[1]王 斌,王 楠,薛瑞文,等.电针针刺大肠俞、募、合、下合穴治疗功能性腹泻 58例[J].现代中医药,2020,(01):056-61.[doi:10.13424/j.cnki.mtcm.2020.01.016]
 Wang Bin,Wang Nan,Xue Ruiwen,et al.58 cases of the Treatment of Functional Diarrhea Electroacupuncture at Shu, Mu, He - sea and Lower - he - sea Points of Large Intestine[J].Modern Traditional Chinese Medicine,2020,(01):056-61.[doi:10.13424/j.cnki.mtcm.2020.01.016]
点击复制

电针针刺大肠俞、募、合、下合穴治疗功能性腹泻 58例()
分享到:

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2020年01期
页码:
056-61
栏目:
出版日期:
2020-01-20

文章信息/Info

Title:
58 cases of the Treatment of Functional Diarrhea Electroacupuncture at Shu, Mu, He - sea and Lower - he - sea Points of Large Intestine
文章编号:
1672-0571(2020)01-0056-06
作者:
王 斌王 楠薛瑞文曹 星刘智斌
1.陕西中医药大学附属医院,陕西 咸阳 712000;2.陕西中医药大学,陕西 咸阳 712046
Author(s):
Wang Bin 1 Wang Nan 2 Xue Ruiwen 1 Cao Xing 1 Liu zhibin 2
1. Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang China, 712000; 2. Shaanxi University of Chinese Medicine, Xianyang China, 712046
关键词:
功能性腹泻俞募合配穴电针
Keywords:
functional diarrhea electroacupuncture on Shu Mu He - sea Lower He - sea Points of large intestine electroacupuncture
分类号:
R246
DOI:
10.13424/j.cnki.mtcm.2020.01.016
文献标志码:
A
摘要:
目的 观察电针大肠俞募合下合配穴治疗功能性腹泻临床疗效及其机理探讨。方法 将招募的患者随机分为电针组和药物组,电针组选取天枢、大肠俞、上巨虚、曲池(均取单侧),得气后辅以电针;药物组则给予盐酸洛哌丁胺胶囊口服;两组均以 1周内自主排便总次数及粪便性状评分(1周平均分)作为观测指标,以治疗1w、4w、6w、8w后为观察节点。结果 治疗 1w到 4w,两组观测指标相比无明显统计学差异(P>0.05);治疗 6w、8w后,电针组与药物组观测指标相比,有明显统计学差异(P<0.05),差异尤以治疗后 8w更为明显(P<0.01)。结论 电针大肠俞募合配穴与口服盐酸洛哌丁胺胶囊对治疗功能性腹泻均有疗效,但电针组的疗效更持久、个体差异性较小。
Abstract:
Objective To observe the clinical effect and mechanism of electroacupuncture on Shu, Mu, He - sea,Lower He - sea Points of large intestine for functional diarrhea. Methods The recruited patients were randomly divided into electroacupuncture group and drug group. The electroacupuncture group selected Tianshu Point, Shu Point of large intestine, Shangjuxu Point ( Lower He - sea Point of Large Intestine) and Quchi Point( one side for each) , and then electroacupuncture was supplemented after obtaining qi; the drug group was given loperamide hydrochloride capsule orally; the total number of self defecation and stool character score ( average score of one week) in one week were used as observation indexes in both groups, the observation nodes were 1W, 4W, 6W and 8W after treatment. Results There was no significant statistical difference between the two groups ( P > 0. 05) from the first to the fourth week of treatment; after the sixth and eighth week of treatment, there was significant statistical difference between the electroacupuncture group and the druggroup ( P < 0. 05) , especially after the eighth week of treatment ( P < 0. 01) . Conclusion Electroacupuncture on Shu ,Mu, He - sea, Lower He - sea Points of large intestine and oral loperamide hydrochloride capsules are effective in the treatment of functional diarrhea, but the efficacy of the electroacupuncture group is longer and the individual differencesare smaller.

