基于“以俞调枢”背俞艾灸疗法治疗胃食管反流病的临床观察

发布时间：2019-02-12 20:41

【摘要】：目的:本研究旨在评定背俞艾灸疗法治疗胃食管反流病(GERD)的临床疗效,为中医治疗本病提供临床依据,积极探索中医药治疗本病的新方法。方法:将纳入的59例GERD患者随机分为观察组和对照组,观察组39例,对照组30例。观察组以背俞艾灸疗法治疗,对照组以枸橼酸莫沙必利分散片联合兰索拉唑肠溶片治疗。疗程2周。观察反流症状变化、伴随症状变化、综合疗效及不良反应情况。结果:观察组和对照组症状评分较治疗前均明显降低,组内比较,治疗后与治疗前比较,差异有统计学意义(P0.05);组间比较,观察组伴随症状积分降低较对照组明显,差异有统计学意义(P0.05),反流症状积分改善及综合疗效与对照组比较,差异无统计学意义(P0.05)。治疗期间,两组均出现了不良反应。结论:背俞艾灸疗法能明显改善胃食管反流病(GERD)患者症状和生活质量,在改善伴随症状上优于西药组,机理在于作用于背俞穴能调节相应脏腑枢机功能,即“以俞调枢”,提示背俞艾灸疗法作为治疗胃食管反流病的新的治疗方法值得进一步研究和临床推广应用。
[Abstract]:Objective: to evaluate the clinical effect of backshu moxibustion therapy on gastroesophageal reflux disease (GERD), to provide clinical basis for TCM treatment of GERD, and to explore a new method of TCM treatment for GERD. Methods: 59 patients with GERD were randomly divided into observation group (n = 39) and control group (n = 30). The observation group was treated with moxibustion therapy and the control group with mosapride citrate dispersible tablets combined with lansoprazole enteric-coated tablets. The course of treatment was 2 weeks. The changes of reflux symptoms, accompanied symptoms, comprehensive efficacy and adverse reactions were observed. Results: the symptom scores of the observation group and the control group were significantly lower than those of the control group (P0.05). Compared with the control group, the symptom score of the observation group was significantly lower than that of the control group, the difference was statistically significant (P0.05), the improvement of reflux symptom score and the comprehensive curative effect were not statistically significant compared with the control group (P0.05). Adverse reactions occurred in both groups during treatment. Conclusion: Backshu moxibustion therapy can obviously improve the symptoms and quality of life of patients with gastroesophageal reflux disease (GERD), and is superior to the western medicine group in improving the associated symptoms. It is suggested that the moxibustion therapy with back-shu as a new method for the treatment of gastroesophageal reflux disease is worthy of further study and clinical application.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.1

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