砭石罐灸联合八部金刚功对炎症性肠病脾肾阳虚证患者疗效、疲劳及生活质量的影响

作者：张 萍1，陶 婷1，李 慧1，周 玉1，徒文静2

单位：1.江苏省中医院，江苏 南京 210029；2.南京中医药大学护理学院，江苏 南京 210000

引用：引用：张萍，陶婷，李慧，周玉，徒文静.砭石罐灸联合八部金刚功对炎症性肠病脾肾阳虚证患者疗效、疲劳及生活质量的影响[J].中医药导报,2025,31(1):96-100.

DOI：10.13862/j.cn43-1446/r.2025.01.018

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摘要：目的：探讨砭石罐灸联合八部金刚功对炎症性肠病脾肾阳虚证患者疗效、疲劳及生活质量的影响。方法：将104例炎症性肠病脾肾阳虚证患者随机分为观察组和对照组，每组52例。对照组采用基础治疗及护理，观察组在对照组基础上实施砭石罐灸联合八部金刚功，治疗12周。比较两组患者治疗前后中医症状评分、炎症因子、多维疲劳量表（MFI-20）、炎症性肠病患者生活质量问卷（IBDQ）变化及治疗后的总有效率。结果：共101例患者完成研究，观察组50例，对照组51例，治疗后观察组患者中医症状评分、MFI-20评分、炎症因子水平均低于对照组，差异有统计学意义（P＜0.05）；治疗后观察组患者IBDQ评分高于对照组，差异有统计学意义（P＜0.05）；治疗后观察组患者总有效率为94.00%（47/50）优于对照组的82.35%（42/51）（P＜0.05）。结论：砭石罐灸联合八部金刚功可改善炎症性肠病脾肾阳虚证患者临床症状，降低炎症因子水平，缓解疲劳，提高生活质量。

关键词：炎症性肠病；脾肾阳虚证；砭石罐灸；八部金刚功；疗效；疲乏；生活质量

Abstract：

Objective: To explore the therapeutic effect, fatigue, and quality of life of patients with spleen kidney Yang deficiency syndrome in inflammatory bowel disease (IBD) treated with Bianshi cupping moxibustion combined with Babu Jingang Gong. Methods: A total of 104 patients with IBD spleen kidney Yang deficiency syndrome were randomly divided into an observation group and a control group, with 52 cases in each group. The control group received conventional treatment and nursing care, while the observation group received a combination of Bianshi cupping moxibustion and Babu Jingang Gong on the basis of the control group for 12 weeks. The changes in traditional Chinese medicine symptom scores, inflammatory factors, multidimensional fatigue scale (MFI-20), and inflammatory bowel disease patient quality of life questionnaire (IBDQ) were compared between the two groups before and after intervention. The total effective rate of the groups were observed after treatment. Results: A total of 101 patients completed the study, with 50 in the observation group and 51 in the control group. After intervention, the traditional Chinese medicine symptom score, MFI-20 score, and inflammatory factor levels of the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). After intervention, the IBDQ score of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). The total effective rate of the observation group after intervention was 94.00% (47/50), which was better than the 82.35% (42/51) of the control group (P<0.05). Conclusion: Bianshi cupping moxibustion combined with Babu Jingang Gong can improve clinical symptoms, reduce levels of inflammatory factors, alleviate fatigue, and improve quality of life in patients with inflammatory bowel disease.

Key words：inflammatory bowel disease; spleen kidney Yang deficiency syndrome; Bianshi cupping moxibustion; Babu Jingang Gong; efficacy; fatigue; quality of life

发布时间：2025-11-28

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