耳甲电针治疗反流性食管炎疗效观察  

Clinical observation of auriculae concha electroacupuncture in treating reflux esophagitis

作　　者：吴冬[1] 彭涛[2] 荣培晶[3] 廉海红[1] 张金铃[3] 陈陆泉[1] WU Dong;PENG Tao;RONG Pei-jing;LIAN Hai-hong;ZHANG Jin-ling;CHEN Lu-quan(Department of Traditional Chinese Medicine,Beijing TongRen Hospital Affiliated to Capital University of Medicine Sciences,Beijing 100730,China;Department of Gastroenterology,Peking University People's Hospital,Beijing 100044;Institute of Acu-Mox,China Academy of Chinese Medical Sciences,Beijing 100700)

机构地区：[1]首都医科大学附属北京同仁医院传统医学科,北京100730 [2]北京大学人民医院消化科,北京100044 [3]中国中医科学院针灸研究所,北京100700

出　　处：《北京中医药》2021年第7期690-694,共5页Beijing Journal of Traditional Chinese Medicine

基　　金：北京中医药科技发展基金项目(QN2018-31);北京市属医院科研培育项目(PZ2021001)。

摘　　要：目的观察耳甲电针治疗反流性食管炎(RE)的疗效。方法选取2018年1月—2019年12月首都医科大学附属北京同仁医院收治的RE患者62例,使用随机数字表分为耳甲电针组和对照刺激组,每组各31例。观察组使用耳甲电针治疗,对照刺激组用耳缘电针治疗,每次30 min,每周治疗3次,共治疗12周。于治疗前后使用反流性疾病问卷(RDQ)、RE症状评分表、匹兹堡睡眠质量指数量表(PSQI)、SF-36生活质量量表评估患者症状的严重程度,并参照专家共识和胃镜检查观察患者的临床疗效。结果与治疗前比较,耳甲电针组患者治疗后的RDQ、RE症状评分表、PSQI,均低于治疗前,差异有统计学意义(均P<0.05),SF-36生活质量量表除生理职能评分低于治疗前,其余各维度均高于本组治疗前,差异有统计学意义(均P<0.05)。与对照刺激组比较,耳甲电针组患者治疗后RDQ、RE症状评分表、PSQI评分均较低,差异有统计学意义(均P<0.05),SF-36生活质量量表各维度均有改善,差异有统计学意义(均P<0.05)。耳甲电针组总有效率为90.32%,高于对照刺激组,差异有统计学意义(P<0.05),胃镜下炎症治疗效果耳甲电针组总有效率为74.19%,高于对照刺激组,差异有统计学意义(P<0.05)。结论耳甲电针可用于治疗RE,并可改善睡眠和提高生活质量。Objective To observe the therapeutic effect of electroacupuncture of auricular concha on reflux esophagitis(RE).Methods A total of 62 patients with RE admitted to Beijing Tongren Hospital in January 2018 to December 2019 were randomly divided into two groups, 31 cases in each group. The observation group was treated with auricular concha electroacupuncture, while the control group was treated with auricular electroacupuncture. The patients in both group were all treated 30 min each time, 3 times a week, for 4 weeks totally. Before and after treatment,the severity of symptoms and clinical outcomes were assessed with the reflux disease questionnaire(RDQ), the symptom scale for RE, the Pittsburgh sleep quality index(PSQI), and the SF-36 quality of life scale. Results Compared with before treatment, the scores of RDQ, RE symptom and PSQI of the auricular concha electroacupuncture group after treatment were significantly lower than those before treatment(P<0.05). Except the score of physiological function was lower than that before treatment, all other dimensions of SF-36 were higher than that before treatment(P<0.05). Compared with the control group, the scores of RDQ, RE symptom and PSQI in the auricular concha electroacupuncture group were significantly lower, and the scores of SF-36 quality of life scale were significantly improved(all P<0.05).The total effective rate of auricular concha electroacupuncture group was 90.32%, and the total effective rate of inflammation under gastroscope was 74.19%, both higher than the control group, the difference was statistically significant(P<0.05). Conclusion Auricular concha electroacupuncture can be used to treat RE and improve sleep and quality of life.

关 键 词：反流性食管炎 耳甲电针 PSQI SF-36 

分 类 号：R246.1[医药卫生—针灸推拿学]