| Background of the studyIrritable bowel syndrome is one of the most common digestive diseases,which belongs to the non-organic disease,it manifests with gastrointestinal dysfunction,digestive disease,abnormal persistent or intermittent episodes of abdominal pain,bowel habits and stool.IBS is divided into clinical constipation,diarrhea type and constipation alternating with diarrhea type.Diarrhea type is the most common type.The incidence of IBS has·showed a rise trend,it has already become a global problem.It not only beset the patients and medical staff’s nerves,but also greatly consume valuable medical resources,which catches more and more attention.Professor Lin luo who had engaged in years of clinical knowledge and application after years later created abdominal massage-a major push to press,friction,and other techniques,it has the direct effect of on gastrointestinal surface projection area through the soft and the strength of the layens of penetration,direct bowel to bowel,the effective stimulation can promote gastrointestinal channel power to return to normality,to regulate the spleen and stomach pivot,relieve gastrointestinal symptoms,as the saying goes:"no pain,no general rules",this technique can effectively regulate the spleen and stomach of the actual situation,the symptoms and root,so as to effectively improve the patients with gastrointestinal discomfort and the level of quality of life.Objective:The study was to observe the clinical efficacy that abdominal massage was to treat diarrhea-predominant irritable bowel syndrome.By the scores of integrals table of symptom,irritable bowel syndrome quality of life questionnaire to evaluate curative effect.This study not only could provide a safe and effective operation,but also express that abdominal massage had better clinical efficacy.Method:60 IBS-D patients,who were from May 2017 to January 2018 in the Spleen and stomach department of the second traditional chinese hosptial of Guangdong Province,that met the diagnostic criteria,were divided randomly into two group,the treatment group in abdominal massage for 30 cases and the control group in acupuncture for 30 cases in Massgae department.With treatment for two weeks,we could observe the clinical efficacy by the scores symptom integral table and IBS-QOL.Result:1.By the score of the treatment group and the control group in abdominal pain,abdominal distension,bowel changes of defecatiom and defecation freqency,we could have this conclusion that-two groups’ symptom total scores were declined than before treatment(P<0.01).In abdominal massage group,2 cases were cured,15 cases were significantly improved,9 cases were effective,and 4 cases were non-effective while 1 case was recovered,7 cases had markedly improved,15 cases were success,7 cases were invalid of acupuncture group.As well as,comprehensive assessment of efficacy reported that the effective rate of the former was 86.67%,while the latter was 76.67%,the show efficiency rate in abdominal massage group was 76.67%while the latter was 26.67%,which indicates that treatment group could improve the symptoms better.2.After treatment,both two groups’ irritable bowel syndrome quality of life questionnaire scores were decreased than before treatment.And the treatment group had the andvantage over the control group in Depression and Willies、Health and worry、Disturbance of behavior、Dietary restriction,while the control group was better than the treatment group in Body mind、Society function.Conclusion:Abdominal massage in treating spleen deficiency and dampness syndrome of IBS-DIt had a good effect,it could improve the quality of life and mental state of patients.The study provided an evidence for the curative effect of abdominal massage so as to promote better.Meanwhile,offer one more safe,valid,accepted easily treatment means. |
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