针刺治疗难治性胃食管反流病30例

胃食管反流病（GERD）是指胃内容物反流人食管引起不适症状或食管黏膜损伤的疾病，主要表现为烧心、泛酸、胸骨后疼痛等反流相关症状。抑酸治疗是针对本病的首选治疗方法。临床上应用质子泵抑制剂（PPI）治疗一段时间效果较差的病例，称为难治性GERD。此型多见于非糜烂性反流病（NERD），常伴焦虑、抑郁等异常心理，往往增加患者就诊率，影响生活质量。笔者近年来应用针刺治疗难治性NERD患者30例，现报道如下。

Preliminary optimization of acupuncture regimen at Nèiguān(PC 6) for gastroesophageal reflux disease

Objective:To optimize preliminarily acupuncture regimen for gastroesophageal reflux disease(GERD).Methods:A total of 80 patients of GERD were taken as the subjects in observation.The reflux disease questionnaire(RDQ)was adopted to assess the relevant indicators.The orthogonal design method was used to observe the effects on GERD in acupuncture regimen with difference combinations among 5 factors and 2 levels at Nèiguān(内关 PC 6),including reinforcing-reducing technique by rotating needle(A),time of rotating needle(B),supplementary acupoint(C),time of needle retention(D)and treatment interval(E).The primary and secondary functions among 5 factors(variance analysis),advantages and disadvantages between 2 levels(multiplicity comparison)and superiority combination of 5 factors and 2 levels were determined preliminarily.Results:The reinforcing-reducing technique by rotating needle and the supplementary acupoint are the primary factors of therapeutic effects.The time of rotating needle,treatment interval and time of needle retention were the secondary factors.Conclusion:In the observation of five factors and two levels,the optimal regimen of acupuncture for GERD includes reducing technique by rotating needle at PC 6,the time of rotating needle for 60 s,Zúsānlǐ(足三里 ST 36)and Tàichōng(太冲 LR 3)as the supplementary acupoints,needle retention for 30 min and treatment interval of 24 h.

加味五倍子散敷脐对肿瘤化疗后多汗症不同证型的疗效分析(英文)

目的:观察加味五倍子散敷贴脐部治疗肿瘤化疗后多汗症不同证型的临床疗效。方法:将160例肿瘤化疗后多汗症患者随机分为治疗组80例,对照组80例。对照组予安慰剂贴敷,治疗组予中药贴敷,每天换药一次,7次为一疗程。结果:治疗组痊愈48例,好转25例,无效7例,其中肺卫不固证痊愈19例,好转10例,无效1例;气阴两虚证痊愈27例,好转9例,无效2例;阴虚火旺证痊愈3例,好转5例,无效4例。经统计学比较,治疗组整体疗效优于对照组均(P<0.05),其中肺卫不固证、气阴两虚证两个分型疗效优于对照组(均P<0.05),而阴虚火旺证疗效与对照组无明显差异(P>0.05)。结论:加味五倍子散敷脐可有效改善肺卫不固型和气阴两虚型肿瘤化疗患者的多汗症状,但对于辨证为阴虚火旺型的患者,疗效不佳。