参苓白术散联合艾灸治疗腹泻型肠易激综合征疗效观察OA
Efficacy Observation of Ginseng and Poria and White Atractylodes Powder Combined with Moxibustion in the Treatment of Diarrhea-Predominant Irritable Bowel Syndrome
目的:观察参苓白术散联合艾灸治疗腹泻型肠易激综合征(diarrhea-predominant irritable bowel syndrome,IBS-D)的临床疗效.方法:将80 例 IBS-D 患者按照随机数字表法分为联合组和对照组,每组各40 例.对照组给予双歧杆菌四联活菌片治疗,联合组在对照组治疗的基础上给予参苓白术散联合艾灸治疗.比较两组患者的临床疗效及治疗前后肠易激综合征症状严重程度量表(irritable bowel syndrome severity scoring system,IBS-SSS)评分、汉密尔顿焦虑量表(Hamilton anxiety rating scale,HAMA)评分、中医证候积分变化情况.结果:联合组有效率为 95.0％,对照组有效率为 82.5％,两组患者有效率比较,差异具有统计学意义(P<0.05).两组患者治疗后 IBS-SSS 评分、HAMA 评分及中医证候积分低于本组治疗前,且治疗后联合组低于对照组,差异具有统计学意义(P<0.05).结论:参苓白术散联合艾灸治疗 IBS-D,可改善患者的临床症状,缓解焦虑状态,提高临床疗效和生活质量.
Objective:To observe the clinical efficacy of Ginseng and Poria and White Atractylodes Powder combined with moxibustion in the treatment of irritable bowel syndrome with diarrhea(IBS-D).Methods:A total of 80 patients with IBS-D were randomly divided into the combined group and the control group using the random number table method,with 40 cases in each group.The control group re-ceived Bifidobacterium Quadruple Viable Tablets,while the combined group received Ginseng and Poria and White Atractylodes Powder combined with moxibustion on the basis of the control group's treatment.The clinical efficacy,as well as changes in the irritable bowel syndrome severity scoring system(IBS-SSS)score,Hamilton anxiety rating scale(HAMA)score,and Traditional Chinese Medicine(TCM)syndrome score before and after treatment were compared between the two groups.Results:The effective rate was 95％in the combined group and 82.5％in the control group,with a statistically significant difference between the two groups(P<0.05).After treatment,the IBS-SSS scores,HAMA scores,and TCM syndrome scores in both groups were lower than those before treatment,and the post-treatment scores in the combined group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion:Ginseng and Poria and White Atractylodes Powder combined with moxibustion can improve clinical symptoms,alle-viate anxiety,and enhance both clinical efficacy and quality of life in patients with IBS-D.
程媛媛;侯保华;张爱萍;宫嘉
河南理工大学医院,河南 焦作 454150河南理工大学医院,河南 焦作 454150河南理工大学第一附属医院,河南 焦作 454150河南理工大学第一附属医院,河南 焦作 454150
医药卫生
腹泻型肠易激综合征参苓白术散艾灸疗法双歧杆菌四联活菌片中西医结合疗法
irritable bowel syndrome with diarrhea(IBS-D)Ginseng and Poria and White Atractylodes Powdermoxibustion therapyBifidobacterium Quadruple Viable Tabletsintegrated traditional Chinese and Western medicine therapy
《河南中医》 2026 (9)
1307-1311,5
国家自然科学基金项目(32300803)
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