Objective: To compare the clinical effect between Tiaoshen acupuncture method combined with electroacupuncture (EA) and EA alone in the treatment of diarrhea-type irritable bowel syndrome (IBS-D).
Methods: A total of 76 patients of IBS-D were randomly divided into a Tiaoshen group (38 cases, 2 cases dropped off ) and an EA group (38 cases, 1 case dropped off). The EA group was treated with acupuncture at Guanyuan (CV 4), Zhongwan (CV 12), Tianshu (ST 25), Dachangshu (BL 25), Zusanli (ST 36), Shangjuxu (ST 37), etc. for 30 min. The bilateral Tianshu (ST 25) and the same side of Zusanli (ST 36) and Shangjuxu (ST 37) were connected EA (discontinuous wave, 1 Hz in frequency, 4-6 mA in current intensity). In the Tiaoshen group, the Tiaoshen acupuncture method was added on the basis of the EA group. The acupoints were Baihui (GV 20), Shenting (GV 24) and Benshen (GB 13), and the needles were retained for 30 min. Both groups were treated once a day, 6 days as a course of treatment, with an interval of 1 d between treatment courses, and a total of 4 courses of treatment were required. The IBS symptom severity scale (IBS-SSS) score, IBS quality of life scale (IBS-QOL) score and Hamilton depression scale (HAMD) score were observed before and after treatment in the two groups, and the clinical effect was evaluated.
Results: After treatment, the total effective rate in the Tiaoshen group was 94.4% (34/36), which was higher than 78.4% (29/37) in the EA group (P<0.05). The IBS-SSS and HAMD scores of both groups after treatment were lower than before treatment (P<0.05), while IBS-QOL scores were higher than before treatment (P<0.05). Moreover, the changes of above scores in the Tiaoshen group were higher than those in the EA group (P<0.05).
Conclusion: The Tiaoshen acupuncture method combined with EA have a significant effect in treatment of IBS-D, can significantly reduce the symptoms of abdominal pain, abdominal distension and diarrhea in patients, effectively improve patients' quality of life and depression condition, the effect is better than the simple EA treatment.
目的：比较“调神针法”联合电针与单纯电针治疗腹泻型肠易激综合征（IBS-D）的临床疗效。方法：将76例IBS-D患者随机分为调神组（38例，脱落2例）和电针组（38例，脱落1例）。电针组穴取关元、中脘、天枢、大肠俞、足三里、上巨虚等，其中双侧天枢，同侧足三里、上巨虚连接电针（断续波，频率1 Hz，电流强度4~6 mA），留针30 min；调神组在电针组治疗的基础上加用“调神针法”，穴取百会、神庭、本神，留针30 min。两组均每天治疗1次，6 d为一疗程，疗程间间隔1 d，共治疗4个疗程。分别于治疗前后观察两组患者IBS病情严重程度量表（IBS-SSS）评分、IBS生活质量量表（IBS-QOL）评分和汉密尔顿抑郁量表（HAMD）评分，并评定临床疗效。结果：调神组总有效率为94.4%（34/36），高于电针组的78.4%（29/37，P<0.05）。两组治疗后IBS-SSS评分、HAMD评分均较治疗前降低（P<0.05)，IBS-QOL评分较治疗前升高（P<0.05），且调神组以上指标变化幅度均大于电针组（P<0.05）。结论：“调神针法”联合电针治疗IBS-D可明显减轻患者腹痛、腹胀和泄泻症状，提高患者生活质量，改善抑郁状态，疗效优于单纯电针治疗。.
Keywords: Tiaoshen acupuncture method; electroacupuncture; irritable bowel syndrome, diarrhea-type.