Observation of the clinical efficacy of moxa-stick moxibustion in treating diarrhea-predominant irritable bowel syndrome  

艾条灸治疗腹泻型肠易激综合征的临床疗效观察

作　　者：MA Jindan LI Guona SUN Fangyuan QI Qin WU Luyi ZHAO Chen LIU Huirong LU Yuan MA Xiaopeng CHEN Liming WANG Zhaoqin ZHOU Cili WU Huangan 马金丹;李国娜;孙芳园;祁琴;吴璐一;赵琛;刘慧荣;陆嫄;马晓芃;陈立铭;王照钦;周次利;吴焕淦

机构地区：[1]Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China [2]The Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200137,China [3]Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China [4]Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China

出　　处：《Journal of Acupuncture and Tuina Science》2025年第2期135-143,共9页针灸推拿医学(英文版)

基　　金：上海市卫生健康委员会科研项目,No.202240195;嘉定区卫健委中医药课题,No.2020-KY-ZYY-02;国家自然科学基金项目,No.82374588,No.81873377,No.82405540;上海中医药大学“杏林百人”计划.

摘　　要：Objective:To observe the clinical efficacy of gentle moxibustion at different temperatures in treating people with diarrhea-predominant bowel syndrome(IBS-D)due to spleen deficiency.Methods:A total of 108 IBS-D patients were divided into two groups using the random number table method,with 54 participants in each group.Moxibustion group 1 received gentle moxibustion at(43±1)℃at bilateral Tianshu(ST25)and Zusanli(ST36),lasting 30 min each session;moxibustion group 2 received gentle moxibustion at(37±1)℃at the same points.Both groups received the intervention 3 times weekly for a total of 18 sessions.Abdominal pain intensity,stool form,pattern-based efficacy,quality of life,and mental health assessments were performed at weeks 0,3,6,and 8.Results:The total effective rate for abdominal pain intensity was 87.8%in moxibustion group 1 versus 51.1%in moxibustion group 2,and the difference was statistically significant(P<0.05).When the treatment finished,abdominal pain intensity,the Bristol score,IBS-symptom severity scale(IBS-SSS)score,self-rating anxiety scale(SAS)score,and self-rating depression scale(SDS)score dropped significantly in both groups(P<0.05),and the IBS-quality of life(IBSQOL)score increased markedly(P<0.05).Between-group comparisons demonstrated that abdominal pain intensity,the Bristol general score,IBS-SSS score,traditional Chinese medicine(TCM)pattern score,and SDS score were significantly lower in moxibustion group 1 than in moxibustion group 2 at treatment week 6(P<0.05),and the IBS-QOL score was notably higher in moxibustion group 1(P<0.05).Conclusion:Whether at 43℃or 37℃,gentle moxibustion at Tianshu(ST25)and Zusanli(ST36)can improve abdominal pain,stool form,and quality of life,reduce disease severity,and mitigate TCM pattern in IBS-D patients;43℃gentle moxibustion performs better than 37℃gentle moxibustion in improving abdominal pain,stool form,disease severity,TCM pattern,quality of life,anxiety,and depression in IBS-D.目的:观察不同温度温和灸对脾虚型腹泻型肠易激综合征(IBS-D)患者的临床疗效。方法:将108例IBS-D患者根据随机数字表法分为两组,每组54例。艾灸1组接受(43±1)℃温和灸双侧天枢和足三里,每次30 min;艾灸2组接受(37±1)℃温和灸相同穴位。两组均每周干预3次,连续干预18次。于第0、3、6、8周进行腹痛程度、大便性状、证候疗效、生活质量及精神心理评估。结果:两组患者腹痛程度总有效率,艾灸1组为87.8%,艾灸2组为51.1%,差异有统计学意义(P<0.05)。两组治疗结束时腹痛程度、Bristol评分、IBS症状严重程度量表(IBS-SSS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均较治疗前明显降低(P<0.05),IBS生活质量(IBS-QOL)评分明显升高(P<0.05)。组间比较显示,第6周治疗结束时,艾灸1组腹痛程度、Bristol评分、IBS-SSS评分、中医证候评分、SDS评分均显著低于艾灸2组(P<0.05),IBS-QOL评分显著高于艾灸2组(P<0.05)。结论:43℃和37℃温和灸天枢、足三里均可改善IBS-D患者腹痛、大便性状及生活质量,减轻病情严重程度,改善中医证候。43℃温和灸在改善IBS-D患者腹痛、大便性状、病情严重程度、中医证候、生活质量和焦虑抑郁方面疗效优于37℃温和灸。

关 键 词：Moxibustion Therapy Moxa Stick Moxibustion Irritable Bowel Syndrome Point Tianshu(ST25) Point Zusanli(ST36) Clinical Effect Randomized Controlled Trial 

分 类 号：R246.1[医药卫生—针灸推拿学]