基于脑肠轴理论的俞募配穴法治疗气滞血瘀型功能性消化不良的临床观察  

Clinical Observation on Back-shu Points and Front-mu Points Combination Method in the Treatment of Stagnation of Qi and Blood Stasis Functional Dyspepsia Based on the Theory of Brain-gut Axis

作　　者：韩捷[1] 顾亚娇[1] 赵文霞[1] 费景兰[1] 郑华[1] 王晨晓[1] 张丽慧[1] 

机构地区：[1]河南中医药大学第一附属医院消化科,河南郑州450000

出　　处：《中国中医药现代远程教育》2017年第14期115-118,共4页Chinese Medicine Modern Distance Education of China

基　　金：河南省高等学校重点科研项目课题【No.16A36001】

摘　　要：目的比较俞募配穴法与莫沙必利片治疗气滞血瘀型功能性消化不良的疗效差异。方法将气滞血瘀型功能性消化不良患者60例,随机分为俞募配穴组30例(治疗组)、莫沙必利组30例(对照组)。治疗组采用俞募配穴法治疗,穴取脾俞(章门)、胃俞(中脘)、肝俞(期门);对照组采用口服莫沙必利片治疗。各组均治疗30天后,观察疗效和第一周、第二周、第三周、第四周的复发率及胃动素、5-HT、组胺的数值。结果治疗组总有效率为95.0%,明显优于对照组(70.0%);治疗组总复发率17%,明显低于对照组(37.5%)。治疗组与对照组2组患者胃动素、5-HT、组胺测定值存在明显差异,有统计学意义(P<0.05)。结论俞募配穴法治疗较莫沙必利片治疗能更好改善气滞血瘀型功能性消化不良患者临床疗效和指标。Objective To compare the curative effect differences between the back-shu points and front-mu points combination method and mosapride in the treatment of stagnation of qi and blood stasis functional dyspepsia. Methods 60 cases of patients with stagnation of qi and blood stasis functional dyspepsia were randomly divided into shu mu acupuncture method group （treatment group） of 30 cases and mosapride group （control group） of 30 cases. The treatment group adopted back-shu points and front-mu points combination method, acupuncture point include pishu （BL20） （zhangmen （LR13））, weishu （BL21） （zhongwan （RN12））, ganshu （BL18） （qimen （LR14））. The control group took orally mosapride. After 30 days, the curative effect of first week, second week, third week and fourth week and of gastric dynamic element, 5 HT and histamine were observed. Results The total effective rate of the treatment group was 95.0%, which was significantly better than 70.0% of control group. The total recurrence rate of the treatment group was 17%, which was significantly lower than 37.5% of the control group. The gastric dynamic element, 5 - HT between the treatment group and control group had significant difference, and the difference was statistical significance （P 〈 0.05）. Conclusion The back-shu points and front-mu points combination method can better improve the clinical curative effect and index of patients with qi stagnancy and blood stasis functional dyspepsia than that of mosapride.

关 键 词：脑肠轴 俞募配穴法 气滞血瘀 功能性消化不良 腹胀 胃脘痛 

分 类 号：R246.1[医药卫生—针灸推拿学]