| Purpose: To compare the therapeutic effect of "soothing the liver and strengthening the spleen" massage with the oral administration of the western drug " Pinaverium Bromide " in the treatment of liver stagnation and spleen deficiency IBS-D(irritable bowel syndrome Diarrhea).Then analyzing the characteristics and advantages of "Shu Gan Jian Pi" massage therapy that can provides more reasonable and effective clinical treatment methods and objective basis for the treatment of IBS-D.Method: This study used randomized controlled trials and single-blind research methods.72 patients with liver stagnation and spleen deficiency of IBS-D who came from the Spleen and Gastroenterology Clinic and Inpatient Department of the Yunnan Provincial Hospital of Traditional Chinese Medicine were included as the research objects.According to the method of random number table in simple randomization grouping,the patients were divided into 36 test groups and 36 control groups.In the experimental group,massage therapy was carried out with the method of "Shu Gan Jian Pi"(5 times / week,2weeks as a course of treatment,4 weeks in a row,2 courses of treatment).The control group was given oral Pinaverium Bromide tablets(50 mg,3 times a day,1 week as a course of treatment,for 4 consecutive weeks).We used the Chinese medicine syndrome quantitative rating table,the irritable bowel syndrome patients quality of life(IBS-QOL)rating table,the hospital anxiety and depression(HAD)rating table to score before and after the treatment.according to the data obtained statistical analysis and efficacy evaluation.Statistical analysis was carried out according to the data obtained,and the curative effect was evaluated at last.Result: 72 patients were included in this study,and 69 patients actually completed the subject.Due to the loss of 3 patients during the treatment process,the final test group completed 34 people and the control group completed 35 people actually.1.Comparison of curative effect of TCM syndromes: 9 cases were cured in the experimental group,13 cases were markedly effective,8 cases were effective,4 cases were ineffective,and the total effective rate was 88.24%;.The total effective rate was 71.43%.After comparison between the two groups(P <0.05),the difference was statistically significant which ndicating he experimental group was better than the control group.2.TCM Syndrome Observation Scale: Comparison of scores before and after treatment,both the experimental group and the control group have curative effect(P <0.05).Except for belching(P = 0.65> 0.05)and burnout(P = 0.125> 0.05),the experimental group has better symptom curative effect than the control group(P <0.05)in six symptoms:abdominal pain,bloating,diarrhea,abdominal pain after defecation,emotional depression,irritability,irritability,flank pain.3.Comparison of HAD scale: before and after treatment,the scores of the test group and the control group are both effective(P <0.05),and the mood improvement of the test group is better than that of the control group.4.IBS-QOL scale score comparison of all dimensions: comparison of scores before and after treatment,the test group was better than the control group in irritability,conflict behavior,health concerns,diet restrictions,and total score(P <0.05),except for physical role(P = 0.429> 0.05),social response(P = 0.533> 0.05),the concept of opposite sex(P =0.474> 0.05),family relationship(P = 0.437> 0.05),Conclusion: 1.The clinical effect of "ShuGan JianPi" massage therapy on IBS-D with liver stagnation and spleen deficiency is obvious,and its overall efficacy is better than the control group.2."Shu Gan Jian Pi" massage is an effective and safe massage treatment for the treatment of liver depression and spleen deficiency. |
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