督脉经导气针刺法治疗非糜烂性反流病的临床观察

Clmical Research in Governor Vessel Daogi Needing method for Treatment of Non-erosive Reflux Disease

目的讨论督脉经针刺法治疗非糜烂性反流病的临床效果。方法选取60例南京市中医院针灸科及消化科门诊的非糜烂性反流病患者,随机分成观察组和对照组,每组30例。观察组采用督脉经导气针刺法治疗,每周三次,隔天一次,每次留针30min,;对照组使用雷贝拉唑钠肠溶胶囊20mg,按需服用,观察周期均为为4周。使用RDQ、SAS、SDS量表分别于治疗0天、2周、4周进行症状积分和疗效评价。结果观察组总有效率达90%,对照组为63.3%,差异有统计学意义(P<0.05);观察组的显效率为43.3%,对照组为16.7%,差异有统计学意义(P<0.05)。观察组的SAS、SDS的积分均较治疗前降低,且差异有统计学意义。对照组的SAS、SDS、的积分较治疗前降低,差异无统计学意义。治疗前后SAS、SDS的积分差值,观察组优于对照组。结论督脉经导气针刺法不仅可以有效地改善NERD患者的反酸、烧心、非心源性胸痛、反食等临床症状,并且对于改善患者的焦虑、抑郁状态以及生活质量也有明显作用,均优于雷贝拉唑,值得推广。

Objective To observe the clinical therapeutic effect of the method of dredging Du meridian to guide Chi to treat NERD. Methods 60 patients with NERD are randomly divided into observation groups and the control group,30 cases each group. Observation group was treated by the method of dredging Du meridian to guide Chi three times a week,30 min once; the control group was treated by rabeprazole sodium enteric- coated capsules 20 mg,taken as needed,the observation period is 4weeks groups. The clinic therapeutic effect were assessed with Reflux Diagnostic Questionnaire（ RDQ）,the depression severity were assessed with Self- Rating Anxiety Scale（ SAS）,and the anxiety severity were assessed with Self- rating Depression Scale（ SDS） before treatment,at the 2th week and after the treatment. Results The total effective rate of the observation group was 90%,the control group was 63. 3%,there was statistically significant difference（ P〈0. 05）; The observation group significant effective rate was 43. 3%,16. 7% in the control group,the difference was statistically significant（ P〈0. 05）. Compared with the scores of SAS,SDS in observation group,post- treatment was lower than pre- treatment,and the difference was statistically srgnificant. In the observation group,the scores of SAS,SDS post- treatment was lower than pre- treatment,but the difference was no statistically significant; there were statistical significance between the observation group and control group after treatment in SAS,SDS scores（ P〈0. 05）. Conclusion The method of dredging Du meridian to guide Chi can not only effectively improve NERD patients with acid reflux,heartburn,non- cardiac chest pain,regurgitation,etc.,but also plays a significant role to improve the patient＇s anxiety,depression and quality of life.