头针配合体针治疗肝胃不和型反流性食管炎的临床研究

发布时间：2018-06-04 20:40

  本文选题：针刺 + 头针　； 参考：《黑龙江省中医药科学院》2017年硕士论文

【摘要】：目的:本研究采用头针配合体针疗法治疗肝胃不和型反流性食管炎的患者,通过观察患者的中医症状评分和胃镜的检查情况,探讨头针配合体针疗法治疗肝胃不和型反流性食管炎治疗效果,为临床治疗此病提供安全性高、疗效好、价格低廉的治疗方法。方法:选取符合肝胃不和型纳入标准的反流型食管炎患者60例,采用随机对照原则,将患者随机分为治疗组和对照组各30例,对治疗组采用头针配合体针治疗,对照组的患者采用西药进行治疗。两组患者治疗2个疗程(8周),观察其临床疗效。结束后观察其胃镜下食管黏膜分级情况和中医证候积分,来分析并评价两种治疗方法对于本病的治疗效果。结果:(1)头针配合针刺及常规药物治疗肝胃不和型RE都有一定的临床疗效,治疗组与对照总有效率分别为90%和76.67%,针刺组优于药物组,有统计学意义(P0.05)。(2)治疗后两组的中医证候总积分与其治疗前相比,差异有统计学意义(P0.05),治疗后两组间进行比较,差异有统计学意义(P0.05),对于主症反酸、烧心症状的改善,两组进行比较,差异有统计学意义(P0.05),治疗组在主症胸骨后疼痛上,疗效要高于对照组,两组之间差异有统计学意义(P0.05),对嗳气、喜太息、脘腹胀满或胀痛、呃逆症状的疗效,两组差异有统计学意义(P0.05),治疗组优于对照组。对纳差的疗效,两组间差异无统计学意义(P0.05)。(3)胃镜下的食管黏膜分级记分比较,两组治疗后组内比较,差异具有显著统计学意义(P0.05),治疗后组间比较,差异有统计学意义(P0.05)。(4)不良反应,治疗期间对照组有2例患者出现恶心不适症状,未经处理,自然消失,治疗组未发现不良反应。结论:头针配合体针与常规药物治疗肝胃不和型反流型食管炎均有疗效,能明显改变患者临床症状及胃镜下食管黏膜病变情况,且头针配合体针疗效优于常规药物治疗。
[Abstract]:Objective: to study the effect of scalp acupuncture combined with body acupuncture on patients with gastro-hepatic disharmony reflux esophagitis. To explore the therapeutic effect of scalp acupuncture combined with body acupuncture on hepatogastric reflux esophagitis, which provides a safe, effective and inexpensive treatment for this disease. Methods: sixty patients with reflux esophagitis were randomly divided into treatment group (n = 30) and control group (n = 30). The patients in the control group were treated with western medicine. The two groups were treated for 2 courses for 8 weeks. To analyze and evaluate the therapeutic effect of the two treatment methods, we observed the esophageal mucosal grade and TCM syndromes score under gastroscope. Results (1) scalp acupuncture combined with acupuncture and routine medicine had certain clinical efficacy in the treatment of liver and stomach disharmony type RE. The total effective rates of the treatment group and the control group were 90% and 76.67%, respectively. The acupuncture group was superior to the drug group. There was significant difference in the total score of TCM syndromes between the two groups after treatment and before treatment. After treatment, there was a significant difference between the two groups. After treatment, there was a significant difference between the two groups (P 0.05), and the improvement of the symptoms of regurgitation and heartburn. The difference between the two groups was statistically significant (P 0.05). In the treatment group, the curative effect was higher than that in the control group in the treatment group. The difference between the two groups was statistically significant (P 0.05). The effect of the treatment group on the symptoms of belching, flatulence, epigastric distension or distending pain, hiccup, and hiccup was significant. The difference between the two groups was statistically significant (P 0.05), and the treatment group was superior to the control group. There was no significant difference between the two groups in the efficacy of anorexia. There was no significant difference between the two groups. There was no significant difference between the two groups in the score of esophageal mucosal grading under gastroscopy. The difference between the two groups after treatment was statistically significant (P 0.05), and the difference between the two groups after treatment was significant (P 0.05). The difference was statistically significant (P0.05. 4). During the treatment period, 2 patients in the control group had nausea and discomfort symptoms, untreated, disappeared naturally, and no adverse reactions were found in the treatment group. Conclusion: scalp acupuncture combined with traditional medicine is effective in the treatment of hepatogastric reflux esophagitis, which can obviously change the clinical symptoms and gastroscopic esophageal mucosal lesions, and the curative effect of scalp acupuncture combined with body acupuncture is better than that of routine drug therapy.
【学位授予单位】：黑龙江省中医药科学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.1

【参考文献】

中国期刊全文数据库 前10条

1 朱志强;郑颖颖;李贵;吴艳荣;;针药结合治疗肝胃郁热型反流性食管炎46例临床观察[J];中医杂志;2017年01期

2 曹雨佳;;针灸治疗反流性食管炎90例疗效观察[J];亚太传统医药;2016年20期

3 张晶;于冰;车依檀;张永臣;卢岩;;《针灸大成》合谷穴文献分析[J];山东中医药大学学报;2016年05期

4 岳胜利;陆为民;;徐景藩运用泄肝和胃方治疗反流性食管炎经验[J];辽宁中医杂志;2016年03期

5 张冀;刘卫兵;李洪余;刘铁军;;针刺治疗难治性胃食管反流病30例[J];中国针灸;2013年12期

6 李娟;;电针推拿结合药物治疗非糜烂性胃食管反流病临床观察[J];山西医药杂志;2013年03期

7 师宁;丁霞;杭海燕;刘敏;陈润花;陈亮;;反流性食管炎中医证候分布特点的文献研究[J];中华中医药杂志;2012年04期

8 李斌;;疏肝和胃散治疗反流性食管炎64例[J];光明中医;2010年07期

9 文娜;郝晋东;晋志高;;针刺治疗肝胃郁热型反流性食管炎疗效观察[J];中国针灸;2010年04期

10 梁尧;李洁;;指针疗法治疗反流性食管炎疗效观察[J];广西中医药;2010年01期

中国博士学位论文全文数据库 前1条

1 王洪蓓;王焕禄教授学术思想与临床经验总结及红藤棱莪煎治疗反流性食管炎的研究[D];北京中医药大学;2016年

中国硕士学位论文全文数据库 前6条

1 郭增元;牛兴东主任医师脾胃病学术思想和临床经验总结及反流性食管炎中医临床研究[D];北京中医药大学;2012年

2 徐伟;中药脐疗治疗脾胃虚寒型反流性食管炎的临床研究[D];南京中医药大学;2011年

3 禹承伶;金小晶教授治疗反流性食管炎的经验总结[D];南京中医药大学;2011年

4 顾立梅;反流性食管炎的瘀热证候特点分析及其与内镜下表现的关联性研究[D];南京中医药大学;2011年

5 周明霞;孙志广教授辨治反流性食管炎的临床经验研究[D];南京中医药大学;2010年

6 余利华;单兆伟教授辨治反流性食管炎的临证经验研究[D];南京中医药大学;2010年

，

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