针刺治疗功能性消化不良64例临床观察

Clinical Observations on Acupuncture Treatment of Functional Dyspepsia

目的 观察针刺治疗功能性消化不良 (FD)的临床疗效。方法 根据中医经络理论选择以足三里为主等穴位 ,用平补平泻手法 ,辅以电针治疗功能性消化不良 ,并以常用西药多潘立酮作为对照进行临床观察。结果与结论 针刺组总有效率 93.75 % ,显效率为 6 3.3% ,药物组分别为 82 .2 6 %和 4 3.14 % ,两组有明显差异 (P<0 .0 5 )。针刺组治疗非特异型功能性消化不良疗效好于药物组 (P<0 .0 5 ) ;治疗动力障碍型者 ,两者无明显差异 (P>0 .0 5 ) ,疗效均较突出。针刺组治疗后的第 1星期显效率为 32 .81%、有效率 2 1.87% ,明显优于药物组的 14 .5 2 %和 12 .90 % (P<0 .0 1)。

Purpose To investigate the clinical efficacy of acupuncture for treatment of functional dyspepsia (FD) to unearth the clinical value of non-medicamentous treatment in traditional medicine. Method Points with Zusanli(ST 36) as a main one were selected and an even reinforcing-reducing technique was used according to the meridian theory of traditional Chinese medicine to treat functional dyspepsia by electroacupuncture. Common Western medicine domperidone was used as a control for clinical observation.Results and Conclusion The total effective rate and the marked effectiveness rate were 93.75% and 63.3%, respectively, in the acupuncture group and 82.26% and 43.14%, respectively, in the medication group. There was a significant difference between the two groups (P<0.05). The curative effect on non-specific functional dyspepsia was better in the acupuncture group than in the medication group (P<0.05). Both treatments had a marked effect on the dyskinetic type without a significant difference (P>0.05). The marked effectiveness rate and the effectiveness rate were 31.25% and 21.87%, respectively, 1 week after treatment in the acupuncture group and significantly higher than 14.52% and 12.90%, respectively, in the medication group (P<0.01).