敷脐配合杵针治疗脾胃虚寒型功能性腹泻的疗效观察OA
Therapeutic efficacy observation of umbilical application combined with pestle needle therapy in the treatment of functional diarrhea due to deficient cold of the spleen and stomach
目的:观察中药敷脐联合杵针治疗脾胃虚寒型功能性腹泻(FD)的临床疗效.方法:选取72例FD患者,按照随机数字表法分为两组,每组36例.两组均采用常规西医治疗;观察组加用温阳补脾膏敷脐配合杵针治疗.治疗7 d后观察临床疗效,比较两组中医症状评分、肠易激综合征生活质量评分(IBS-QOL)以及不良反应发生情况.结果:观察组临床总有效率为91.7%,高于对照组的69.4%(P<0.05).治疗后,两组中医症状评分及IBS-QOL评分均较治疗前降低(P<0.05),且观察组评分低于对照组(P<0.05).两组患者治疗期间均无不良反应发生.结论:与常规西医治疗相比,加用温阳补脾膏敷脐及杵针治疗可更显著减轻脾胃虚寒型FD患者的临床症状,更好地改善其生活质量.
Objective:To evaluate the clinical efficacy of umbilical herbal application combined with pestle needle therapy in the treatment of functional diarrhea(FD)due to deficient cold of the spleen and stomach. Methods:A total of 72 patients with FD were enrolled and randomly assigned to two groups using the random number table method,with 36 patients in each group.Both groups received conventional Western medication treatment.The observation group additionally received umbilical application of Wen Yang Bu Pi Gao(Yang-warming and spleen-strengthening herbal paste)combined with pestle needle therapy.After 7 d of treatment,the clinical efficacy was assessed.Traditional Chinese medicine(TCM)symptom scores,irritable bowel syndrome-quality of life(IBS-QOL)score,and the incidence of adverse reactions were compared between the two groups. Results:The total effective rate in the observation group was 91.7%,which was significantly higher than 69.4%in the control group(P<0.05).After treatment,TCM symptom and IBS-QOL scores in both groups were significantly reduced compared to those before treatment(P<0.05),and the scores in the observation group were significantly lower than those in the control group(P<0.05).No adverse reactions occurred in either group during the treatment period. Conclusion:Compared to conventional Western medication treatment alone,the addition of umbilical application of Wen Yang Bu Pi Gao combined with pestle needle therapy can more effectively alleviate clinical symptoms and improve the quality of life in patients with FD due to deficient cold of the spleen and stomach.
陈婧;熊珊萍;陈彦;孔谐和
医药卫生
穴,神阙敷脐杵针疗法脾胃虚寒证温阳腹泻随机对照试验
Point,Shenque(CV8)Umbilical ApplicationPestle Needle TherapyDeficient Cold of the Spleen and Stomach PatternWarming YangDiarrheaRandomized Controlled Trial
《针灸推拿医学（英文版）》 2026 (1)
55-61,7
This study was supported by 2023 Annual Public Welfare Technological Application Research Project of Jinhua City(2023年度金华市公益性技术应用研究项目,No.2023-4-256).
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