埋线联合耳穴贴压治疗肝郁脾虚型功能性消化不良临床研究

Clinical study of catgut embedding plus auricular point sticking for functional dyspepsia due to liver stagnation with spleen deficiency

目的 观察埋线联合耳穴贴压治疗肝郁脾虚型功能性消化不良(functional dyspepsia, FD)的临床疗效。方法 将60例肝郁脾虚型FD患者随机分为埋线组和假埋线组,每组30例。埋线组在耳穴贴压基础上给予埋线治疗,假埋线组在耳穴贴压基础上给予假埋线干预。观察两组治疗前后症状评分、初始饱感阈值和最大饱足感阈值变化。结果 两组治疗后症状积分、初始饱感阈值和最大饱足感阈值较治疗前改善(P<0.01);两组治疗前后症状积分差值、初始饱感阈值差值和最大饱足感阈值差值比较差异有统计学意义(P<0.01)。结论 埋线联合耳穴贴压和假埋线联合耳穴贴压均能改善肝郁脾虚型FD患者症状、近端胃敏感性、容受功能,埋线联合耳穴贴压疗效更佳,其作用机制可能与改善近端胃敏感性和容受功能有关。

Objective To observe the clinical efficacy of catgut embedding plus auricular point sticking in treating functional dyspepsia(FD)due to liver stagnation with spleen deficiency.Method Sixty patients with FD due to liver stagnation with spleen deficiency were randomized into a catgut embedding group and a sham catgut embedding group,with 30 cases in each group.The catgut embedding group received catgut embedding in addition to auricular point sticking,and the sham catgut embedding group received sham catgut embedding combined with auricular point sticking.For both groups,the symptom score,initial satiation threshold,and maximum satiation threshold before and after the treatment were observed.Result The symptom score,initial satiation threshold,and maximum satiation threshold improved after the treatment in both groups(P<0.01);the between-group differences in the post-treatment changes in the symptom score,initial satiation threshold,and maximum satiation threshold were statistically significant(P<0.01).Conclusion Either catgut embedding plus auricular point sticking or sham catgut embedding plus auricular point sticking can improve the symptoms,proximal gastric sensitivity,and gastric accommodation in patients with FD due to liver stagnation with spleen deficiency,while catgut embedding plus auricular point sticking produces more significant efficacy.The mechanism may be related to improving the proximal gastric sensitivity and accommodation.