参考文献/References:

[1]走近“973”———针刺对功能性肠病的双向调节效应及其机制———访“973”项目首席科学家?中国中医科学院朱兵研究员[J].世界中医药,2013,(3):239-240.
[2]郑春丽.针刺和热敏灸大肠俞募合穴治疗功能性腹泻的初步临床观察[D].山东:山东中医药大学,2016.
[3]DrossmanD A.Thefunctionalgastrointestinaldisorders andtheRomeIIIprocess[M].Gastroenterology,2006,130:1377-1390.
[4]李忠仁.实验针灸学[M].北 京:中国中医药出版社,2004:327-329
[5]王斌,袁海光,王卫刚,等.针刺上巨虚?曲池治疗功能性便秘的疗效观察[J].中医药信息,2016,33(5):71-72.
[6]聂静涛.合募配穴法与盐酸洛哌丁胺治疗功能性腹泻的临床疗效对比和安全性分析[J].现代中西医结合杂志,2017,26(2):192-194.
[7]李月月.基于 Bristol大便性状的个体化肠道准备及肠道准备失败预测模型建立的研究[D].山东大学,2017.
[8]李岩.慢性腹泻与肠道菌群失调[J].中国实用内科杂志,2003,23(10):584-586.
[9]黄嘉欣.枯草杆菌二联活菌肠溶胶囊联合中药治疗功能性腹泻 100例 分 析 [J].中 医 临 床 研 究,2016,8(10):112-113.
[10]刘晓玢.微生态制剂对功能性腹泻临床疗效的荟萃分析[D].广州:广州医科大学,2017.
[11]秦环龙,杨俊.功能性肠病的多学科治疗[J].中国实用外科杂志,2011,31(1):50-51.
[12]陈丹.基于脑肠肽调节探讨功能性腹泻脾虚证的现代机理及中药干预作用[D].北京:北京中医药大学,2017.
[13]张海霞.浅谈慢性腹泻的中医病因与病机[J].求医问药,2012,10(2):279-280.
[14]倪红梅,方盛泉,《内经》“泄泻”病因病机及辨证治疗之探析及发挥[J].四川中医,2008,26(7):34-36.
[15]刘丽莎,张微,彭晓华.天枢穴古今临床应用探析[J].云南中医中药杂志.2014,35(1)79-80
[16]衣华强,方剑乔.上巨虚研究进展[J].中医外治杂志,2012,21(2):52-53
[17]钟峰,杜俊毅,罗容等.电针大肠俞募配穴对功能性肠病双向调节作用的临床观察[J].中医临床研究,2016,8(19):39-42.
[18]蔡荣林,申国明,王浩.俞募配穴的理论基础及协同效应机制探讨与思考[J].中华中医药杂志,2016,31(5):1555-1558.
[19]王朝辉,韩东岳,郄丽丽等.合募配穴和俞募配穴协同效应的理论研究[J].时珍国医国药,2014,25(7):1690-1692.
[20]丁燕洪,李莉,连松勇等.合募俞配穴治疗功能性肠病的双向调节作用[J].湖南中医药大学学报,2017,37(3):302-305.
[21]李玉香,张淑雯.30例功能性腹泻患者临床诊疗分析[J].中国实用医药,2015,10(11):203-204.

相似文献/References:

[1]陈兴慧 刘 力 唐旭东** 张聪伟 杜晓泉 马小兵 吕小龙.温阳止泻汤治疗功能性腹泻脾肾阳虚证临床研究[J].现代中医药,2017,(04):021.[doi:10.13424/j.cnki.mtcm.2017.04.009]
 Chen Xinghui Liu Li Tang Xudong Zhang Congwei Du Xiaoquan Ma Xiaobing Lv Xiaolong.Clinical Research on Treatment of Functional Diarrhea of Yang-deficiency Pattern with Yang-warming and Diarrhea-stopping Decoction[J].Modern Traditional Chinese Medicine,2017,(01):021.[doi:10.13424/j.cnki.mtcm.2017.04.009]

备注/Memo

备注/Memo:
基金项目:国家重点基础研究发展计划(973项目)(2011CB505200) 通讯作者:薛瑞文,硕士,副主任医师。E-mail:290472030@qq.com
更新日期/Last Update: 2020-01-15