The Long-term Clinical Curative Effect Observation Of Soothing The Liver And Tonifying The Spleen Acupuncture Treatment On Diarrhea Predominant Irritable Bowel Syndrome Patients

Objective:This clinical research based on the early treatment of clinical cases collected on diarrhea-predominant irritable bowel syndrome, the entry point for the study, treatment through the use of acupuncture using Soothing the liver and tonifying the spleen to current Western medicine as a positive drug control, the use of IBS-SSS scale as the evaluation index, at the end of the treatment period for subjects performed three months, six months, long-term clinical follow-up of efficacy of nine months, with a comprehensive evaluation Soothing the liver and tonifying the spleen acupuncture treatment D-IBS patients the clinical efficacy.Methods:A randomized, controlled study, will meet the diagnostic criteria and inclusion criteria of73cases of diarrhea-predominant irritable bowel syndrome subjects, according to the random number table were randomly divided into an acupuncture group and western medicine group, acupuncture group of36patients, medicine group37cases. Acupuncture group received acupuncture treatment Soothing the liver and tonifying the spleen drug group had adopted Jinshuangqi (triple viable Bifidobacterium Lactobacillus tablets, odd Pharmaceutical Co., Ltd., Inner Mongolia double production, quasi-famous:S19980004) orally every4,3times a day; while Dicetel (pinaverium, the French pharmaceutical company Abbott, Lot:H20110220) oral, each50mg,3times a day; treatments are4wk. At the end of the treatment period using the IBS-SSS Scale subjects performed three months, six months, nine months of clinical follow-up observation, comprehensive evaluation of clinical efficacy.Results:Overall points from IBS-SSS to analyze Soothing the liver and tonifying the spleen acupuncture treatment of diarrhea-predominant irritable bowel syndrome at the end of treatment and after3months of treatment, compared with western medicine group IBS-SSS symptom score improved significantly (P<0.05), but in the first6months and9months of follow-up, two IBS-SSS score difference was not statistically significant (P>0.05). Individual entries for IBS-SSS statistical analysis were found Soothing the liver and tonifying the spleen acupuncture degree of abdominal pain and bloating significantly improve the degree of integration than western medicine group (P<0.05), its long-term effect is better. For several days of abdominal pain, bowel satisfaction and quality of life, at the end of treatment and for3months after treatment, acupuncture group was better than western medicine group (P<0.05), but the first6months and9months, the two groups no statistically significant difference in efficacy (P>0.05), but compared to before treatment, both groups IBS-SSS scale five entry points are a significant improvement over the previous.Conclusion:1.Soothing the liver and tonifying the spleen needle at the end of treatment and for 3months after treatment, IBS-SSS Scale total score than the drug group, the first6months and9months, the two groups had no statistical difference in total score sense, but compared to the previous treatment, both groups IBS-SSS total score decreased significantly, clinical symptoms were significantly improved.(2) In terms of individual symptom scores, Soothing the liver and tonifying the spleen acupuncture to improve the degree of abdominal pain and bloating extent than the drug group, the subsequent effects of acupuncture can significantly reduce the degree of recurrence of symptoms, long-term effect is better.