针刺疏肝解郁法治疗功能性消化不良临床疗效观察

发布时间：2018-08-03 15:59

【摘要】：目的：本研究通过观察针刺疏肝解郁法治疗功能性消化不良肝胃失和证,以及明确该法的疗效。从主观和客观两方面进行观察,为治疗功能性消化不良提供安全又有效的治疗方法,并希望对以后深入临床研究提供帮助。方法：选择46例消化不良肝胃失和证型患者符合纳入标准为研究对象。应用随机设计原则,将所有研究对象分为治疗组和对照组,其中治疗组24例和对照组22例。治疗组使用针刺疏肝解郁法进行治疗,对照组给予吗丁啉进行治疗,两组疗程以1周为一个疗程,共观察4个疗程。以中医症候评分,疗效指数,生存质量评分作为评价指标,对实验结果进行分析。结果：①较两组患者的性别,年龄,病程,治疗前的一般情况,经行分析,无统计学差异(P0.05),具有可比性。②两组患者中医症候评分比较,差异有统计学显著(P0.05),证明了针刺对治疗组疗效更优于西药对照组。③两组患者综合疗效比较,治疗组总有效率为95.8%,对照组总有效率为90.9%,无统计学差异(P0.05),但治疗组总效率明显优于对照组。④两组患者生存质量评分比较,治疗前后比较(P0.05),结果表明治疗组在改善躯体疼痛、精力、精神健康、社会功能优于对照组。结论：针刺疏肝解郁法治疗功能性消化不良的疾病,在肝胃失和证型治疗上,效果更加明显。通过临床数据,验证了针刺疏肝解郁法是有效治疗功能性消化不良的方法,值得临床上推广。
[Abstract]:Objective: to observe the treatment of functional dyspepsia with liver and stomach disharmony by acupuncture to soothe the liver and relieve depression. To provide a safe and effective method for the treatment of functional dyspepsia from subjective and objective aspects, and to provide help for further clinical research. Methods: 46 cases of dyspepsia with liver and stomach disharmony were selected. All the subjects were divided into treatment group (n = 24) and control group (n = 22). The treatment group was treated with acupuncture to soothe the liver and relieve depression, while the control group was treated with morpholine. The two groups were treated with 1 week as a course of treatment and 4 courses of treatment were observed. The experimental results were analyzed with TCM symptom score, curative effect index and quality of life score as evaluation index. Results there was no significant difference in sex, age, course of disease, general situation before treatment and meridian analysis between the two groups (P0.05), and there was no significant difference between the two groups (P0.05). The difference was statistically significant (P0.05), which proved that the therapeutic effect of acupuncture on the treatment group was better than that of the western medicine control group. 3. The total effective rate of the treatment group was 95.8g, the total effective rate of the control group was 90.9, there was no statistical difference (P0.05), but the total efficiency of the treatment group was significantly better than that of the control group (P 0.05), and the comparison before and after treatment (P0.05), the results showed that the treatment group was improving somatic pain. Energy, mental health, social function is superior to the control group. Conclusion: the treatment of functional dyspepsia by acupuncture to soothe the liver and relieve depression is more effective in the treatment of liver and stomach disharmony syndrome. According to the clinical data, the method of acupuncture to soothe the liver and relieve depression is an effective method for the treatment of functional dyspepsia, which is worth popularizing clinically.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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