针刺与艾灸治疗功能性消化不良:随机对照研究

发布时间：2019-06-05 18:39

【摘要】：目的:观察针刺疗法与艾灸疗法治疗功能性消化不良(FD)的临床疗效差异。方法:将60例FD患者随机分为针刺组和艾灸组,针刺组剔除1例,艾灸组脱落3例,最终针刺组29例、艾灸组27例纳入统计。两组均取中脘和足三里穴,针刺组予以针刺治疗,艾灸组予艾灸治疗,均每日1次,连续5次为一疗程,疗程间休息2 d,治疗4个疗程,共20次。分别于治疗前后观察利兹消化不良问卷(LDQ)与尼平消化不良指数(NDI)量表评分,并进行安全评估。结果:与治疗前比较,两组治疗后LDQ症状总积分均降低(均P0.01),针刺组降低程度大于艾灸组(P0.05);在上腹痛、早饱、上腹灼烧感症状改善上,针刺组优于艾灸组(均P0.01)。与治疗前比较,两组治疗后NDI生活质量量表评分均增加(均P0.01),两组治疗前后差值比较,差异无统计学意义(P0.05)。结论:针刺疗法和艾灸疗法均能改善FD症状,且针刺优于艾灸。
[Abstract]:Objective: to observe the difference of clinical efficacy between acupuncture therapy and moxibustion therapy in the treatment of functional dyspepsia (FD). Methods: 60 patients with FD were randomly divided into acupuncture group and moxibustion group. 1 case in acupuncture group, 3 cases in moxibustion group, 29 cases in final acupuncture group and 27 cases in moxibustion group were included in statistics. Zhongwan and Zusanli points were taken in both groups, acupuncture group was treated with acupuncture, moxibustion group was treated with moxibustion once a day, 5 times in a row as a course of treatment, rest 2 days between courses of treatment, 4 courses of treatment, a total of 20 times. The scores of Leeds dyspepsia questionnaire (LDQ) and niping dyspepsia index (NDI) scale were observed before and after treatment, and the safety assessment was carried out. Results: compared with before treatment, the total score of LDQ symptoms in both groups decreased after treatment (both P 0.01), and the degree of decrease in acupuncture group was higher than that in moxibustion group (P 0.05). The acupuncture group was superior to the moxibustion group in improving the symptoms of upper abdominal pain, early satiety and upper abdominal burning (all P 0.01). Compared with before treatment, the scores of NDI quality of life scale in the two groups increased after treatment (both P 0.01), but there was no significant difference between the two groups before and after treatment (P 0.05). Conclusion: acupuncture therapy and moxibustion therapy can improve the symptoms of FD, and acupuncture is better than moxibustion.
【作者单位】：湖南中医药大学针灸推拿学院;湖南中医药大学第一附属医院;
【基金】：中国博士后科学基金资助项目:2015 M 580689; 国家重点基础研究发展计划(973计划)项目:2015 CB 554502
【分类号】：R246.1

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