上海针灸杂志2017，Vol.36Issue(8)：929-934,6.DOI:10.13460/j.issn.1005-0957.2017.08.0929
针药并用对腹泻型肠易激综合征患者血清5-羟色胺、降钙素基因相关肽以及内皮素的影响
Effect of Acupuncture plus Medication on Serum 5-HT, CGRP and ET in IBS-D
摘要
Abstract
Objective To observe the efficacy of acupuncture plus medication in treating diarrhea-irritable bowel syndrome (IBS-D) due to liver depression and spleen deficiency, and its effect on serum 5-hydroxytryptamine (5-HT), calcitonin gene-related peptide (CGRP) and endothelin (ET). Method Sixty IBS-D (liver depression and spleen deficiency) were recruited and randomized into an observation group and a control group, 30 cases each. Patients in the observation group were intervened by acupuncture plus modified Bai Zhu Shao Yao powder, while the control group was intervened by acupuncture alone. The total effective rate, change of syndrome score of traditional Chinese medicine (TCM) and diarrhea-irritable bowel syndrome quality of life scale (IBS-QOL), as well as the levels of serum 5-HT, CGRP and ET, were observed. Result The total effective rate was 83.3% in the observation group, significantlyhigher than 63.3% in the control group (P<0.05). There were no significant differences in comparing the global and component TCM symptoms scores and IBS-QOL between the two groups before the treatment (P>0.05). The global and component TCM symptoms scores and IBS-QOL dropped significantly in both groups after the intervention (P<0.05). The global TCM symptoms score and IBS-QOL in the observation group were significantly lower than those in the control group after the intervention and 3 months after the intervention (P<0.05); the component TCM symptoms scores in the observation group were significantly lower than those in the control group after the intervention (P<0.05). There were no significant differences in comparing the serum 5-HT, CGRP and ET levels between the two groups (P>0.05) before the treatment. The levels of 5-HT, CGRP and ET decreased significantly after the treatment in both groups (P<0.05); after the intervention, the levels of 5-HT, CGRP and ET in the observation group were significantly lower than those in the control group (P<0.05). Conclusion Acupuncture plus medication can effectively mitigate the symptoms in IBS-D (liver depression and spleen deficiency) and enhance the quality of life, which is possibly achieved by down-regulating the serum 5-HT, CGRP and ET levels.关键词
结肠疾病,功能性/肠易激综合征,腹泻型/肝郁脾虚证/白术芍药散/针刺/5-羟色胺/降钙素基因相关肽/内皮素/针药并用Key words
Colonic disease/Functional/IBS-D/Liver depression and spleen deficiency/Ba Zhu Shao Yao powder/Acupuncture/5-HT/CGRP/ET/Acupuncture medication combined分类
医药卫生引用本文复制引用
娄静,王菲,侯留法..针药并用对腹泻型肠易激综合征患者血清5-羟色胺、降钙素基因相关肽以及内皮素的影响[J].上海针灸杂志,2017,36(8):929-934,6.基金项目
河南省中医药专项课题(2015ZY02013) （2015ZY02013）
