針刺辨證治療功能性消化不良臨床療效觀察

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1、針刺辨證治療功能性消化不良臨床療效觀察劉巧媚'周利2胡曄I張紅星2(1.湖北中醫(yī)藥人學，湖北武漢430061;2.湖北省武漢市中西醫(yī)結(jié)合醫(yī)院，湖北武漢430022)【摘要】目的：觀察針刺辨證治療功能性消化不良的臨床療效。方法：應用隨機數(shù)字表將84例研究對象分為治療組43例、對照組41例。治療組根據(jù)患者辨證分型的不同，分別施以相應的針刺方案治療；對照組則不辨證統(tǒng)一采用一種針刺方案治療。觀察患者治療前后癥狀積分及療效指數(shù),SF-36評分,NDI指數(shù)以及血漿胃動素的變化。結(jié)果：治療組總有效率93.02%,對照組總有效率78.05%,經(jīng)卡方檢驗，組I'可差界有統(tǒng)計學意義(P<0

2、.05)。治療完成和1月后隨訪時，兩組相對治療前NDSI顯著降低，XDLQI,SF-36均顯著增加(均P<0.05);且同期比較治療組NDSI明顯低于對照組,NDLQI,SF-36明顯高于對照組(均P<0.05)。結(jié)論：對功能性消化不良患者進行辨證針刺和不辨證針刺都是有效的治療手段，但是辨證針刺組的總有效率及近遠期的療效均明顯優(yōu)于普通針刺組?！娟P(guān)鍵詞】功能性消化不良；針刺；辨證ClinicalobservationoftreatmentbasedonsyndromedifferentiationacupunctureonfunctionaldyspepsiaLTUQi

3、ao-mei1,ZHOULi2,HUYe,ZHANGHong-xing(1.HubeiUniversityoftraditionalChineseMedicineCollegeofacupunctureandboneinjury,WuhanHubei430061;2.WuhanCity,HubeiprovincewithcombinationofTCMandWesternmedicinehospital,Wuhan,Hubei430022)ABSTRACT:ObjectiveToobservetheclinicaleffectofacupunctureofsyndrom

4、edifferenti-ationintreatingfunctionaldyspepsia.MethodUsingrandomnumbertablesof84casesofresearchintotreatmentof43patients,andcontrolgroupsin41cases.Accordingtosyndromedifferentiationtypinginpatientswithdifferenttreatmentgroups,respectively,toimposetheappropriateacupunctureinthetreatmcnto

5、f;controlgroupisnotunifiedsyndromedifferentiationacupuncturetreatment.Integralobservationbeforeandaftertreatmentinpatientswithsymptomsandtherapeuticindex,SF-36ratings,NOTindexandchangesofplasmamotilin.ResultsTotaleffectiverate93.02%treatmentgroup,controlgrouptotaleffectiverate7&05%,Chis

6、quaretest,therewasastatisticallysignificantdiffereneebetweengroups(P<0?05)?Follow-upaftercontrolgroupandearliertreatmentgroup,NDLQ1,SF-36,significantlyhigherthanthecontrolgroup(P<0?05)?ConclusionOnpatientswithfunctionaldyspepsiawithacupunctureofsyndromedifferentiationandwithoutdifferenti

7、ationacupunctureisaneffectivetreatment,butbasedonsyndromedifferentiationacupunctureGroup'stotalefficiencyandshortandlongtermeffectsaremuchbetterthantheordinarygroupofacupuncture.KEYWORDS:functionaldyspepsia;acupuncture;basedonsyndromedifferentiation功能性消化不良(FD)是一組不能用生理病