穴位埋线治疗肝郁脾虚型功能性消化不良临床观察
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R573.9

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广西重点研发项目 (桂科AB16380206)


Clinical Observation of Acupoint Catgut-embedding Therapy for Functional Dyspepsia of Liver-depression and Spleen-deficiency Type
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    摘要:

    目的:观察穴位埋线治疗肝郁脾虚型功能性消化不良(FD)的临床疗效,并探讨其作用机理。方法:将90例肝郁脾虚型FD患者随机分为穴位埋线组、中药对照组和西药对照组各30例,分别予相应的治疗方法治疗。观察患者治疗前后症状积分及中脘、关元、任督二脉皮温,血浆生长抑素(SS)、P物质(SP)含量的变化。结果:穴位埋线组总有效率(96.7%)高于西药对照组(70.0%),差异有统计学意义( P <0.05)。治疗后,3组症状积分均较治疗前下降( P <0.05),穴位埋线组症状积分低于中药对照组、西药对照组( P <0.05),中药对照组症状积分低于西药对照组( P <0.05)。治疗后,穴位埋线组和中药对照组中脘、关元、任脉及督脉皮温均较治疗前上升( P <0.05);西药组各穴位皮温与治疗前比较,差异均无统计学意义(P>0.05);穴位埋线组各穴位皮温均高于中药对照组和西药对照组( P <0.05)。治疗后,3组血浆SS含量均较治疗前下降( P <0.05),血浆SP含量均较治疗前上升( P <0.05);穴位埋线组血浆SS含量均低于中药对照组、西药对照组( P <0.05),血浆SP含量均高于中药对照组、西药对照组( P <0.05)。结论:穴位埋线治疗肝郁脾虚型FD疗效显著,作用机制可能与调节血浆SS及SP含量有关。

    Abstract:

    Objective:To observe the clinical effect of acupoint catgut-embedding therapy for functional dyspepsia of liver-depression and spleen-deficiency type, and discuss its functional mechanism.Methods: Divided 90 cases of FD patients of liver-depression and spleen-deficiency type into the acupoint catgut-embedding group,the Chinese medicine control group and the western medicine control group randomly,30 cases in each group.Each group received the corresponding therapeutic method for treatment.Observed the changes of symptomscores,the skin temperature of Zhongwan,Guanyuan and Ren-du meridians,and the content of somatostatin(SS)and Substance P(SP)in plasma of patients before and after treatment.Results:The total effective rate was 96.7%in the acupoint catgut-embedding group and 70.0%in the western medicine controlgroup,differences being significant(P < 0.05).After treatment,symptomscores in the three groups were lower than those before treatment(P < 0.05),symptomscores in the acupoint catgut-embedding group were lower than those in the Chinese medicine control group and the western medicine control group(P < 0.05),and symptomscores in the Chinese medicine control group were lower than those in the western medicine control group( P <0.05).After treatment,the skin temperature of Zhongwan,Guanyuan and Ren-du meridians in the acupoint catgut-embedding group and the Chinese medicine control group was respectively higher than that before treatment(P < 0.05);comparing the skin temperature of each acupoint in the western medicine control group with that before treatment,there were no significant differences being found(P > 0.05);the skin temperature of each acupoint in the acupoint catgut-embedding group was higher than that in the Chinese medicine control group and the western medicine control group(P < 0.05).After treatment,the content of SS in plasma of three groups was lower than that before treatment(P < 0.05),and the content of SP in plasma was higher than that before treatment(P < 0.05);the content of SS in plasma of the acupoint catgut-embedding group was respectively lower than that in the Chinese medicine control group and the western medicine control group(P < 0.05);the content of SP in plasma was respectively higher than that in the Chinese medicine control group and the western medicine control group(P < 0.05);the content of SS in plasma of the Chinese medicine control group was lower than that of the western medicine control group( P <0.05).Conclusion:Acupoint catgut-embedding therapy has significant clinical effect in treating FD of li ver-depression and spleen-deficiency type,and its functionalmechanismmay be relevant with regulating the content of SS and SP in plasma.

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税典奎,罗诗雨,陈峭,叶剑,蒋应玲,张丹璇,梁谊深.穴位埋线治疗肝郁脾虚型功能性消化不良临床观察[J].新中医,2018,50(7):170-173

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  • 在线发布日期: 2018-07-09
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