京族医药艾绒点灸联合益生菌治疗慢性腹泻患者的临床观察研究

Clinical Observation on Moxa Floss Point Moxibustion of Jing Ethnic Medicine Combined with Probiotics for Chronic Diarrhea

摘要: 目的：探讨京族医药艾绒点灸联合益生菌治疗慢性腹泻的临床疗效，为慢性腹泻的临床治疗提供具有民族医药特色的治疗方案。方法：选取2022年7月至2025年7月期间于防城港市中医医院脾胃病科就诊的1000例慢性腹泻患者，采用随机数字表法分为观察组(500例)与对照组(500例)。对照组予以益生菌单药治疗，观察组在益生菌治疗基础上联合京族医药艾绒点灸治疗(依据寒泻、热泻辨证选穴)，以2周为1个疗程，共治疗2个疗程。比较两组治疗2周及4周后的证候疗效，采用大便性状与排便频率积分、大便满意度评分评估症状改善情况，并于治疗结束后随访半年统计复发率。结果：治疗2周及4周后，观察组的临床痊愈率与显效率均显著高于对照组(P < 0.05)；观察组的大便性状及排便频率积分显著低于对照组，大便满意度评分显著高于对照组(P < 0.05)；随访半年，观察组的复发率显著低于对照组(P < 0.05)。结论：京族医药艾绒点灸联合益生菌治疗慢性腹泻可改善患者的临床症状，提高临床疗效，降低远期复发率，具备临床应用价值。

Abstract: Objective: To investigate the clinical efficacy of Jing nationality medicine moxa-wool spot moxibustion combined with probiotics in the treatment of chronic diarrhea, so as to provide a therapeutic regimen with ethnic medical characteristics for the clinical management of chronic diarrhea. Methods: A total of 1000 patients with chronic diarrhea admitted to the Department of Spleen-Stomach Diseases, Fangchenggang Hospital of Traditional Chinese Medicine from July 2022 to July 2025 were enrolled and randomly divided into an observation group (500 cases) and a control group (500 cases) using a random number table. The control group received probiotics alone, while the observation group was treated with Jing nationality medicine moxa-wool spot moxibustion (point selection based on syndrome differentiation of cold diarrhea and heat diarrhea) combined with probiotics. Two weeks constituted one treatment course, and a total of two courses were administered. The syndrome therapeutic effects of the two groups were compared at 2 and 4 weeks of treatment. Symptom improvement was evaluated using the stool consistency score, defecation frequency score, and stool satisfaction score. The recurrence rate was recorded during a 6-month follow-up after treatment. Results: At 2 and 4 weeks of treatment, the clinical cure rate and markedly effective rate in the observation group were significantly higher than those in the control group (P < 0.05). The stool consistency score and defecation frequency score in the observation group were significantly lower, while the stool satisfaction score was significantly higher than those in the control group (P < 0.05). During the 6-month follow-up, the recurrence rate in the observation group was significantly lower than that in the control group (P < 0.05). Conclusion: Jing nationality medicine moxa-wool spot moxibustion combined with probiotics can alleviate clinical symptoms, enhance therapeutic efficacy, and reduce the long-term recurrence rate in patients with chronic diarrhea, demonstrating valuable clinical application.