迎随补泻法针刺下合穴治疗胃食管反流病疗效观察

Therapeutic Observation of Reinforcing and Reducing by Acupuncturing at Lower He-sea Points along and against Channel's Direction for Gastroesophageal Reflux Disease

目的观察迎随补泻法针刺下合穴治疗胃食管反流病的临床疗效。方法将61例胃食管反流病患者随机分为治疗组34例和对照组27例。治疗组采用迎随补泻法针刺下合穴进行治疗,对照组采用口服奥美拉唑肠溶片治疗。每日治疗1次,共治疗4星期。根据患者治疗前后症状评分比较两组临床疗效。结果治疗组总有效率为97.1%,对照组为85.2%,两组比较差异具有统计学意义(P<0.05)。治疗组治疗后6个月复发率为16.7%,对照组为50.0%,两组比较差异具有统计学意义(P<0.05)。结论迎随补泻法针刺下合穴是一种治疗胃食管反流病的有效方法 。

Objective To observe the clinical efficacy of reinforcing and reducing by acupuncturing at lower He-sea points along and against channel＇s direction in treating gastroesophageal reflux disease （GERD）. Method Sixty-one GERD patients were randomized into a treatment group of 34 cases and a control group of 27 cases. The treatment group was intervened by reinforcing and reducing by acupuncturing at lower He-sea points along and against channel＇s direction, while the control group was treated with oral administration of Omeprazole tablets. The two groups were intervened once a day, 4 weeks in total. The clinical efficacies in the two groups were compared based on the symptoms scores before and after the treatment. Result The total effective rate was 97.1% in the treatment group versus 85.2% in the control group, and the difference was statistically significant （P〈0.05）. The relapse rate 6 months after the treatment was 16.7% in the treatment group versus 50.0% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Reinforcing and reducing by acupuncturing at lower He-sea points along and against channel＇s direction is an effective approach in treating GERD.