芒针深刺治疗卒中后消化不良疗效观察  

Efficacy Observation of Deep Needling with Elongated Needles for Post-stroke Dyspepsia

作　　者：邵薇 黄蒙蒙 贺丹丹 牛红月[1] SHAO Wei;HUANG Mengmeng;HE Dandan;NIU Yuehong(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津300193

出　　处：《上海针灸杂志》2022年第7期674-679,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家中医临床研究基地业务建设科研专项课题(JDZX2015014)。

摘　　要：目的观察芒针腹部深刺治疗卒中后功能性消化不良的临床疗效。方法将180例卒中后功能性消化不良患者随机分为A组、B组和C组,每组60例。A组采用芒针深刺治疗,B组采用常规针刺治疗,C组采用口服多潘立酮片治疗。观察3组治疗前后消化不良症状量表各项评分及尼平消化不良生活质量指数(NDLQI)各项评分的变化情况,并比较3组临床疗效。结果3组治疗后消化不良症状量表总分及各项评分均较同组治疗前显著下降,NDLQI各项评分均较同组治疗前显著升高,差异均具有统计学意义(P<0.05)。A组治疗后消化不良症状量表中腹胀、早饱评分及总分明显低于B组和C组,打嗝评分明显低于C组,NDLQI各项评分明显高于B组和C组,差异均具有统计学意义(P<0.05)。B组治疗后NDLQI中干扰领域、控制领域评分及总分明显高于C组,差异均具有统计学意义(P<0.05)。A组总有效率为92.9%,B组和C组均为78.9%,A组总有效率明显高于B组和C组,差异有统计学意义(P<0.05)。结论芒针深刺能明显改善卒中后功能性消化不良患者的临床症状,提高其生活质量。Objective To observe the clinical efficacy of deep abdominal needling with elongated needles in treating post-stroke functional dyspepsia.Method A total of 180 patients with post-stroke functional dyspepsia were randomized into groups A,B,and C,with 60 cases in each group.Group A received deep needling treatment with elongated needles,group B was treated with the ordinary acupuncture method,and group C received oral Domperidone tablets.Before and after the treatment,the dyspepsia symptoms scale and Nepean dyspepsia life quality index(NDLQI)scores were observed for the three groups,and the clinical efficacy was also compared.Result After the treatment,the component and general scores of the dyspepsia symptoms scale declined in all three groups,and the NDLQI scores increased,all showing statistical significance(P<0.05).After the treatment,the component scores of abdominal bloating and early satiety and the general score of the dyspepsia symptoms scale were notably lower in group A than in groups B and C,the score of belching in group A was lower than that in group C,and the NDLQI scores were higher in group A than in groups B and C,all showing statistical significance(P<0.05).After the intervention,the scores of interference and control domains and the general score of NDLQI were higher in group B than in group C,and the differences were statistically significant(P<0.05).The total effective rate was 92.9%in group A and 78.9%in groups B and C.The total effective rate in group A was higher than that in groups B and C,and the differences were statistically significant(P<0.05).Conclusion Deep needling with elongated needles can notably improve the clinical symptoms and quality of life in patients with post-stroke functional dyspepsia.

关 键 词：针刺疗法 长针疗法 芒针 消化不良 中风并发症 

分 类 号：R246.6[医药卫生—针灸推拿学]