针刺治疗餐后不适综合征脾胃气虚证的临床疗效观察  

Effect of acupuncture in treating postprandial distress syndrome with spleen-stomach qi deficiency

作　　者：邹璇 李金玲 杨静雯 林璐璐[1,2] 屠建锋 王宇 刘存志 Zou Xuan;Li Jinling;Yang Jingwen;Lin Lulu;Tu Jianfeng;Wang Yu;Liu Cunzhi(International Acupuncture and Moxibustion Innovation Institute,School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China;School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China;Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)

机构地区：[1]北京中医药大学国际针灸创新研究院,北京100029 [2]北京中医药大学针灸推拿学院 [3]首都医科大学附属北京中医院

出　　处：《北京中医药大学学报》2021年第5期468-475,共8页Journal of Beijing University of Traditional Chinese Medicine

基　　金：北京市科学技术委员会科技计划项目(No.Z161100000516007)。

摘　　要：目的观察针刺治疗餐后不适综合征(PDS)脾胃气虚证的临床疗效。方法对108例PDS脾胃气虚证患者进行回顾性分析,针刺组55例,假针组53例。针刺组采用传统针刺干预,穴取百会、膻中、中脘、气海、天枢、内关、足三里、公孙和太白穴;假针组采用非穴浅刺干预。2组均留针20 min,每周针刺3次,连续治疗4周,治疗结束后随访12周。比较2组在治疗结束和随访结束后消化不良症状指数(SID)、尼平消化不良指数(NDI)、医院焦虑抑郁量表(HADS)评分较治疗前的变化,进行疗效评价和安全性评价。结果4周治疗结束后,针刺组有效率为72.7%,高于假针组45.3%(P<0.05)。治疗4周后,针刺组的SID总分、NDI评分的下降幅度均高于假针组(P<0.05),且在治疗结束后持续12周(P<0.05)。治疗4周后,针刺组HADS评分的下降幅度高于假针组(P<0.05),但随访期间组间比较无差异。研究期间未报告严重不良事件。结论针刺能够改善PDS脾胃气虚证患者的消化不良症状、生活质量,并能持续到治疗结束后12周;针刺能改善患者焦虑抑郁情绪,但这一效应在针刺结束后并不能持续存在。Objective To observe the clinical effect of acupuncture on postprandial distress syndrome(PDS)with spleen-stomach qi deficiency.Methods A retrospective analysis was conducted in 108 eligible PDS patients,with 55 cases in the acupuncture group and 53 cases in the sham acupuncture group.The patients in the acupuncture group were treated by acupuncture at Baihui(DU20),Danzhong(RN17),Zhongwan(RN12),Qihai(RN6),Tianshu(ST25),Neiguan(PC6),Zusanli(ST36),Gongsun(SP4)and Taibai(SP3).A superficial skin penetration at non-acupoints was performed in the sham acupuncture group.The patients in both groups were treated for 3 sessions(20 minutes per session)per week for 4 weeks,and were followed up 12 weeks after the last session.The changes of Symptom Index of Dyspepsia(SID),Nepean dyspepsia index(NDI)and Hospital Anxiety and Depression Scale(HADS)scores were compared between the two groups after the last session and 12 weeks after the treatment,so as to evaluate the efficacy and safety.Results After 4 weeks of treatment,the effective rate of the acupuncture group was 72.7%,higher than 45.3%of the sham acupuncture group(P<0.05),and the descender of SID and NDI scores of the acupuncture group were greater than those of the sham acupuncture group(P<0.05)and lasted for 12 weeks after treatment(P<0.05).After 4 weeks of treatment,the descender of HADS score in the acupuncture group was greater than that of the sham group(P<0.05),but there was no significant difference between the two groups during follow-up period.No serious adverse events were reported during the study period.Conclusion Among PDS patients with spleen-stomach qi deficiency,acupuncture could reduce the symptoms of indigestion,improve the quality of life,with sustained efficacy over 12 weeks in patients who have received acupuncture treatment for 4 weeks,three times each week.Acupuncture seems to alleviate the patient's anxious and depressive emotions,but this effect does persist when the treatment ends.

关 键 词：餐后不适综合征 脾胃气虚证 针刺 消化不良症状 生活质量 焦虑抑郁情绪 

分 类 号：R246[医药卫生—针灸推拿学]