针刺中脘不同组穴治疗胃食管反流病的临床观察  

Clinical Observation on Needling at Zhongwan Coordinated Different Acupoints for Treatment of Gastroesophageal Reflux Disease

作　　者：梁波[1] 贺剑波 刘汉平[3] 

机构地区：[1]华南师范大学医院,广东广州510631 [2]西安铁路中心医院针灸科,陕西西安710054 [3]华南师范大学光子中医学实验室,广东广州510631

出　　处：《中华中医药学刊》2010年第3期564-566,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：广东省建设中医药强省项目资助(1060106)

摘　　要：目的:观察针刺中脘(CV12)不同组穴(俞募配穴、募合配穴)治疗胃食管反流病(GERD)的临床疗效。方法:54例GERD患者随机分为俞募配穴组和募合配穴组,分别给予针刺中脘-胃俞(BL21)、中脘-足三里(ST36)为主,对GERD主要症状的积分进行观察评价。结果:俞募配穴组及募合配穴组分别在经过2个疗程及3个疗程治疗后,症状积分出现显著下降(P<0.05)。3个疗程治疗结束后,两组治疗前后症状积分差值比较无显著性差异(P>0.05);俞募配穴组及募合配穴组的临床有效率分别为85.71%和80.77%,总有效率无显著性差异(P>0.05)。结论:针刺中脘之俞募或募合配穴均能有效地用于GERD的治疗,两者近期临床疗效无明显差别,但针刺俞募配穴的起效时间快。Objective：This study is to observe and evaluate the clinical effect of needling at Zhongwan （CV12） coordinated different acupoints for treatment of gastroesophageal reflux disease.Methods：Totally 54 patients definitely diagnosed with GERD were randomly divided into Shu-Mu points combination group and Mu-He points combination group,which treated with mainly needling at Zhongwan （CV12）,Weishu （BL21） or Zhongwan （CV12）,Zusanli（ST36）. Symptom score and effective rate were compared between two groups.Results：The symptom score was significantly decreased after 2 course of treatment in Shu-Mu points combination group（P0.05）,while after 3 course of treatment in Mu-Hu points combination group（P0.05）.After 3 course of treatment,there was no significant difference in difference of symptom score and in efficiency rate between the two groups （85.71% vs 80.77%,P0.05 ）.Conclusion：Shu-Mu or Mu-Hu point combination of Zhongwan （CV12） can be effectively used for the therapy of GERD,and there was no significant difference in efficiency rate between the two groups. The onset time in Shu-Mu point combination group was shorter than that in Mu-Hu point combination group.

关 键 词：中脘穴 俞募配穴 募合配穴 针刺 胃食管反流病 

分 类 号：R246[医药卫生—针灸推拿学]