消胀汤与针灸联合西药治疗脾胃气虚型功能性消化不良随机平行对照研究

Xiaozhang Decoction and Acupuncture Combined with Western Medicine in Treating Spleen and Stomach Qi Deficiency Type of Functional Dyspepsia Randomized Parallel Controlled Study

[目的]观察消胀汤与针灸联合西药治疗脾胃气虚型功能性消化不良疗效。[方法]使用随机平行对照方法,将70例门诊患者按就诊顺序编号法分为两组。不予食辛辣、冷硬、肥腻事物,禁止食酒、烟、咖啡和非甾体类药物。对照组35例西医常规治疗,口服吗丁啉片,10mg/次,3次/d;维生素B110mg/次,3次/d。治疗组35例消胀汤(党参、枳实、茯苓、麦芽、白术各15g,半夏、厚朴、槟榔各12g,黄连、广木香各6g,灸甘草9g,干姜5g)。水煎150mL,1剂/d,口服。温针灸:足三里、中脘及气海等穴位,配以阴陵泉、公孙及内关穴位,30min/次,1次/d。气虚较严重给予轻推、顺推,慢且轻柔,40min/次,1次/d。西药治疗同对照组。两组均连续治疗28d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效20例,有效13例,无效2例,总有效率94.29%。对照组显效11例,有效14例,无效10例,总有效率71.43%。治疗组疗效优于对照组(P<0.05)。[结论]消胀汤与针灸联合西药治疗脾胃气虚型功能性消化不良效果显著,值得推广。

[Objective]To observe the Xiaozhang Decoction and acupuncture combined with western medicine in treating spleen and stomach qi deficiency type of functional dyspepsia curative effect.[Methods]Using randomized controlled methods,70 patients were numbered according to the order of treatment were divided into two groups. Not eat spicy,greasy things,chill,food,tobacco,wine from coffee and non steroidal drugs. Routine treatment group 35 cases in western medicine,oral Domperidone Tablets,3 times 10mg/,/d. Vitamin B110mg/,3 times /d. The treatment group of 35 cases of Xiaozhang Decoction(Dansheng,Jishi,Fuling,Maiya,Baishu each 15g,Banxia,Houbu,Binglang each 12g,Huanglian,Guangxiangmu each 6g,Zhigancao9g,Ganjiang 5g). Water simmer in water 1 150mL,agent /d,oral. Acupuncture and Moxibustion:Zusanli,Zhongwan,Qihai point,with Yin Ling Quan,Gongsun and Neiguan point,30min/,1 /d. Qi deficiency is more serious,to jog,forward,slowly and softly,40min/ times,1 times /d. Western medicine treatment with the control group. The two groups were continuous treatment with 28d for 1 courses. Observation of clinical curative effect,adverse reaction. 1 courses of treatment,the curative effect. 20 cases of group therapy[Results],13 cases were effective,2 cases ineffective,the total efficiency of 94.29%. The control group was 11cases,effective 14 cases,invalid 10 cases,the total efficiency of 71.43%. The treatment group was better than control group(P< 0.05). To observe the process of two groups were no serious adverse events.[Conclusion]Xiaozhang Decoction and acupuncture combined with western medicine treatment of spleen stomach qi deficiency type of functional dyspepsia effect,worthy of promotion.