针刺与艾灸治疗功能性消化不良:随机对照研究  

Effect difference between acupuncture and moxibustion for functional dyspepsia: a randomized controlled trial

作　　者：刘迈兰[1] 周芝根 李波[2] 杨茜芸[1] 刘灿[1] 常小荣[1] LIU Mailan ZHOU Zhigen LI Bo YANG Qianyun LIU Can CHANG Xiaorong(College of Acupuncture-Moxibustion and Massage, Hunan University of CM, Changsha 410208, China the First Affiliated Hospital of Hunan University of CM)

机构地区：[1]湖南中医药大学针灸推拿学院,长沙410208 [2]湖南中医药大学第一附属医院

出　　处：《中国针灸》2017年第9期943-946,共4页Chinese Acupuncture & Moxibustion

基　　金：中国博士后科学基金资助项目:2015 M 580689;国家重点基础研究发展计划(973计划)项目:2015 CB 554502

摘　　要：目的:观察针刺疗法与艾灸疗法治疗功能性消化不良(FD)的临床疗效差异。方法:将60例FD患者随机分为针刺组和艾灸组,针刺组剔除1例,艾灸组脱落3例,最终针刺组29例、艾灸组27例纳入统计。两组均取中脘和足三里穴,针刺组予以针刺治疗,艾灸组予艾灸治疗,均每日1次,连续5次为一疗程,疗程间休息2 d,治疗4个疗程,共20次。分别于治疗前后观察利兹消化不良问卷(LDQ)与尼平消化不良指数(NDI)量表评分,并进行安全评估。结果:与治疗前比较,两组治疗后LDQ症状总积分均降低(均P<0.01),针刺组降低程度大于艾灸组(P<0.05);在上腹痛、早饱、上腹灼烧感症状改善上,针刺组优于艾灸组(均P<0.01)。与治疗前比较,两组治疗后NDI生活质量量表评分均增加(均P<0.01),两组治疗前后差值比较,差异无统计学意义(P>0.05)。结论:针刺疗法和艾灸疗法均能改善FD症状,且针刺优于艾灸。Objective To investigate the effect difference between acupuncture and moxibustion for functional dyspepsia （FD）.Methods Sixty patients with FD were randomized into an acupuncture group （29 cases with 1 rejecting） and a moxibustion group （27 cases with 3 dropping）. The corresponding manipulations for 4 courses were applied at Zhongwan （CV 12） and Zusanli （ST 36） in the two groups, continuous 5 times as 1 course with 2 days between two courses, once a day and total 20 times. Leed＆#39;s dyspepsia questionnaire （LDQ） and Nepean dyspepsia index （NDI） were tested before and after treatment, and safety was evaluated.Results After treatment, the total LDQ scores decreased in the two groups （bothP〈0.01）, with statistical different value between the two groups （P〈0.05）. Upper abdominal pain, early satiety, epigastric burning in the acupuncture group were improved more obviously compared with those in the moxibustion group （allP〈0.01）. The NDI scores in the two groups increased after treatment （bothP〈0.01）, without statistical different value before and after treatment （P〉0.05）. ConclusionAcupuncture and moxibustion are effective for FD and acupuncture shows superiority.

关 键 词：功能性消化不良 针刺疗法 艾灸疗法 穴 中脘 穴 足三里 随机对照试验 

分 类 号：R246.1[医药卫生—针灸推拿学]