Clinical observation on combined warming needle and patented Chinese medicine for irritable bowel syndrome

摘要

目的

评价温针灸天枢、 大肠俞为主配合中成药治疗肝郁脾虚型肠易激综合征的临床疗效和患者的生存质量。

方法

将符合纳入标准的60 例患者, 按单盲法随机分入治疗组或对照组。 治疗组以温针灸天枢、 大肠俞为主, 同时配合中成药治疗, 对照组仅给予相同的中成药治疗。

结果

治疗后两组疗效比较, 差异无统计学意义, 患者主要症状均较治疗前有显著改善(P<0.01); 治疗2 星期后, 治疗组在腹痛程度与频度、 腹胀、 心烦失眠、 焦虑多疑、 大便溏而不爽改善方面优于对照组(P<0.01, P<0.05)。 在患者生存质量方面, 两组较治疗前均有改善(P<0.01)。

结论

两种治疗方案均能较好地改善临床症状和提高患者生存质量, 治疗组总有效率略高于对照组, 并能较快地改善多数主要 症状。

Abstract

Objective

To evaluate the clinical efficacy and quality of life of combined warming needle and patented Chinese medicine for patients with irritable bowel syndrome (IBS) due to liver-qi stagnation with spleen deficiency.

Method

Sixty IBS cases were randomized into a treatment or control group by single-blind method. Warming needles on Tianshu (ST 25) and Dachangshu (BL 25) combined with patented Chinese medicine were adopted for cases in the treatment group, whereas the patented Chinese medicine alone was adopted in the control group.

Results

The therapeutic efficacies in the two groups did not show substantial differences. The main symptoms were significantly improved after the treatment (P<0.01). After 2 weeks of treatment, the cases in the treatment group obtained a better improvement than the control group (P<0.01, P<0.05) in the severity or frequency of abdominal pain, abdominal distension, restlessness, insomnia, anxiety, suspiciousness, and loose stools with a sense of incomplete emptying. The patient’s quality of life was improved in both groups (P<0.01).

Conclusion

Both treatment methods could improve the clinical symptoms and increase the patient’s quality of life. The total effective rate in the treatment group was slightly higher than the control group. Also, the combined warming needle and Chinese herbs could improve the main symptoms in a faster way.