穴位埋线结合动力灸治疗功能性消化不良临床研究
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R259;R246.1

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Clinical Study on Catgut Embedment in Acupoint Combined with Dynamic Moxibus⁃ tion for Functional Dyspepsia
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    摘要:

    目的:观察穴位埋线结合动力灸治疗功能性消化不良的临床效果。方法:以随机数字表法将纳入 研究的150例脾胃虚弱型功能性消化不良患者随机分为对照A组、对照B组与试验组,对照A组施以穴位埋线 治疗,对照B组施以动力灸治疗,试验组施以穴位埋线结合动力灸治疗。3组均治疗4周。治疗前后评定胃肠 道症状评定量表(GSRS) 评分、消化不良症状严重度量表(DSS) 评分、功能性胃肠疾病生活质量量 表(FDDQL) 评分、简明健康状况调查量表(SF-36) 评分、中医证候评分。比较3组的临床疗效,观察并记 录3组患者治疗期间不良反应的发生情况。结果:治疗后,试验组总有效率高于对照A组、对照B组(P< 0.05)。对照A组总有效率与对照B组比较,差异无统计学意义(P>0.05)。3组GSRS评分、DSS评分均较治疗 前下降,差异均有统计学意义(P<0.05)。试验组GSRS评分、DSS评分均低于对照A组、对照B组,差异均有 统计学意义(P<0.05)。对照A组GSRS评分、DSS 评分与对照B 组比较,差异均无统计学意义(P>0.05)。 3 组FDDQL 评分均较治疗前下降,SF-36 评分均较治疗前升高,差异均有统计学意义(P<0.05)。试验组 FDDQL评分均低于对照A组、对照B组,SF-36评分均高于对照A组、对照B组,差异均有统计学意义(P< 0.05)。对照A组FDDQL评分、SF-36评分与对照B 组比较,差异均无统计学意义(P>0.05)。3 组脘腹胀 满、喜温喜按、便溏、纳呆、少气懒言、言语低微6 项证候评分及总分均较治疗前下降,差异均有统计 学意义(P<0.05)。试验组6 项证候评分及总分均低于对照A 组、对照B 组,差异均有统计学意义(P< 0.05)。对照A 组6 项证候评分及总分与对照B 组比较,差异均无统计学意义(P>0.05)。3 组不良反应发 生率比较,差异无统计学意义(P>0.05)。结论:穴位埋线结合动力灸治疗脾胃虚弱型功能性消化不良,可增 强疗效,促进病情恢复,改善患者的生活质量,并具有较好的安全性。

    Abstract:

    Abstract: Objective: To observe the clinical effect of catgut embedment in acupoint combined with dynamic moxibustion for functional dyspepsia. Methods: A total of 150 cases of patients with functional dyspepsia of the spleen-stomach deficiency type were enrolled in the study and divided into the control group A, the control group B, and the trial group according to the random number table method. The control group A was treated with catgut embedment in acupoint, the control group B was treated with dynamic moxibustion, and the trial group was treated with catgut embedment in acupoint and dynamic moxibustion. All the three groups were treated for four weeks. The scores of the Gastrointestinal Symptom Rating Scale (GSRS), Digestive Symptom Scale (DSS), Functional Digestive Disorders Quality of Life Questionnaire (FDDQL), and Short Form Health Survey (SF-36), and traditional Chinese medicine (TCM) syndrome scores were evaluated before and after treatment. Clinical effects were compared between the three groups. Adverse reactions during treatment were observed and recorded. Results:After treatment, the total effective rate in the trial group was higher than those in the control group A and the control group B (P<0.05). There was no significant difference in the total effective rates between the control group A and the control group B (P>0.05). The GSRS scores and DSS scores in the three groups were decreased when compared with those before treatment, differences being significant (P<0.05). The scores of GSRS and DSS in the trial group were lower than those in the control group A and the control group B, differences being significant (P<0.05). There was no significant difference in the scores of GSRS and DSS between the control group A and the control group B (P>0.05). The scores of FDDQL in the three groups were decreased when compared with those before treatment, and SF-36 scores were increased when compared with those before treatment,differences being significant (P<0.05). FDDQL score in the trial group was lower than those in the control group A and the control group B,and SF-36 score was higher than those in the other two groups,differences being significant (P<0.05). There was no significant difference in the scores of FDDQL and SF-36 between the control group A and the control group B (P>0.05). The scores of the six TCM syndromes including abdominal distension and fullness, preference to warmth and pressure, loose stools,poor appetite,lack of qi and lazy speech,low speech and the total score in the three groups were decreased when compared with those before treatment, differences being significant (P<0.05). The six TCM syndrome scores and the total score in the trial group were lower than those in the control group A and the control group B, differences being significant (P<0.05). There was no significant difference in the six TCM syndrome scores and total scores between the control group A and B (P>0.05). No significant difference was found in the comparison of the incidence of adverse reactions among the three groups (P> 0.05). Conclusion:In the treatment of functional dyspepsia,catgut embedment in acupoint combined with dynamic moxibustion can strengthen curative effects,promote recovery,and improve quality of life,with good safety.

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盛丹丹,戴慧峰,叶青林,谭玉洁.穴位埋线结合动力灸治疗功能性消化不良临床研究[J].新中医,2024,56(16):110-116

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  • 在线发布日期: 2024-08-28
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