| 引用本文:马葳1，孙秀清2，田浩君3.针药结合分型辨治功能性消化不良80例的临床观察[J].世界中医药,2020,(02):. |
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| 针药结合分型辨治功能性消化不良80例的临床观察 |
| Clinical Observation on 80 Cases of Functional Dyspepsia Treated by Acupuncture and Medicine Combined with Syndrome Differentiation and Treatment |
| 投稿时间：2019-05-20 |
| DOI：10.3969/j.issn.1673-7202.2020.02.029 |
| 中文关键词: 针药 分型辨治 功能性消化不良 疗效 胃肠激素 胃动力 症状积分 SF-36量表 胃电频率/振幅 |
| English Keywords:Acupuncture and medicine Syndrome differentiation and treatment Functional dyspepsia Efficacy Gastrointestinal hormone Gastric motility Symptom score SF-36 scale Gastric electrical frequency/amplitude |
| 基金项目:北京中医药科技发展资金青年研究项目(QN2014-013) |
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| 中文摘要: |
| 目的:探讨针药结合分型辨治功能性消化不良(FD)疗效。方法:选取2017年3月至2019年1月北京中医医院顺义医院收治的FD患者80例作为研究对象,按照入院顺序随机分为对照组(n＝39)和观察组(n＝41),对照组采用黛力新联合多潘立酮治疗,观察组采用辅助针刺和辨证中药汤剂治疗,均治疗4周。观察2组治疗前、治疗后症状积分、SF-36生命质量积分、胃电指标、胃肠激素、症状积分、胃动力和疗效变化并比较。结果:治疗结束后,针药结合分型辨治下调患者症状积分、胃排空时间、胃泌素(GAS)、生长抑素(SS)的效果较对照组更优,而提升患者生命质量积分、胃电振幅、胃电频率、胃动素(MTL)及总有效率则较对照组更优(P<0.05)。结论:针药结合分型能提高FD胃肠功能,促进胃动力,改善症状,提高生命质量。 |
| English Summary: |
| To explore efficacy of acupuncture and medicine combined with syndrome differentiation and Treatment on functional dyspepsia(FD).Methods:A total of 80 FD patients in Shunyi Hospital of Beijing Hospital of Traditional Chinese Medicine from March 2017 to January 2019 were selected as study objects and divided into control group(39 cases)and observation group(41 cases)according to the order of admission.The control group was treated with Deanxit combined with domperidone for 4 weeks.The observation group was treated with auxiliary acupuncture and decoctions of Chinese materia medica after syndrome differentiation for 4 weeks.Changes of symptom score, SF-36 quality of life score, electrogastrogram indexes, gastrointestinal hormone, symptom score, gastric motility and efficacy when entering the groups and at the end of the treatment were observed and compared between the 2 groups.Results:At the end of the treatment, the effect of acupuncture and medicine combined with syndrome differentiation and treatment on the symptom score, gastric emptying time, gastrin(GAS), somatostatin(SS)was better than that in the control group, while the effect of improving the quality of life score, amplitude of gastric electrical activity, frequency of gastric electrical activity, motilin(MTL)and total effective rate was better than that in the control group(P<0.05).Conclusion:The combination of acupuncture, medicine and syndrome differentiation can improve gastrointestinal function, gastric motility, symptoms and quality of life in FD patients. |
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