补中降逆汤联合麦粒灸法治疗胃食管反流病中虚气逆证疗效观察

Efficiency observation of Buzhong Jiangni decoction and grain moxibustion on gastroesophageal reflux disease of middle JIAO deficiency-induced qi adverseness syndrome

目的:观察补中降逆汤联合麦粒灸法治疗胃食管反流病中虚气逆证患者的临床疗效。方法:选取胃食管反流病中虚气逆证患者60例随机分为两组各30例。对照组予口服艾司奥美拉唑肠溶片治疗,治疗组给予补中降逆汤联合麦粒灸背俞穴治疗,疗程均为4周。观察两组患者治疗前后反流性疾病问卷(RDQ)症状积分及临床症状反酸、胃灼热、胸骨后疼痛评分变化。结果:两组患者临床疗效总有效率分别为93.33%、86.67%,治疗组疗效优于对照组(P﹤0.05);两组患者RDQ症状积分、临床症状反酸、胃灼热、胸骨后疼痛评分均较治疗前降低(P﹤0.05)。治疗后,治疗组RDQ积分、临床症状反酸、胃灼热、胸骨后疼痛评分显著低于对照组(P﹤0.05)。结论:补中降逆汤联合麦粒灸法可显著改善中虚气逆证患者临床症状,提高疗效。

Objective:To observe the clinical effect of Buzhong Jiangni decoction and grain moxibustion on gastroesophageal reflux disease of middle JIAO deficiency-induced qi adverseness syndrome.Methods:60 cases of selected patients with gastroesophageal reflux disease of middle JIAO deficiency-induced qi adverseness syndrome were randomly divided into two groups,60 cases in each group.The control group was treated with oral esomeprazole enteric-coated tablets,while the treatment group was treated with Buzhong Jiangni decoction and grain moxibustion at Bei Su acupoint.The course of treatment was 4 weeks.Symptom scores in reflux disease questionnaire(RDQ)and score-changes of sour regurgitation,heartburn and substernal pain in clinical symptoms were observed in patients of two groups before and after treatment.Results:The total effective rate of clinical efficacy of patients was 93.33%in treatment group and 86.67%in control group respectively,and the treatment group was better than the control group(P﹤0.05).In patients of both groups,symptom scores in RDQ and scores of sour regurgitation,heartburn and substernal pain in clinical symptoms were lower than before treatment(P﹤0.05).After treatment in treatment group,symptom score in RDQ and scores of sour regurgitation,heartburn and substernal pain in clinical symptoms were significantly lower than in control group(P﹤0.05).Conclusion:Buzhong Jiangni decoction and grain moxibustion can significantly improve the clinical symptoms of patients with middle JIAO deficiency-induced qi adverseness syndrome,and enhance the efficacy.