CAJ | 학술논문

目的：验证从脑肠相关论针刺治疗腹泻型肠易激综合征的疗效。方法将80例腹泻型肠易激综合征患者随机分为脑肠相关针刺组(治疗组)和常规辨证取穴组(对照组),每组40例。治疗组运用孙思邈“十三鬼穴”加天枢、大肠俞等穴进行针刺治疗,对照组常规选取足三里、天枢、大肠俞、肝俞、脾俞等穴进行针刺治疗,每星期治疗3次,10次为1个疗程,治疗2个疗程后统计临床疗效。结果两组治疗前SF-36量表各个维度得分基本一致；两组治疗后得分均高于治疗前，治疗组SF-36量表评分在生理职能、躯体疼痛、总体健康、精力、社会功能、健康变化方面优于对照组(P＜0.05)。结论脑肠相关针刺治疗腹泻型肠易激综合征疗效优于常规取穴针刺治疗。
목적：험증종뇌장상관론침자치료복사형장역격종합정적료효。방법장80례복사형장역격종합정환자수궤분위뇌장상관침자조(치료조)화상규변증취혈조(대조조),매조40례。치료조운용손사막“십삼귀혈”가천추、대장유등혈진행침자치료,대조조상규선취족삼리、천추、대장유、간유、비유등혈진행침자치료,매성기치료3차,10차위1개료정,치료2개료정후통계림상료효。결과량조치료전SF-36량표각개유도득분기본일치；량조치료후득분균고우치료전，치료조SF-36량표평분재생리직능、구체동통、총체건강、정력、사회공능、건강변화방면우우대조조(P＜0.05)。결론뇌장상관침자치료복사형장역격종합정료효우우상규취혈침자치료。
ObjectiveTo testify the therapeutic efficacy of acupuncture in treating diarrhea-predominant irritable bowel syndrome (D-IBS) based on brain-gutinteraction.MethodEighty D-IBS patients were randomized into brain-gut interacted acupuncture group (treatment group) and a group with acupoints selected based on conventional syndrome differentiation (control group), 40 in each group. The treatment group was intervened by acupuncture by selecting the thirteen ghost acupoints (invented by SUN Si-miao) plus Tianshu (ST25), Dachangshu (BL25), etc., while the control group was by acupuncture based on conventional point selection, including Zusanli (ST36),Tianshu (ST25), Dachangshu (BL25), Ganshu (BL18), Pishu (BL20), etc., three times a week, and 10 sessions as a treatment course. The clinical efficacies were evaluated after 2 treatment courses.ResultThe two groups were generally equal to each other incomparing each dimension of the Short-form Health Survey (SF-36) before treatment, while the scores were increased after treatment in both groups; the treatment group was significantly superior to the controlgroup in comparing the scores ofrole-physical,bodily pain, general health, vitality, social role functioning, and reported health transition from the SF-36 (P<0.05).ConclusionAcupuncture based on brain-gut interaction can produce a more significant effect in treating D-IBS compared to conventional acupuncture.