易激综合征 针灸疗法 养生功法 

分 类 号：R246.1[医药卫生—针灸推拿学]