首页|期刊导航|上海针灸杂志|隔姜药灸治疗缓解期溃疡性结肠炎的疗效观察及对肠道菌群的影响

隔姜药灸治疗缓解期溃疡性结肠炎的疗效观察及对肠道菌群的影响OA

Efficacy observation of ginger-insulated moxibustion in treating remission-stage ulcerative colitis and its impact on gut microbiota

中文摘要英文摘要

目的 观察隔姜药灸神阙穴治疗缓解期溃疡性结肠炎(ulcerative colitis,UC)的临床疗效及其对肠道菌群的影响.方法 将72 例缓解期UC患者,随机分为观察组和对照组,每组36 例.对照组给予美沙拉嗪肠溶片口服,观察组在对照组的基础上采用神阙穴隔姜药灸治疗.观察两组治疗前后血清C反应蛋白(C-reactive protein,CRP)水平及肠道菌群数的变化,并比较两组临床疗效.结果 观察组总有效率(91.7%)高于对照组(72.2%)(P<0.05).治疗后,两组血清CRP水平均降低(P<0.05),且观察组低于对照组(P<0.05).治疗后,两组大肠杆菌属和肠球菌属数量低于治疗前(P<0.05),拟杆菌属、梭菌属、乳酸杆菌属及双歧杆菌属高于治疗前(P<0.05),且观察组优于对照组(P<0.05).结论 在西药治疗的基础上,隔姜药灸神阙穴治疗缓解期溃疡性结肠炎疗效肯定,可降低肠道炎性反应,调整肠道菌群平衡.

Objective To observe the clinical efficacy of ginger-insulated moxibustion at Shenque(CV8)in treating remission-stage ulcerative colitis(UC)and its impact on gut microbiota.Method Seventy-two patients with remission-stage UC were randomized into an observation group and a control group,with 36 cases in each group.The control group received oral administration of Mesalazine enteric-coated tablets,and the observation group was treated with ginger-insulated moxibustion at Shenque in addition to the control group's intervention.Before and after the treatment,the two groups were observed for changes in the serum level of C-reactive protein(CRP)and gut microbiota counts.The clinical efficacy was also compared between the two groups.Result The total effective rate was higher in the observation group(91.7%)than in the control group(72.2%)(P<0.05).After intervention,the serum CRP level decreased in both groups(P<0.05)and was lower in the observation group than in the control group(P<0.05).After the treatment,the two groups showed decreased counts of Escherichia coli and Enterococci(P<0.05)and increased counts of Bacteroides,Clostridia,Lactobacilli,and Bifidobacteria(P<0.05);the observation group was superior to the control group(P<0.05).Conclusion Based on Western medicine,ginger-insulated moxibustion at Shenque is effective in treating remission-stage UC,which can reduce intestinal inflammatory responses and balance gut microbiota.

许金钗;许宝才;刘建阳

衢州市中医医院,衢州 324000衢州市中医医院,衢州 324000衢州市柯城区中医医院,衢州 324000

医药卫生

灸法间接灸隔姜灸结肠炎,溃疡性脾肾阳虚C反应蛋白肠道菌群

MoxibustionIndirect moxibustionGinger-partitioned moxibustionColitis,UlcerativeYang deficiency of spleen and kidneyC-reactive proteinGut microbiota

《上海针灸杂志》 2026 (1)

28-32,5

浙江省中医药科学研究项目(2021ZB327)衢州市指导性科技计划项目(2021079)

10.13460/j.issn.1005-0957.2026.01.0028

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