仲景桂枝人参汤联合背俞指针疗法治疗虚寒型胃食管反流病30例

Zhongjing's Guizhi Renshen Decoction and Finger Pressing on Beishu Acupoints in Treating 30 Patients with Deficiency Type of Gastroesophageal Reflux Disease

目的:评价仲景桂枝人参汤联合背俞指针疗法治疗虚寒型胃食管反流病的临床疗效。方法:将本院收治的60例虚寒型胃食管反流病患者随机分为两组:治疗组(30例),服用仲景桂枝人参汤,并每日在双侧脾俞穴、胃俞穴、肝俞穴、胆俞穴行一次指针治疗;对照组(30例)口服雷贝拉唑和莫沙必利,疗程均为3周。结果:治疗组和对照组均能明显改善胃食管反流病烧心、反酸等典型症状,差异无显著意义(P>0.05);对反流性食管炎患者黏膜的修复方面,两组比较,有显著差异(P<0.05);经过3周的治疗,治疗组总有效率93.3%,对照组总有效率86.7%,差异有显著统计学意义(P<0.05)。结论:对虚寒型胃食管反流病的治疗,仲景桂枝人参汤联合背俞指针疗法组疗效优于西药组。

Objective：To evaluate the clinical effect of treating the deficiency type of gastroesophageal reflux disease with Zhongjing＇s Guizhi Renshen Decoction and finger pressing on Beishu acupionts. Methods ：60 cases with gastroesophageal reflux dis-ease in our hospital were randomly divided into two groups. The treatment group（ n = 30）was treated with Zhongjng＇s Guizhi Ren-shen Decoction and finger pressing on Pishu （ BL20 ）, Weishu （ BL21 ）, Ganshu （ BL18 ） and Danshu （ BL19 ） acupoint, while the control group（ n = 30）treated with Rabeprazole, Mosapride. The efficacy after 3 weeks was evaluated. Results：The two groups could significantly improve symptoms of acid reflux and heartburn,and the difference between them was not statistically significant（P 〉 0.05 ）. There were apparent difference between the two groups in restoration of the mucosa of patients with reflux esophagitis（P 〈 0. 05）. In the treatment group, the total effective rate was 93.3 % , while the control group＇s was 86.7%. The total effective rate difference between two groups had statistical significance（P 〈 0. 05 ）. Conclusion ：Zhong/ing＇s Guizhi Renshen Decoction with fin-ger pressing on Beishu acupionts has better clinical effect than Western medicine on treating the deficiency type of gastroesopha-geal reflux disease.