【作者】 李浩；

【导师】 孙建华；

【作者基本信息】 南京中医药大学 ， 针灸推拿学， 2011， 硕士

【摘要】 研究目的：观察疏肝健脾法针刺治疗腹泻型肠易激综合征的临床疗效,以及对患者生活质量、精神状况的改善情况。为临床寻找一种安全、经济、疗效稳定的疗法；初步总结针刺治疗该病的优势。研究方法：将符合本课题纳入标准的70例腹泻型肠易激综合征患者随机分为2组,疏肝健脾针刺组及匹维溴铵对照组各35例。观察患者经过一个月治疗后总的症状改善情况,包括腹痛、腹泻、腹胀等单项症状积分；生活质量改善情况以及焦虑自评量表(SAS)、抑郁自评量表(SDS)积分变化。研究结果：(1)针刺组在改善患者总的症状上优于对照组。其中以腹痛、腹胀症状改善上作用明显。并且在大便次数、大便性状改善上,随着针刺次数的增加,疗效愈加明显。而西药组在两周后改善程度不如针刺组。(2)针刺治疗可以明显改善患者抑郁、焦虑状态。药物组也可以减轻焦虑症状,但是效果差于针刺组。(3)针刺在改善患者的生活质量上优于药物对照组。(4)针刺治疗复发率要低于药物对照组。结论：针刺可以缓解腹泻型肠易激综合征患者症状,疗效优于药物对照组。并且针刺可以全面改善患者生活质量,尤其在改善患者精神状态上比药物组有明显优势。更多还原

【Abstract】 Objective:Observed the acupuncture treatment effect of shu gan jian pi which used in diarrhea irritable bowel syndromeclinical.And observed the effect on the improvement of quality of life, and the mental health. Clinical finding a safe, economic, efficacy and stability of treatment. Preliminary summary of the advantages of acupuncture of the disease.Methods:The 70 patients who meet the inclusion criteria were randomly divided into two groups. The shu gan jian pi pinaverium acupuncture group and control group each has 35 patients. After one month of treatment, observed the overall improvement of symptoms, including abdominal pain, diarrhea, bloating and other individual symptom scores; and the improvement of the quality of life; the self-rating anxiety scale (SAS), self-rating depression scale (SDS) points change.Conclusion:(1)Patients in the acupuncture group improved overall symptoms than the control group, especially abdominal pain, diarrhea symptoms on Obvious effect. And stool frequency, stool with improvement more obvious effect on the increased number of acupuncture times.(2) Acupuncture treatment can significantly reduce depression, anxiety, and drug groupcan also reduce anxiety symptoms, but poor results than the acupuncture group.(3)Acupuncture group improved the quality of life of patients better than medication group.(4) The relapse rate of acupuncture treatment is lower than the control group.更多还原