CAJ | 학술논문

目的:对上海市社区肠易激综合征(irritable bowel syndrome,IBS)的患病率情况进行调查研究,以了解现状、发现问题并提出相应对策,同时开展针灸干预治疗的疗效观察.方法:用整群、随机抽样方法,对上海长桥社区常住人口中18～80岁的1 685人进行问卷调查,了解按Manning及罗马标准判断的有症状人群的症状学和患病率情况.对自愿进行针灸治疗的IBS患者进行电针治疗.结果:上海社区符合Manning标准的Ibs人群患病率为11.45%,符合罗马标准的患病率为5.04%.男女人数之比为0.77:1,男性患病率低于女性,分别为10.62%、12.19%,但差异无显著性.有症状人群中,38.86%集中在46～65岁.针灸治疗Ibs患者62例,电针天枢穴组(32例)有效率84.38%,电针大横穴组(30例),有效率56.67%,两组有效率差异有统计学意义(P＜0.05).结论:IBS是上海社区的常见病、多发病,需要开展更大规模大样本的流行病学调查,并广泛而深入地开展社区预防和医疗.针灸疗法是治疗IBS的有效方法,有必要进一步推广应用.
목적:대상해시사구장역격종합정(irritable bowel syndrome,IBS)적환병솔정황진행조사연구,이료해현상、발현문제병제출상응대책,동시개전침구간예치료적료효관찰.방법:용정군、수궤추양방법,대상해장교사구상주인구중18～80세적1 685인진행문권조사,료해안Manning급라마표준판단적유증상인군적증상학화환병솔정황.대자원진행침구치료적IBS환자진행전침치료.결과:상해사구부합Manning표준적Ibs인군환병솔위11.45%,부합라마표준적환병솔위5.04%.남녀인수지비위0.77:1,남성환병솔저우녀성,분별위10.62%、12.19%,단차이무현저성.유증상인군중,38.86%집중재46～65세.침구치료Ibs환자62례,전침천추혈조(32례)유효솔84.38%,전침대횡혈조(30례),유효솔56.67%,량조유효솔차이유통계학의의(P＜0.05).결론:IBS시상해사구적상견병、다발병,수요개전경대규모대양본적류행병학조사,병엄범이심입지개전사구예방화의료.침구요법시치료IBS적유효방법,유필요진일보추엄응용.
Objective:To explore the prevalence of irritable bowel syndrome (IBS) based on a community population of Shanghai and the treatment of IBS by acupuncture therapy.Methods:A population of 1 685 subjects aged between 18-80 years were randomly selected by clustered sampling from the inhabitants in Changqiao Community of Shanghai to receive a questionnaire,for understanding the symptomatology and prevalence of IBS according to modified Manning and Rome II criteria,and the voluntary IBS patients were treated by acupuncture therapy.Results:The community- based prevalence of IBS was 11.45 % and 5.04% respectively according to modified Manning criteria and Rome II criteria.The ratio of male and female was 0.77:1 in IBS patients and the proportion was 10.62% and 12.19% respectively.But there were no significant difference in prevalence between different age groups (P＞0.05) .IBS is more common in subjects aged between 45-65 years (38.86%).Regarding the 62 IBS patients treated by electroacupuncture (EA),the total effective rate in Tianshu (ST 25) group (n=32) was 84.38%,and it was 56.67% in Daheng (SP 15) group (n=30),which showed a significant difference.(P＜0.05).Conclusion:IBS is a commonly encountered disorder in Changqiao Community of Shanghai and should be taken into consideration for human welfare,disease prevention and further epidemical investigation.Acupuncture treatment is recommended for treating IBS due to its satisfactory therapeutic effect.