| 引用本文:李梅琴1，周建洲2.俞募配穴温针灸法联合补中益气汤治疗老年性慢性腹泻的临床观察[J].世界中医药,2019,(10):. |
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| 俞募配穴温针灸法联合补中益气汤治疗老年性慢性腹泻的临床观察 |
| Clinical Observation on Back-Shu Point Cooperated With Front-Mu Points Using Warm Needling Acupuncture Combined with Buzhong Yiqi Decoction in Treating Senile Chronic Diarrhea |
| 投稿时间：2019-04-11 |
| DOI：10.3969/j.issn.1673-7202.2019.10.051 |
| 中文关键词: 慢性腹泻 老年 俞募配穴温针灸 补中益气汤 疗效 |
| English Keywords:Chronic diarrhea Senile Back-shu point cooperated with front-mu points using warm needling acupuncture Buzhong Yiqi Decoction Curative effect |
| 基金项目:中国职业技术教育学会2014—2015年科研规划项目（201430Y06） |
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| 中文摘要: |
| 目的：探讨俞募配穴温针灸法联合补中益气汤治疗老年性慢性腹泻的临床疗效。方法：选取2017年8月至2018年9月西宁市妇幼保健计划生育服务中心收治的老年性慢性腹泻患者88例作为研究对象，将所有入组患者随机分为观察组与对照组，每组44例，对照组给予双歧杆菌四联活菌片口服治疗，观察组在对照组治疗的基础上联合补中益气汤和俞募配穴温针灸治疗，2组患者以2周为1个疗程，连续进行2个疗程后进行疗效观察。观察治疗后2组临床症状改善情况及疗效，检测并比较治疗前后2组血清胃肠激素及脑肠肽水平。结果：与治疗前比较，治疗后2组晨起泄泻、腹部冷痛、腰膝酸软、食欲不振和形寒肢冷评分均显著下降（P<0.01），且观察组显著低于对照组（P<0.01）。治疗后4周观察组总有效率为93.18%，对照组为77.27%，观察组总有效率高于对照组（P<0.05）。治疗后2周、4周、3个月观察组气虚积分均显著低于对照组（P<0.05或P<0.01）。与治疗前比较，治疗后2组血清MOT、GAS、5-HT、SP水平均显著下降，血清VIP、CGRP水平均显著升高（P<0.05或P<0.01），且组间差异有统计学意义（P<0.05或P<0.01）。结论：俞募配穴温针灸法联合补中益气汤治疗老年性慢性腹泻可显著缓解临床症状，调控胃肠激素及脑肠肽水平，治疗效果确切。 |
| English Summary: |
| To investigate the effect of back-shu point cooperated with front-mu points using warm needling acupuncture combined with Buzhong Yiqi Decoction in treating senile chronic diarrhea.Methods:A total of 88 senile patients with chronic diarrhea admitted to Xining Maternal and Child Health Family Planning Service Center from August 2017 to September 2018 were selected and randomly divided into an observation group(n＝44)and a control group(n＝44).The control group was given tetralogy of bifidobacterium tetralogy of live bacteria orally treatment,and the observation group was given back-shu point cooperated with front-mu points using warm needling acupuncture combined with Buzhong Yiqi Decoction on the basis of the control group.The 2 groups were treated for 2 weeks as 1 course.The curative effect was observed after 2 consecutive courses of treatment.The improvement and curative effect of the 2 groups after treatment were observed.The serum gastrointestinal hormones and brain gut peptide indexes levels of the 2 groups were compared before and after treatment.Results:Compared with before treatment,the scores of morning diarrhea,abdominal pain,waist and knee soft,anorexia and cold limb cold of the 2 groups were significantly decreased after treatment(P<0.01),and the observation group was significantly lower than the control group(P<0.01).The total effective rate of the observation group 4 weeks after treatment was 93.18%,while that of the control group was 77.27%.The total effective rate of the observation group was higher than that of the control group(P<0.05).The qi deficiency scores of the observation group at 2 weeks,4 weeks and 3 months after treatment were significantly lower than those of the control group(P<0.05 or P<0.01).Compared with before treatment,the levels of serum MOT,GAS,5-HT and SP decreased significantly in the 2 groups after treatment,and the levels of serum VIP and CGRP increased significantly(P<0.05 or P<0.01),and there was significant difference between the 2 groups(P<0.05 or P<0.01).Conclusion:The treatment of back-shu point cooperated with front-mu points using warm needling acupuncture combined with Buzhong Yiqi Decoction can significantly alleviate the clinical symptoms,regulate the level of gastrointestinal hormones and brain gut peptide,and the therapeutic effect is accurate. |
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