CAJ | 학술논문

目的：探讨加减逍遥散联合针灸治疗腹泻型肠易激综合征（D-IBS）的临床疗效。方法：将90例腹泻型IBS患者随机分为治疗组和对照组，各45例。治疗组给予中药加减逍遥散联合针灸治疗，对照组给予口服蒙脱石散、复方谷氨酰胺肠溶胶囊、复方阿嗪米特肠溶片。4周为1个疗程，连续治疗2个疗程后，两组患者均进行治疗前后症状积分比较，汉密尔顿抑郁量表（HAMD）/（HAMA）评分比较，总体疗效比较。结果：与治疗前比较，治疗后两组在临床症状方面均有不同程度的改善（P<0.05或P<0.01），HAMD、HAMA评分明显降低（P<0.05），治疗组较对照组有更明显的优势（P<0.05）。在总有效率方面，治疗组为91.11%，明显高于对照组68.89%（P<0.05）。结论：加减逍遥散联合针灸治疗D-IBS能快速缓解胃肠道症状，改善焦虑抑郁情绪，是一种治疗D-IBS的有效方法。
목적：탐토가감소요산연합침구치료복사형장역격종합정（D-IBS）적림상료효。방법：장90례복사형IBS환자수궤분위치료조화대조조，각45례。치료조급여중약가감소요산연합침구치료，대조조급여구복몽탈석산、복방곡안선알장용효낭、복방아진미특장용편。4주위1개료정，련속치료2개료정후，량조환자균진행치료전후증상적분비교，한밀이돈억욱량표（HAMD）/（HAMA）평분비교，총체료효비교。결과：여치료전비교，치료후량조재림상증상방면균유불동정도적개선（P<0.05혹P<0.01），HAMD、HAMA평분명현강저（P<0.05），치료조교대조조유경명현적우세（P<0.05）。재총유효솔방면，치료조위91.11%，명현고우대조조68.89%（P<0.05）。결론：가감소요산연합침구치료D-IBS능쾌속완해위장도증상，개선초필억욱정서，시일충치료D-IBS적유효방법。
This study was aimed to explore the clinical efficiency of modified Xiao-Y ao (XY) powder and acupuncture in the treatment of diarrhea-predominant irritable bowel syndrome (D-IBS). A total of 90 D-IBS patients were randomly divided into the treatment group and control group, with 45 patients in each group. Patients in the treatment group received acupuncture combined with modified XY powder. Patients in the control group received oral administration of montmorillonite powder, compound glutamine enteric-coated capsules, compound azintamide enteric coated tablet. Four weeks were one treatment course. After two treatment courses, the pretreatment and posttreatment symptom score, the score of Hamilton Depression Rating Scale (HAMD)/(HAMA), and the overall efficacy were compared. The results showed that compared with pretreatment, clinical symptoms were improved in varying degrees after treatment in both groups (P < 0.05 or P < 0.01). HAMD and HAMA were significantly decreased (P < 0.05). The treatment group had obvious advantages compared to the control group (P < 0.05). The overall efficacy of the treatment group was 91.11%, which was significantly higher than the control group of 68.89%(P < 0.05). It was concluded that modified XY powder and acupuncture can quickly relieve gastrointestinal symptoms, improve anxiety and depression. It is an effective treatment method for D-IBS.