Objective:To observe the clinical efficacy and clinical difference between Ziwu Liuzhu Needling and Syndrome-differentiation acupuncture for the patients with IBS (diarrhea type).Methods:150 patients were randomly divided into 3 even groups:Ziwu Liuzhu needling group (group Z),syndrome-differentiation acupuncture group (group S),and blank control group (group B).Patients in all three groups were treated with routine nursing and treatment of digestive system.Timing-selection points were used in group Z.Points of ST25,ST36,SP4,BL18,BL20 and LIV3 were selected in group S,and group B was only applied with routine nursing care and treatment.After 8 weeks of treatment,the clinical efficacy was assessed with the gastrointestinal symptom assessment scale,and the health status questionnaire was used to assess the life quality of the patients.Results:The respective clinical effective rate for group Z,group S and group B was 94％,80％ and 50％,which have significant differences (P ＜ 0.05).Life quality scores after treatment were statistically significant among the three groups (P ＜ 0.05),also there was a significant difference between group Z and groups S (P ＜ 0.05).Conclusion:Ziwu Liuzhu acupuncture can significantly reduce the symptoms of IBS and improve life quality with its high safety.It can provide clinical reference to the systematic and standardized treatment for diarrhea from IBS.%目的:观察常用针刺疗法,即子午流注刺法、辨证体针治疗腹泻型肠易激综合征的临床疗效与差异.方法:患者150例随机分为3组:子午流注刺法组、辨证体针组和空白对照组,每组50例.3组均接受消化科常规护理及治疗;子午流注组用子午流注纳甲法择时选穴;辨证体针组选取天枢、足三里、公孙、肝俞、脾俞、太冲,空白对照组只接受消化科常规护理及治疗.治疗8周后,采用胃肠症状评估量表评定临床疗效,采用健康状况调查问卷简表-36评价生活质量.结果:子午流注组、辨证体针组、空白对照组临床疗效的总有效率分别为94％、80％、50％,比较有显著性差异(P＜0.05).治疗后子午流注组、辨证体针组与空白对照组生活质量积分比较有统计学意义(P＜0.05),治疗后子午流注组与辨证体针组生活质量积分比较有显著性差异(P＜0.05).结论:子午流注刺法能够明显改善腹泻型肠易激综合征患者的临床症状,提高生活质量,安全性高,为腹泻型肠易激综合征针刺治疗的系统化、标准化、规范化提供临床参考依据.
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