电针穴位刺激对功能性消化不良患者的症状、心理状态和生活质量的影响  

Effect of electroacupuncture at acupoints on symptoms,mentation and quality of life in patients with functional dyspepsia

作　　者：杨家耀[1,2] 陶冬青 彭随风[1,2] 时昭红[1,2] 胡伟[1,2] 吴玉芳[1,2] 

机构地区：[1]武汉市中西医结合医院 [2]武汉市第一医院消化内科,湖北武汉430022 [3]湖北省中山医院

出　　处：《胃肠病学和肝病学杂志》2011年第3期268-271,共4页Chinese Journal of Gastroenterology and Hepatology

摘　　要：探讨电针穴位刺激对功能性消化不良患者的症状、心理状态和生活质量的影响。方法 60例符合罗马Ⅲ诊断标准的功能性消化不良的病人纳入研究,随机分为治疗组和对照组,治疗组用电针刺激内关和足三里,对照组服用多潘立酮,疗程均为2周,治疗前后对患者进行症状评分、心理状态及SF-36评分。结果治疗组经过电针治疗后,消化不良症状明显改善(P<0.02);与治疗前相比,治疗组病人SDS、SAS评分明显降低(P<0.01),对照组消化不良症状改善,SDS和SAS评分无明显改变;治疗后电针治疗组对生活质量相关的活力、社会功能和精神健康的改善较对照组明显(P均<0.05)。结论电针刺激内关和足三里可以改善功能性消化不良患者的消化不良症状、焦虑抑郁状态和生活质量。Objective To evaluate the effect of electroacupuncture at acupoints（Neiguan and Zusanli） on symptoms,mentation and quality of life in patients with functional dyspepsia（FD）. MethodsSixty patients with functional dyspepsia who fulfilled the Rome II criteria were randomly assigned to the treated group and control group,30 patients in each group.The treated group was performed with electroacupuncture at acupoints（Neiguan and Zusanli）,while the patients in the control group orally took Cisapride.The symptoms score,self-rating anxiety and depress scale（SADS）,quality of life（SF-36）were recorded before and after the treatment. ResultsThe symptoms of dyspepsia were significantly improved after the treatment in the treated group（P0.05）.Through the acupuncture treatment,the depression-anxiety state were greatly reduced.The score of SDS and SAS decreased significantly in the treatment group（P0.05）; while the scores of SDS and SAS had no significant changes in the control group.The quality of life,vitality（VT）,social function（SF） and mental health （MH） were better improved in the treatment group than those in the control group（P0.05）. ConclusionElectroacupuncture at acupoints（Neiguan and Zusanli） can improve symptoms of dyspepsia,anxiety and depression state,VT,SF and MH in functional dyspepsia patients.

关 键 词：电针 针刺 功能性消化不良 焦虑 抑郁 生活质量 

分 类 号：R57[医药卫生—消化系统]