腹针导气法联合奥美拉唑治疗咽喉反流性疾病的疗效观察及对焦虑抑郁状态的影响  

Observations on the efficacy of Qi-guiding abdominal acupuncture therapy plus Omeprazole for laryngopharyngeal reflux disease and its effect on anxiety and depression states

作　　者：张艳艳[1] 熊高云[1] 戈言平[1] 谢晓兴[1] 林炜[1] ZHANG Yanyan;XIONG Gaoyun;GE Yanping;XIE Xiaoxing;LIN Wei(Tongde Hospital of Zhejiang Province,Hangzhou 310012,China)

机构地区：[1]浙江省立同德医院,杭州310012

出　　处：《上海针灸杂志》2024年第8期855-859,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省中医药科技计划项目(2021ZB072)。

摘　　要：目的观察腹针导气法联合奥美拉唑治疗肝胃不和型咽喉反流性疾病的临床疗效及对患者焦虑抑郁状态的影响。方法选取90例肝胃不和型咽喉反流性疾病患者作为研究对象,分为观察组和对照组,每组45例。两组均予以口服奥美拉唑肠溶胶囊治疗,观察组另予腹针导气法治疗。比较两组临床疗效,观察两组治疗前后反流症状指数(reflux symptom index,RSI)评分、反流体征评分(reflux finding score,RFS)和医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)评分的变化,比较两组不良反应发生情况。结果观察组总有效率高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组RSI和RFS各单项评分及HADS评分均较治疗前降低(P<0.05),且观察组上述各项评分均低于对照组(P<0.05)。两组均未见明显不良反应事件。结论腹针导气法联合奥美拉唑治疗肝胃不和型咽喉反流性疾病的疗效优于单一奥美拉唑治疗,可促进患者症状与体征恢复,改善焦虑抑郁情绪。Objective To observe the clinical efficacy of Qi-guiding abdominal acupuncture therapy plus Omeprazole for laryngopharyngeal reflux disease of disharmony between the liver and stomach pattern and its effect on the patients’anxiety and depression states.Method Ninety patients with laryngopharyngeal reflux disease of disharmony between the liver and stomach pattern were enrolled as subjects and allocated to an observation group and a control group,with 45 cases in each group.Both groups received oral administration of Omeprazole enteric-coated capsules and the observation group received Qi-guiding abdominal acupuncture therapy in addition.The clinical therapeutic effects were compared between the two groups.The reflux symptom index(RSI),the reflux finding score(RFS)and the hospital anxiety and depression scale(HADS)scores were recorded in the two groups before and after treatment.The incidences of adverse reactions were compared between the two groups.Result The total efficacy rate was higher in the observation group than in the control group with a statistically significant difference(P<0.05).After treatment,the RSI and RFS item scores and the HADS score decreased in the two groups compared with before treatment(P<0.05)and were lower in the observation group than those in the control group(P<0.05).No obvious adverse reaction occurred in both groups.Conclusion Qi-guiding abdominal acupuncture therapy plus Omeprazole is more effective than Omeprazole alone in treating laryngopharyngeal reflux disease of disharmony between the liver and stomach pattern. It can promote the patients’ recovery from the symptoms and signs and relieve anxiety and depression.

关 键 词：针刺疗法 腹针 针药并用 咽喉反流性疾病 焦虑 抑郁 

分 类 号：R246.1[医药卫生—针灸推拿学]