半夏泻心汤加减联合针灸治疗腹泻型肠易激综合征r39例临床观察

摘要

目的 探讨半夏泻心汤加减联合针灸治疗腹泻型肠易激综合征的临床疗效.方法 选取2015年1月至2017年2月收治的腹泻型肠易激综合征患者78例,根据治疗方法的不同分为西医治疗组和综合治疗组,各39例.西医治疗组给予匹维溴铵片口服,每次50 mg,每天3次,治疗2周;综合治疗组在西医治疗组基础上加用半夏泻心汤加减联合针灸治疗.比较两组腹泻型肠易激综合征治疗效果,腹部胀痛消失时间、大便性状恢复正常时间、排便习惯恢复正常时间,治疗前后患者中医证候积分、汉密尔顿抑郁量表评分、汉密尔顿焦虑量表评分、SF-36生活质量量表评分.结果 综合治疗组腹泻型肠易激综合征总有效率高于西医治疗组(97.44％比79.49％,P<0.05);综合治疗组腹部胀痛消失时间、大便性状恢复正常时间、排便习惯恢复正常时间短于西医治疗组(P<0.05);治疗后,综合治疗组中医证候积分、汉密尔顿抑郁量表评分、汉密尔顿焦虑量表评分、SF-36生活质量量表评分均优于西医治疗组(P<0.05).结论 半夏泻心汤加减联合针灸治疗腹泻型肠易激综合征临床疗效确切,可有效减轻患者不良情绪状态,改善排便情况,缩短疗程,改善患者生活质量,值得临床推广.%Objective To investigate the clinical effect of modified Banxia Xiexin Decoction combined with acupuncture in the treatment of diarrhea-predominant irritable bowel syndrome. Methods Totally 78 patients with diarrhea-predominant irritable bowel syndrome admitted to our hospital from January 2015 to February 2017 were selected and divided into the Western medicine treatment group and the comprehensive treatment group according to different treatment methods,39 cases in each group. The Western medicine treatment group received Pinaverium Bromide Tablets orally,50 mg each time,3 times a day for 2 weeks,on this basis,the comprehensive treat-ment group was treated with modified Banxia Xiexin Decoction combined with acupuncture. The treatment effect of diarrhea-predominant irritable bowel syndrome,the disappearance time of abdominal distending pain,the recovery time of stool property to normal,the recovery time of bowl evacuation habit to normal,the scores of TCM syndrome,HAMD,HAMA and SF-36 quality of life scale before and after treatment were compared between the two groups. Results The total effective rate of the comprehensive treatment group was significant-ly higher than that of the Western medicine treatment group (97. 44％ vs. 79. 49％,P < 0. 05). The disappearance time of abdominal distending pain,the recovery time of stool property to normal,the recovery time of bowl evacuation habit to normal of the comprehensive treatment group was significantly shorter than those of the Western medicine treatment group(P < 0. 05). After treatment,the scores of TCM syndrome,HAMD,HAMA and SF-36 quality of life scale in the comprehensive treatment group was significantly better than those in the Western medicine treatment group(P < 0. 05). Conclusion Modified Banxia Xiexin Decoction combined with acupuncture in the treatment of diarrhea-predominant irritable bowel syndrome has good clinical effect,it can effectively alleviate the negative emotions of patients,improve the defecation,shorten the course of treatment and improve the quality of life of the patients,which is worthy of clinical promotion.