举陷平胃通降汤联合掌振顶托按摩法治疗胃下垂  

Juxian Pingwei Tongjiang Decoction and Zhangzhen Dingtuo Massage in Treatment of Gastroptism

作　　者：杨涛[1] YANG Tao(Henan University of Chinese Medicine,Zhengzhou Henan China 45004)

机构地区：[1]河南中医药大学,河南郑州450046

出　　处：《中医学报》2018年第7期1349-1354,共6页Acta Chinese Medicine

基　　金：2016河南省中医管理局重大立项课题项目(2016ZY2048)

摘　　要：目的:观察举陷平胃通降汤联合掌振顶托按摩法对胃下垂患者临床疗效及中医证候疗效的影响。方法:92例患者按照随机数字表分为对照组和治疗组,两组均给予临床常规治疗。对照组予养胃颗粒、胃复安片、维生素B6治疗。治疗组予举陷平胃通降汤联合掌振顶托按摩法治疗。掌振顶托按摩法取穴:鸩尾穴、中脘、气海、天枢;主要手法为掌振法、顶托法,辅以一指禅推、按法、摩法。两组均以14 d为1个疗程,2个疗程后比较疗效。结果:两组临床疗效比较,对照组有效率为56.52%,治疗组有效率为82.61%,两组比较,差异有统计学意义(P<0.05)。两组中医证候疗效比较,对照组有效率为65.22%,治疗组有效率为86.96%,两组比较,差异有统计学意义(P<0.05)。治疗后,治疗组中医证候积分均优于对照组(P<0.05)。两组治疗前后胃角切迹低于两侧髂嵴连线的距离与治疗前比较,差异有统计学意义(P<0.05),治疗组优于对照组(P<0.05)。两组治疗后汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)积分和汉密尔顿抑郁量表(Hamilton depression scale,HAMD)积分与治疗前比较,差异有统计学意义(P<0.05),治疗组优于对照组(P<0.05)。结论:应用举陷平胃通降汤联合掌振顶托按摩法治疗胃下垂疗效显著,且可显著减轻患者临床中医证候,提高患者预后,改善患者心理抑郁、焦虑等状态。Objective：To observe the curative effect of Juxian Pingwei Tongjiang Decoction and Zhangzhen Dingtuo Massage and its effect on TCM syndrome in treatment of Gastroptism. Methods：Ninety-two patients were divided into control group and treatment group according to random number table. Both groups were given clinical routine treatment. The control group was treated with Yangwei Granules,Weifuan Tablets and Vitamin B6. The treatment group was treated with Juxian Pingwei Tongjiang Decoction and Zhangzhen Dingtuo Massage. The acupoints chosen in massage method were：Zhenwei,Zhongwan,Qi Hai,Tianshu and the main manipulating methods are Zhangzhen and Dingtuo method,supplemented by Tui,An and Mo Method in Yizhichan. Both groups were treated with 14 days（ a course of treatment）. After 2 courses of treatment,the curative effect was compared. Results：The clinical efficacy of the two groups was compared,and that was 56. 52% in the control group and 82. 61% in the treatment group.There was a significant difference between the two groups（ P〈0. 05）. The efficacy of two groups of TCM syndromes was compared,with the effective rate in the control group being 65. 22% and that in the treatment group being 86. 96%. There was a significant difference between the two groups（ P〈0. 05）. After treatment,the TCM syndrome scores in the treatment group were better than that in the control group（ P〈0. 05）. The distance between the two connecting lines of gastric notch of the treatment group was lower than that of the control group（ P〈0. 05）. The difference between the two groups before and after treatment was smaller than that before treatment and that of the treatment group was superior to the control group（ P〈0. 05）. The Hamilton Anxiety Scale（ HAMA） score and Hamilton Depression Scale（ HAMD） score in the two groups after treatment were statistically different from those before treatment（ P〈0. 05） and that of the treatment group was better than the control group（ P〈0. 05）. Conclusio

关 键 词：胃下垂 举陷平胃通降汤 掌振顶托按摩法 养胃颗粒 胃复安片 维生素B6 

分 类 号：R245.721[医药卫生—针灸推拿学]