Sun Yuan-Zheng, Wang Shi-Lin, Yu Tian-Yang
Second Department of Acupuncture and Moxibustion, Second Affiliated Hospital of Heilongjiang University of CM, Harbin 150001, China.
Graduate School of Heilongjiang University of CM.
Zhongguo Zhen Jiu. 2021 Jan 12;41(1):13-6. doi: 10.13703/j.0255-2930.20191220-k0001.
To compare the clinical effect between acupuncture method combined with electroacupuncture (EA) and EA alone in the treatment of diarrhea-type irritable bowel syndrome (IBS-D).
A total of 76 patients of IBS-D were randomly divided into a Tiaoshen group (38 cases, 2 cases dropped off ) and an EA group (38 cases, 1 case dropped off). The EA group was treated with acupuncture at Guanyuan (CV 4), Zhongwan (CV 12), Tianshu (ST 25), Dachangshu (BL 25), Zusanli (ST 36), Shangjuxu (ST 37), etc. for 30 min. The bilateral Tianshu (ST 25) and the same side of Zusanli (ST 36) and Shangjuxu (ST 37) were connected EA (discontinuous wave, 1 Hz in frequency, 4-6 mA in current intensity). In the Tiaoshen group, the acupuncture method was added on the basis of the EA group. The acupoints were Baihui (GV 20), Shenting (GV 24) and Benshen (GB 13), and the needles were retained for 30 min. Both groups were treated once a day, 6 days as a course of treatment, with an interval of 1 d between treatment courses, and a total of 4 courses of treatment were required. The IBS symptom severity scale (IBS-SSS) score, IBS quality of life scale (IBS-QOL) score and Hamilton depression scale (HAMD) score were observed before and after treatment in the two groups, and the clinical effect was evaluated.
After treatment, the total effective rate in the Tiaoshen group was 94.4% (34/36), which was higher than 78.4% (29/37) in the EA group (<0.05). The IBS-SSS and HAMD scores of both groups after treatment were lower than before treatment (<0.05), while IBS-QOL scores were higher than before treatment (<0.05). Moreover, the changes of above scores in the Tiaoshen group were higher than those in the EA group (<0.05).
The acupuncture method combined with EA have a significant effect in treatment of IBS-D, can significantly reduce the symptoms of abdominal pain, abdominal distension and diarrhea in patients, effectively improve patients' quality of life and depression condition, the effect is better than the simple EA treatment.
比较针刺联合电针（EA）与单纯电针治疗腹泻型肠易激综合征（IBS-D）的临床疗效。
将76例IBS-D患者随机分为调神组（38例，脱落2例）和电针组（38例，脱落1例）。电针组针刺关元（CV4）、中脘（CV12）、天枢（ST25）、大肠俞（BL25）、足三里（ST36）、上巨虚（ST37）等穴30分钟。双侧天枢（ST25）与同侧足三里（ST36）、上巨虚（ST37）连接电针（断续波，频率1Hz，电流强度4-6mA）。调神组在电针组基础上加用针刺法。穴位为百会（GV2）、神庭（GV24）、本神（GB13），留针30分钟。两组均每日治疗1次，6天为1个疗程，疗程间间隔1天，共需治疗4个疗程。观察两组治疗前后的IBS症状严重程度量表（IBS-SSS）评分、IBS生活质量量表（IBS-QOL）评分及汉密尔顿抑郁量表（HAMD）评分，并评价临床疗效。
治疗后，调神组总有效率为94.4%（34/36），高于电针组的78.4%（29/37）（P<0.05）。两组治疗后的IBS-SSS和HAMD评分均低于治疗前（P<0.05），而IBS-QOL评分高于治疗前（P<0.05）。且调神组上述评分变化高于电针组（P<0.05）。
针刺联合电针治疗IBS-D疗效显著，能显著减轻患者腹痛、腹胀及腹泻症状，有效改善患者生活质量及抑郁状态，效果优于单纯电针治疗。
