疏肝和胃针刺法结合中药穴位贴敷对功能性消化不良中医证候积分、胃动力的影响

Effect of Shugan Hewei Needle Point Method Combined with Chinese Herb Medicine Acupoint Application on Traditional Chinese Medicine Syndromes Scores and Gastric Motility for Patients with Functional Dyspepsia

目的:观察疏肝和胃针刺法结合中药穴位贴敷对功能性消化不良(FD)中医证候积分、胃动力的影响。方法:选取2017年5月~2019年5月医院收治的60例FD患者,并用随机数字表法将其分为对照组和观察组各30例,其中对照组给予常规西医治疗,观察组在对照组的基础上给予疏肝和胃针刺法结合中药穴位贴敷治疗;统计两组治疗前、后的中医证候积分变化;比较两组胃部胀痛、两胁胀满的消失时间;测评两组治疗前、后的胃动素(MTL)、胃泌素(GAS)水平变化;比较两组治疗前、后的红细胞计数(RBC)、红细胞平均体积(MCV)以及血红蛋白浓度(HGB)水平变化;统计两组的不良反应总发生率。结果:观察组治疗后胃部胀痛、两胁胀满、情志不畅、痞塞不舒、心烦易怒以及善太息中医证候积分均低于对照组(P<0.05);观察组治疗后胃部胀痛、两胁胀满的消失时间均短于对照组(P<0.05);观察组治疗后MTL水平高于对照组(P<0.05),GAS水平低于对照组(P<0.05);观察组治疗后RBC、MCV和HGB水平均高于对照组(P<0.05);观察组、对照组的不良反应总发生率分别为6.67%和16.67%,比较差异无统计学意义(P>0.05)。结论:疏肝和胃针刺法结合中药穴位贴敷能有效降低FD中医证候积分,缩短临床症状消失时间,促进胃肠蠕动能力的恢复,纠正贫血。

Objective:To explore the effect of Shugan Hewei Needle Point Method combined with Chinese herb medicine acupoint application on TCM syndromes scores and gastric motility for patients with functional dyspepsia(FD).Methods:Sixty FD patients who were admitted to the hospital from May 2017 to May 2019 were enrolled.They were divided into controlled group and observation group by random number table method, 30 cases in each group.The controlled group was treated with routine western medicine, while the observation group was treated with Shugan Hewei needle point method combined with Chinese herb medicine acupoint application on basis of the controlled group.The changes in scores of TCM syndromes in both groups before and after treatment were statistically analyzed.The disappearance time of gastric swelling pain and two threatenedtumescence was compared between the two groups.Changes in levels of motilin(MTL) and gastrin(GAS) before and after treatment in both groups were measured.The changes in levels of red blood cell count(RBC), mean corpuscular volume(MCV) and hemoglobin concentration(HGB) before and after treatment were compared between the two groups.The total incidence of adverse reactions in both groups was statistically analyzed.Results:After treatment, scores of TCM syndromes such as gastric swelling pain, two threatened tumescence, bademotion, blockageand discomfort, upset and irritability, and often sighing in the observation group were lower than those in the controlled group(P<0.05).After treatment, disappearance time of gastric swelling pain and two threatened tumescence in the observation group was shorter than that in the controlled group(P<0.05).After treatment, MTL level in the observation group was higher than that in the controlled group(P<0.05), while GAS level was lower than that in the controlled group(P<0.05).After treatment, levels of RBC, MCV and HGB in the observation group were higher than those in the controlled group(P<0.05).There was no significant difference in total incidence of adverse reactions between the observation group and the controlled group(6.67% vs 16.67%)(P>0.05).Conclusion:Shugan Hewei Needle Point Method combined with Chinese herb medicine acupoint applicationcan can effectively reduce TCM syndromes scores of FD patients, shorten disappearance time of clinical symptoms, promote recovery of gastrointestinal motility and patients, shorten disappearance time of clinical symptoms, promote recovery of gastrointestinal motility and correct anemia.