针药兼施配合心理干预治疗肝郁气滞型功能性消化不良的疗效观察  

OBSERVATION OF THE EFFECT OF ACUPUNCTURE AND DRUG CONCURRENTLY USED COMBINED WITH PSYCHOLOGICAL INTERVENTION ON FUNCTIONAL DYSPEPSIA IN LIVER DEPRESSION AND QI-STAGNATION TYPE

作　　者：王艳[1] 张永坤 王慧[1] 龙际[2] 李钊成[2] 

机构地区：[1]仲恺农业工程学院医院,广东广州510225 [2]罗定市人民医院,广东罗定527200

出　　处：《现代医院》2011年第8期43-46,共4页Modern Hospitals

基　　金：广东省云浮市科技计划项目(编号:2011WS1113)

摘　　要：目的探讨中药与针灸疗法合并心理干预治疗肝郁气滞型功能性消化不良(FD)的临床疗效。方法选择符合肝郁气滞型FD患者60例,随机分成试验组和对照组(各30例),对照组采用针药结合疗法,试验组在此基础上配合心理治疗,然后运用抑郁自评量表(SDS)和焦虑自评量表(SAS)进行心理测评,运用水负荷试验进行胃感觉功能评定。最后根据测评结果进行分析。结果 FD患者水负荷试验的初始感觉量及最大耐受量均显著低于健康对照组(p<0.01);两组治疗后症状改善明显(p<0.01),各症状疗效相当,试验组总疗效与对照组比较虽无显著差异,但痊愈率优于对照组(p<0.05);对照组治疗后水负荷量改善不明显,而试验组则明显改善;两组治疗前症状积分与SDS、SAS显著正相关(p<0.05),但治疗好转后相关性下降,以对照组更为明显,疗程结束后两者已无显著性相关性(p>0.05)。结论肝郁气滞型FD患者发病及病情程度与心理因素存在高度相关性,但针药治疗可以显著影响两者的相关性;针药结合疗法配合心理干预可显著改善肝郁气滞型FD患者伴随的心理异常和胃感觉功能,提高疗效。Objective To study the clinical efficacy of acupuncture and Sini powder concurrently used com- bined with psychological intervention in the treatment of liver depression and Qi stagnation FD. Methods 60 pa- tients with liver depression and Qi stagnation FD were randomly divided into experimental and control groups, 30 pa- tients in control group were treated with acupuncture combined Sini powder therapy, 30 patients in the experimental group received psychological intervention on the basis of control group, and then use the amount of self - rating de- pression Sheet （SDS） and Self - Rating Airxiety Scale （SAS） for psychological evaluation, the use of water load test for gastric sensory function assessment. Finally, according to measurements analyze assessment results. Results In water load test the initial feeling volume and maximum tolerated volume of FD patients was significantly lower than the healthy control group （p 〈 0.01 ） ; After treatment, symptoms improved significantly in both groups（p 〈 0. 01 ）, it is correspond in every symptoms, with the total efficiency no significant difference between the two groups, but yet the cure rate of experiment group is better than control group （p 〈0. 05） ; the control group after treatment, no obvious improvement in the water load, while the experimental group was significantly improved; before treatment the symp- tom score SDS, SAS of the two groups significant positive correlation （p 〈 0. 05 ）, but the correlation decreased after treatment induced improvement, more obviously in control group, both after treatment completed there was no signifi- cant correlation （p 〉 0.05 ）. Conclusion In Liver depression and Qi stagnation FD patients, the incidence and severity of disease are highly correlated with psychological factors, but the acupuncture and medicine treatment can significantly affect this correlation; acupuncture and medicine therapy combined with psychological intervention can significantly improve patients＇ psychological d

关 键 词：功能性消化不良 抑郁 焦虑 针药疗法/针灸 四逆散加味 心理疗法 

分 类 号：R563.1[医药卫生—呼吸系统]