火针补法治疗肝郁脾虚型腹泻型肠易激综合征的临床研究  

Clinical Study on Fire Needle Tonifying Method in the Treatment of Irritable Bowel Syndrome with Diarrhea with Stagnation of Liver Qi and Spleen Deficiency Type

作　　者：郭苏爱 郑光宪 邓丽兴 胡育丰 梁景凡 许英铭 GUO Su’ai;ZHENG Guangxian;DENG Lixing;HU Yufeng;LIANG Jingfan;XU Yingming(Department of Rehabilitation,Yangjiang Hospital of Traditional Chinese Medicine,Yangjiang 529500,China;不详)

机构地区：[1]阳江市中医医院康复科,广东阳江529500

出　　处：《中国医学创新》2025年第3期62-66,共5页Medical Innovation of China

基　　金：2022年度广东省中医药局科研项目(20223022)。

摘　　要：目的:探讨火针补法治疗肝郁脾虚型腹泻型肠易激综合征(irritable bowel syndrome with diarrhea,IBS-D)的临床效果。方法:选择阳江市中医医院2022年4月—2024年3月收治的肝郁脾虚型IBS-D患者90例,按照随机数字表法分为三组,分别为常规西药组(n=30,予以常规西药治疗)、常规针刺组(n=30,予以常规针刺治疗)与火针补法组(n=30,予以火针补法治疗),均接受为期4周的治疗。比较三组IBS症状严重程度量表(IBS-symptom severity scale,IBS-SSS)、IBS生活质量量表(IBS-quality of life,IBS-QOL)、肝郁脾虚型证候积分、疗效及安全性。结果:治疗前三组IBS-SSS、IBS-QOL评分比较,差异均无统计学意义(P>0.05);治疗后火针补法组IBS-SSS、IBS-QOL评分均低于常规针刺组、常规西药组,差异均有统计学意义(P<0.05)。治疗前三组肝郁脾虚型证候积分比较,差异均无统计学意义(P>0.05);治疗后火针补法组肝郁脾虚型证候积分均低于常规针刺组、常规西药组,差异均有统计学意义(P<0.05)。火针补法组总有效率高于常规针刺组、常规西药组,差异均有统计学意义(P<0.05)。三组均未发生严重不良反应。结论:火针补法治疗肝郁脾虚型IBS-D的效果优于常规针刺、西药,能有效减轻患者症状,提升生活质量,且安全性高。Objective:To investigate the clinical effect of fire needle tonifying method in the treatment of irritable bowel syndrome with diarrhea(IBS-D)with stagnation of liver Qi and spleen deficiency type.Method:A total of 90 patients with IBS-D with stagnation of liver Qi and spleen deficiency type treated in Yangjiang Hospital of Traditional Chinese Medicine from April 2022 to March 2024 were selected and divided into three groups according to random number table method:conventional western medicine group(n=30,treated with conventional western medicine),conventional acupuncture group(n=30,treated with conventional acupuncture)and fire needle tonifying method group(n=30,treated with fire needle tonifying method),all of which were treated for 4 weeks.IBS-symptom severity scale(IBS-SSS),IBS-quality of life(IBS-QOL),syndrome integrations of stagnation of liver Qi and spleen deficiency type,curative effect and safety were compared among the three groups.Result:There were no significant differences in IBS-SSS and IBS-QOL scores among the three groups before treatment(P>0.05).After treatment,IBS-SSS and IBS-QOL scores in fire needle tonifying method group were lower than those in conventional acupuncture group and conventional western medicine group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in the syndrome integrations of stagnation of liver Qi and spleen deficiency type among the three groups(P>0.05).After treatment,the syndrome integrations of stagnation of liver Qi and spleen deficiency type in the fire needle tonifying method group were lower than those in the conventional acupuncture group and the conventional western medicine group,the differences were statistically significant(P<0.05).The total effective rate of fire needle tonifying method group was higher than that of conventional acupuncture group and conventional western medicine group,the differences were statistically significant(P<0.05).No serious adverse reactions occurred in the three groups.C

关 键 词：火针补法 肝郁脾虚型 腹泻型肠易激综合征 生活质量 

分 类 号：R246.1[医药卫生—针灸推拿学]