耳穴压豆联合穴位贴敷治疗腹泻型肠易激综合征及对负性情绪的影响  

Effect of Combination Use of Auricular Point Seed-Pressing and Acupoint Application on Irritable Bowel Syndrome with Diarrhea and Negative Emotion

作　　者：孙威 沈贤 许冬佳 朱亚琴[1] 张磊 潘晶晶 SUN Wei;SHEN Xian;XU Dongjia;ZHU Yaqin;ZHANG Lei;PAN Jingjing(Department of Gastroenterology,Haining People's Hospital,Haining Zhejiang 314400,China)

机构地区：[1]海宁市人民医院消化内科,浙江海宁314400

出　　处：《新中医》2025年第5期157-162,共6页New Chinese Medicine

基　　金：浙江省医药卫生科技计划项目(2023XY051)。

摘　　要：目的:观察耳穴压豆联合穴位贴敷对腹泻型肠易激综合征(IBS-D)的疗效及对负性情绪的影响。方法:选取2024年1—10月海宁市人民医院收治的72例肝郁脾虚型IBS-D患者,按随机数字表法分为常规组及试验组各36例。治疗中试验组自行退出1例,脱落1例,失访1例;常规组自行退出2例,失访1例。最终2组各纳入33例患者。常规组予以双歧杆菌乳杆菌三联活菌片联合匹维溴铵片治疗,试验组在常规组基础上予以耳穴压豆联合穴位贴敷治疗。比较2组临床疗效及不良反应发生率,比较2组治疗前后肠易激综合征症状严重程度评价量表(IBS-SSS)评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、中医症状分级量表评分的变化。结果:治疗后,2组IBS-SSS腹痛频率、腹胀程度、腹痛程度、排便满意度及对生活的困扰评分均较治疗前下降(P<0.05),试验组上述5项评分均低于常规组(P<0.05)。治疗后,2组HADS-A、HADS-D评分均较治疗前下降,试验组HADS-A、HADS-D评分均低于常规组(P<0.05)。治疗后,2组腹痛/腹胀,大便溏稀(频数、性状)、急躁易怒、胸胁胀满、纳呆、倦怠乏力、喜太息、肠鸣矢气中医症状分级量表评分均较治疗前下降(P<0.05),试验组上述9项评分均低于常规组(P<0.05)。治疗后,试验组临床疗效总有效率为93.94%(31/33),常规组为81.82%(27/33),2组比较,差异有统计学意义(P<0.05)。常规组不良反应发生率为18.18%(6/33),试验组为15.15%(5/33),2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:耳穴压豆联合穴位贴敷治疗肝郁脾虚型IBS-D效果较好,能改善患者临床症状,有效缓解焦虑、抑郁情绪,安全性高。Objective:To observe the curative effect of the combination use of auricular point seed-pressing and acupoint application on irritable bowel syndrome with diarrhea(IBS-D)and negative emotion.Methods:A total of 72 patients with IBS-D of liver constraint and spleen deficiency type admitted to Haining People's Hospital from January to October 2024 were selected and divided into the conventional group and the trial group according to the random number table method,with 36 cases in each group.During the treatment,one case voluntarily withdrew,one case were dropped out,and one case lost follow-up in the trial group;two cases withdrew on their own and one case lost follow-up in the conventional group.A total of 33 patients were finally included in each group.The conventional group was treated with Live Combined Bifidobacterium and Lactobacillus Tablets combined with Pinaverium Bromide Tablets,and the trial group was treated with auricular point seed-pressing combined with acupoint application based on the treatment of the conventional group.The clinical effects and incidence of adverse reactions,and the changes of scores of IBS Symptom Severity Scale(IBS-SSS),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and traditional Chinese medicine symptoms grading scale before and after treatment were compared between the two groups.Results:After treatment,the IBS-SSS scores of abdominal pain frequency,abdominal distension degree,abdominal pain degree,defecation satisfaction and life disturbance in the two groups were reduced when compared with those before treatment(P<0.05),and the above five scores in the trial group were lower than those in the conventional group(P<0.05).After treatment,the scores of HADS-A and HADS-D in the two groups were dwindled when compared with those before treatment,and the scores of HADS-A and HADS-D in the trial group were lower than those in the conventional group(P<0.05).After treatment,the traditional Chinese medicine symptom grading scale scores of abdominal pain/abdominal distension

关 键 词：肠易激综合征 腹泻型 耳穴压豆 穴位贴敷 负性情绪 

分 类 号：R259[医药卫生—中西医结合]