针刺督脉背段对胃食管反流病患者反流症状和心理状态的影响

发布时间：2018-05-05 22:41

本文选题：针刺 + 督脉背段　；参考：《南京中医药大学学报》2017年01期

【摘要】：目的通过观察胃食管反流病(GERD)患者躯体和心理症状改善情况来评价针刺督脉背段疗法的临床疗效。方法随机选取就诊的60例GERD患者,按随机数字法随机分为针刺组和西药组,每组30例。针刺组针刺督脉背部T3~T12段棘突下(含经穴及非经穴)治疗,每周二、四、六治疗,共3次,疗程8周。西药组予奥美拉唑肠溶胶囊口服;同时服用氟哌噻吨美利曲辛片(黛力新)。分别观察2组患者治疗前后的反流性疾病诊断问卷(RDQ)各症状、焦虑自评量表(SAS)和抑郁自评量表(SDS)的评分。结果 2组治疗后RDQ问卷各症状、SAS和SDS评分较治疗前明显改善(P0.01);治疗后针刺组RDQ问卷各症状、SAS和SDS评分均显著低于西药组(P0.05);针刺组RDQ愈显率为66.67%(20/30),西药组为40%(12/30),2组愈显率比较差异有统计学意义(P0.05)。结论 2组治疗均有效,但针刺督脉背部T3~T12段棘突下对改善胃食管反流病患者反流症状和心理状态的临床疗效更优。
[Abstract]:Objective to observe the improvement of somatic and psychological symptoms in patients with gastroesophageal reflux disease (GERD) to evaluate the clinical effect of acupuncture on dorsal segment of du vein. Methods 60 patients with GERD were randomly divided into acupuncture group and western medicine group. The acupuncture group was treated with acupuncture under the spinous process (including acupoints and non-meridians) of T3~T12 segment on the back of du meridian for 3 times every Tuesday, 4 and 6 times for 8 weeks. In the western medicine group, omeprazole enteric capsule was given orally, and droperazothioate metriaxine tablet (Delicixine) was taken simultaneously. The scores of RDQs, SASs and SDSs before and after treatment were observed. Results after treatment, the scores of symptoms and SDS of RDQ questionnaire in the two groups were significantly improved compared with those before treatment, the scores of RDQ symptoms and SDS in the acupuncture group were significantly lower than those in the western medicine group after treatment, and the recovery rate of RDQ in the acupuncture group was 66.6770% and 2030% respectively, and that in the western medicine group was 4012% 30%, while that in the acupuncture group was significantly lower than that in the western medicine group (P 0.05). Significant difference was found between the two groups (P 0.05). Conclusion both groups are effective, but acupuncture under the spinous process of T3~T12 segment on the back of du vein is more effective in improving the symptoms and psychological status of gastroesophageal reflux disease.
【作者单位】：北京中医药大学针灸推拿学院;
【分类号】：R246.1

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