吴冬 彭涛 荣培晶 廉海红 张金铃 王瑜

摘要 目的：觀察耳甲电针治疗腹泻型肠易激综合征（IBS）的疗效。方法：选取2018年2月至2020年1月首都医科大学附属北京同仁医院收治的腹泻型IBS患者86例作为研究对象，按照随机数字表法分为对照组和观察组，每组43例，所有患者治疗前后均使用IBS症状评分表、肠易激综合征症状严重程度量表（IBS-SSS）、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、SF-36生命质量量表评估患者症状的严重程度。并参照肠易激综合征中医诊疗专家共识意见（2017）的疗效评估方法，比较分析观察组与对照组治疗腹泻型肠易激综合征的疗效。结果：观察组与对照组治疗前IBS症状评分表、IBS症状严重程度量表、汉密尔顿焦虑量表、汉密尔顿抑郁量表、SF-36生命质量量表各维度差异无统计学意义（P>0.05），治疗后观察组与对照组IBS症状评分表、IBS症状严重程度量表、汉密尔顿焦虑量表、汉密尔顿抑郁量表、SF-36生命质量量表差异有统计学意义（P<0.05）。观察组治疗有效率85.4%，对照组治疗有效率58.5%，差异有统计学意义（P<0.05）。结论：耳甲电针对于腹泻型肠易激综合征的各项症状均具有较好疗效且值得推广。

关键词 耳甲电针;肠易激综合征;汉密尔顿焦虑量表;汉密尔顿抑郁量表;SF-36生命质量量表;罗马Ⅳ诊断标准;肠易激综合征症状严重程度量表

Abstract Objective：To observe the effect of concha auriculae electroacupuncture on irritable bowel syndrome-diarrhea.Methods：A total of 86 patients with irritable bowel syndrome-diarrhea admitted to Beijing TongRen Hospital Affiliated to Capital University of Medicine Sciences were selected as the research objects.According to the random number table method，they were divided into a control group and an observation group，with 43 cases in each group.All patients used the IBS symptom score scale，irritable bowel syndrome symptom severity scale（IBS-SSS），and Hamilton anxiety scale before and after treatment（HAMA），Hamilton Depression Scale（HAMD），and SF-36 Quality of Life Scale to assess the severity of symptoms in patients.And referring to the curative effect evaluation method of the consensus opinion of TCM diagnosis and treatment experts in irritable bowel syndrome（2017），the curative effect of the observation group and the control group in the treatment of diarrhea-type irritable bowel syndrome was compared and analyzed.Results：There was no significant difference between the observation group and the control group in the IBS symptom score scale，IBS symptom severity scale，Hamilton anxiety scale，Hamilton depression scale，SF-36 quality of life scale before treatment（P>0.05）.After treatment，there were statistically significant differences between the post-observation group and the control group in the IBS symptom score scale，IBS symptom severity scale，Hamilton anxiety scale，Hamilton depression scale，and SF-36 quality of life scale（P<0.05）.The effective rate of treatment in the observation group was 85.4%，and that in the control group was 58.5%，the difference was statistically significant（P<0.05）.Conclusion：Concha Auriculae Electroacupuncture has a good efficacy in the symptoms of irritable bowel syndrome-diarrhea and is worthy of clinical promotion.

Keywords Auricular Acupuncture; Iirritable bowel syndrome;  HAMA; HAMD; SF-36 quality of life scale; Rome IV diagnostic criteria; Irritable bowel syndrome symptom severity scale

中图分类号：R245;R574.4文献标识码：Adoi：10.3969/j.issn.1673-7202.2021.11.015

肠易激综合征（Irritable Bowel Syndrome，IBS）是以反复腹痛，排便异常以及排便习惯改变为主要症状的功能性胃肠病[1-2]。IBS分为腹泻型（IBS-D）、便秘型（IBS-C）等4个亚型，IBS-D在中国相对较多，且近年来IBS发病率在逐年上升，其不仅影响患者的健康，还导致生命质量下降和精神心理问题[3-5]。

目前中医针灸可用于治疗IBS[6-9]，但存在部分患者恐惧针刺疼痛，以致于依从性较差，不能按时治疗等问题。为此……