隔药饼脐灸对功能性消化不良患者中医症状积分、胃电图参数及胃排空率的影响

Effect of herbal cake separated navel moxibustion on traditional Chinese medicine symptom score,electrogastrogram parameters,and gastric emptying rate in patients with functional dyspepsia

目的探讨隔药饼脐灸对功能性消化不良(FD)患者(脾胃虚寒证)中医症状积分、胃电图参数及胃排空率的影响。方法选取2021年8月至2023年5月于湖南中医药大学第一附属医院治疗的100例FD(脾胃虚寒证)患者,按照随机数字表法将其分为观察组(n=50)和对照组(n=50)两组。对照组给予常规西药治疗,观察组给予隔药饼脐灸治疗。对比两组中医症状积分、胃电图参数、胃排空率及胃肠激素水平。结果治疗4周后,观察组胃脘隐痛等中医症候积分较对照组低(P<0.05),观察组餐前、餐后胃电紊乱节律百分比较对照组高(P<0.05),胃电频率、正常慢波百分比较对照组低(P<0.05);观察组胃排空率、血清胃动素、5-羟色胺水平较对照组高(P<0.05),血清生长抑素水平较对照组低(P<0.05)。结论隔药饼脐灸治疗FD(脾胃虚寒证)的效果佳,可有效改善患者的临床症状,调节胃电图参数,同时还可提高排空率、改善胃肠激素水平。

Objective To explore the effects of herbal cake separated navel moxibustion on traditional Chinese medicine symptom scores,electrogastrogram parameters,and gastric emptying rate in patients with functional dyspepsia(FD)(spleen stomach deficiency cold syndrome).Methods A total of 100 patients with FD(spleen stomach deficiency cold syndrome)who were treated at the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from August 2021 to May 2023 were selected and randomly divided into an observation group(n=50)and a control group(n=50)using a random number table method.The control group was treated with conventional Western medicine,while the observation group was treated with herbal cake separated navel moxibustion.The traditional Chinese medicine symptom scores,electrogastrogram parameters,gastric emptying rate,and gastrointestinal hormone levels of the two groups were compared.Results After 4 weeks of treatment,the score of traditional Chinese medicine symptoms such as epigastric pain in the observation group was lower than that in the control group(P<0.05),and the percentage of gastric electrical disturbance rhythm before and after meals in the observation group was higher than that in the control group(P<0.05).The frequency of gastric electricity and the percentage of normal slow waves were lower than that in the control group(P<0.05).The gastric emptying rate,serum motilin,and 5-hydroxytryptamine levels in the observation group were higher than those in the control group(P<0.05).The serum level of somatostatin was lower than that of the control group(P<0.05).Conclusion The effect of herbal cake separated navel moxibustion on treating FD patients(spleen stomach deficiency cold syndrome)is good,which can effectively improve the clinical symptoms of patients,regulate the electrogastrogram parameters,also increase the emptying rate and improve gastrointestinal hormone levels.