针灸联合养生功法治疗便秘型肠易激综合征200例疗效观察

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• Title:针灸联合养生功法治疗便秘型肠易激综合征200例疗效观察

• 卷期:2024年22卷19期

• 作者:张全德1，王娜娜1,李文英2,胡文倩1,马永剑1△

• 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）

• Author(s):Zhang Quande,Wang Nana,Li Wenying, Hu Wenqian,Ma Yongjian

• 1.People,s Hospital of Ningxia Hui Autonomus Region 2.Ningxia Hui Autonomous Region Physical Examination, Rehabilitation and Health Care Cente

• 关键词针灸;养生功法;便秘型肠易激综合征;临床疗效

• Keywords:acupuncture;health qigong exercise; constipation irritable bowel syndrome;clinical efficacy

• 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的临床疗效。方法:选择符合标准的便秘型肠易激综合征患者200例,分为治疗组和对照组,治疗组予针刺联合六字诀﹑腹部按摩的方法治疗,对照组给予口服西沙必利片,5mg/次,3次/d治疗,两组疗程均为21天,记录两组患者治疗前后的中医证候积分﹑腹痛﹑便秘﹑焦虑量表评分,进行疗效评价。结果:两组患者治疗后,中医证候积分﹑腹痛﹑便秘单项评分﹑汉密尔顿焦虑量表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）,其中中医证候积分治疗组降低的幅度明显大于对照组,其疗效指数也比对照组高(P＜0.05);中医证候疗效总有效率治疗组（95.00%）,明显高于对照组（83.00%）,差异具有统计学意义(P＜0.05)。结论: 针刺联合六字诀﹑腹部按摩养生功法治疗便秘型肠易激综合征,能有效缓解腹痛﹑纠正便秘,减轻患者焦虑情绪等,远期疗效显著,防治结合,优势明显,具有很高的临床价值及社会效益。                                                                                                                                                                                

• AbstractTo observe the clinical effect of the application of health qigong exercises combined with acupuncture in the treatment of constipation irritable bowel syndrome.Methods:200 patients with IBS-C who met the criteria were selected and divided into a treatment group and a control group.The treatment group was given Liuzijue of health qigong exercises,abdominal massage combined with acupuncture,while the control group was given oral cisapride tablets,5mg/time,3 times/d.The course of treatment in the two groups was 21 days,and the TCM syndrome scores,abdominal pain,constipation,and anxiety scale scores were observed before and after treatment in the two groups,and the efficacy was evaluated. Results:After treatment,the single-item score of abdominal pain ,constipation and Hamilton anxiety scale were all lower than those before treatment (P<0.05),and the treatment group was lower than the control group (P<0.05). The difference was statistically significant(P<0.05).Conclusion:Liuzijue 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.

  便秘型肠易激综合征（constipation irritable bowelsyndrome,IBS-C）是肠易激综合征的常见类型,该病在中青年群体中有较高发病率,且好发于女性,本病的临床特点是反复发作,西医对IBS-C的治疗效果并不理想,中医药治疗IBS-C方法多样,且具有诸多优势,中医非药物疗法历史悠久,具有“简、便、 廉、验”的特点,我们研究采用养生功法六字诀﹑腹部按摩结合针灸的中医非药物疗法联合方案对便秘型肠易激综合征患者进行治疗。