针刺治疗功能性腹胀的临床研究

Clinical Study of Acupuncture in Treating Functional Abdominal Bloating

目的观察针刺治疗功能性腹胀的临床疗效。方法将100例功能性腹胀患者随机分为试验组和对照组,每组50例。试验组行普通针刺治疗,对照组采取微针浅刺非穴位治疗。观察两组患者治疗前后自觉腹胀程度评分变化,观察治疗前与治疗后各时间段每月平均单次腹胀持续时间变化,比较两组治疗后每月腹胀症状发生小于3次的人数和治疗期间主动要求补充药物人次,比较两组治疗后因腹胀不适复诊人次。结果两组治疗后自觉腹胀程度评分均较同组治疗前降低(P<0.05),且试验组治疗后自觉腹胀程度评分低于对照组(P<0.05)。治疗后1~3个月,两组患者腹胀不适症状每月发生少于3次的人数比较,差异有统计学意义(P<0.05)。治疗后1~5个月,两组患者每月平均单次腹胀持续时间比较,试验组短于对照组(P<0.05)。两组患者治疗期间主动要求补充药物人次比较,试验组少于对照组(P<0.05);两组治疗后1~3个月因腹胀不适复诊人次比较,试验组少于对照组(P<0.05)。结论针刺治疗功能性腹胀可减轻发作严重程度、减少发作次数并缩短单次发作持续时间,有助于减少药物使用。

Objective To observe the clinical efficacy of acupuncture in treating functional abdominal bloating.Method One hundred patients with functional abdominal bloating were randomized into a test group and a control group,with 50 cases in each group.The test group received the ordinary acupuncture treatment,and the control group received micro-needle shallow puncture intervention.Before and after the treatment,the subjective abdominal bloating degree score and average monthly abdominal bloating duration at different time points were observed.The number of patients with the monthly attack of abdominal bloating less than 3 times after treatment,the count of patients who voluntarily requested a supplement of medication during treatment,and the revisit count due to abdominal bloating after treatment were compared between the two groups.Result After treatment,the subjective abdominal bloating degree score declined in both groups(P<0.05)and was lower in the test group than in the control group(P<0.05).During 1-3 months after treatment,there was a significant difference in the number of patients having the monthly attack of abdominal bloating less than 3 times between the two groups(P<0.05).During 1-5 months after treatment,the average monthly abdominal bloating duration was shorter in the test group than in the control group(P<0.05).The count of patients voluntarily requesting a supplement of medication during treatment was smaller in the test group than in the control group(P<0.05).During 1-3 months after treatment,the revisit count due to abdominal bloating was smaller in the test group than in the control group(P<0.05).Conclusion In the treatment of functional abdominal bloating,acupuncture can reduce the attack severity and frequency,shorten the attack duration,and help cut back the use of medication.