针灸对伴情绪障碍功能性消化不良患者的疗效观察  

Clinical observation of acupuncture-moxibustion for functional dyspepsia with emotional disorder

作　　者：王成伟[1] 刘梦阅[1] 闫江华[1] 文谦[1] 潘慧[1] 薛奇明[1] 李宁[1] 

机构地区：[1]四川大学华西医院中西医结合科,成都610041

出　　处：《中国针灸》2015年第9期876-880,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察针灸与中药对比治疗对伴情绪障碍的功能性消化不良患者的临床疗效差异。方法:将80例患者随机分为观察组和对照组,每组40例。观察组在西医基础治疗的基础上加针灸治疗,穴取足三里、阴陵泉、中脘、膻中、内关、太冲、膈俞、肝俞、胆俞,每日或隔日1次,共治疗14次;对照组在基础治疗的基础上采用个体化中药辨证治疗,每日1剂。两组均治疗4周。观察两组患者治疗前及治疗4周后抑郁自评量表评分(SDS)、主要症状评分、治疗满意度自评分,以及两组治疗结束后6个月的复诊率和平均复诊次数。结果:两组治疗后SDS评分、主要症状评分均较治疗前明显改善(均P<0.05);治疗4周后观察组SDS评分改善程度优于对照组(48.9±8.5vs 53.1±8.0,P<0.05);治疗1、4周后观察组的主要症状评分改善比对照组更为显著(2.7±1.0vs 3.3±0.9,1.5±0.9vs 2.3±1.1,均P<0.05);治疗1、4周后观察组的治疗满意度自评分亦优于对照组(3.0±1.1vs 3.8±1.3,2.0±1.4vs 2.9±1.5,均P<0.05);治疗结束后6个月,观察组复诊率为42.5%(17/40),低于对照组的70.0%(28/40,P<0.05);观察组平均复诊次数少于对照组(1.0±0.8vs 1.9±0.7,P<0.05)。结论:针灸治疗伴有情绪障碍的功能性消化不良疗效优于中药治疗。Objective To compare the clinical effective differences between acupuncture-moxibustion and Chinese herbs for functional dyspepsia with emotional disorder.Methods Eighty patients were randomly divided into an observation group and a control group,40 cases in each one.In the observation group,based on the basic treatment Zusanli（ST 36）,Yinlingquan（SP 9）,Zhongwan（CV 12）,Danzhong（CV 17）,Neiguan（PC 6）,Taichong（LR 3）,Ganshu（BL 18）,Geshu（BL 17）and Danshu（BL 19）were selected once every day or every other day.The treatment was given 14 times.In the control group,based on the basic treatment individual therapy of Chinese herbs according to syndrome differentiation was applied,one dose a day.Patients were treated for 4weeks in the two groups.The scores of self-rating depression scale（SDS）,the main symptoms and satisfied degree by selfrating for treatment were observed before and after 4-week treatment in the two groups.Also,the rate and the average time of return visit were compared in 6months after treatment.Results After treatment,the SDS scores and the main symptoms scores were all improved compared with those before treatment in the two groups（allP〈0.05）.After 4-week treatment,the improvement of the SDS score in the observation group was better than that in the control group（48.9±8.5vs 53.1±8.0,P〈0.05）.After 1-week treatment and 4-week treatment,the improvements of the main symptoms in the observation group were superior to those in the control group（2.7±1.0vs 3.3±0.9,1.5±0.9vs 2.3±1.1,bothP〈0.05）,and the satisfied degree scores by self-rating were better than those in the control group（3.0±1.1vs 3.8±1.3,2.0±1.4vs 2.9±1.5,bothP〈0.05）.In 6months after treatment,the return visit rate in the observation group was 42.5%（17/40）,and it was lower than 70.0%（28/40）in the control group（P〈0.05）.The average time of return visit in the observation group was less than that in the control group（1.0±0.8vs 1.9±0.7,P〈0.05）.Conclusion The eff

关 键 词：情绪障碍 功能性消化不良 针灸疗法 

分 类 号：R246.1[医药卫生—针灸推拿学]