摘要
目的探讨加减乌梅丸方联合穴位针刺对胃食管反流病(GERD)患者食管动力的影响。方法研究时间为2013年9月—2018年2月,采用平行对照与回顾性研究方法,选择在我院诊治的172例GERD患者作为研究对象,根据治疗方法的不同分为观察组100例与对照组72例,对照组给予加减乌梅丸方治疗,观察组在对照组治疗的基础上加用穴位针刺治疗,2组都治疗观察4周,记录食管动力变化情况。结果观察组与对照组治疗后GerdQ评分都显著低于治疗前(P<0.05),观察组评分也低于对照组(P<0.05);治疗后观察组的总有效率为99.0%(99/100),对照组为87.5%(63/72),观察组显著高于对照组(P<0.05);观察组治疗后的括约肌静息压、长度都显著高于治疗前(P<0.05),对照组无显著变化(P> 0.05),2组治疗前后的括约肌残余压变化对比无显著差异(P>0.05);观察组治疗后的蠕动持续时间显著高于治疗前(P<0.05),对照组无显著变化(P>0.05);蠕动波起始速度、前沿收缩速度在组内与组间对比都无显著差异(P>0.05)。结论加减乌梅丸方联合穴位针刺在GERD的应用能改善食管动力,提高体部蠕动功能,促进缓解临床症状,提高治疗效果,有很好的应用价值。
Objective To investigate the esophageal motility effects of Wumei Pill combined with acupuncture in the treatment of gastroesophageal reflux disease （GERD） patients. Methods from September 2013 to February 2018, 172 cases of GERD patients were selected in our hospital by parallel control and retrospective study, all the patients were divided into the 100 patients in the observation group and 72 patients in the control group accorded to the different treatment methods. The control group was treated with Wumei pill, and the observation group was treated by the Wumei Pill combined with acupuncture. The two groups were treated for 4 weeks, and the changes of esophageal motility were recorded Results The GerdQ scores of the observation group and the control group after treatment were significantly lower than those before treatment （P〈0.05）, and the score of the observation group after treatment were also lower than that of the control group （P〈0.05）. After treatment, the total effective rates of the observation group were 99%, and the control group were 87.5%, the observation group were significantly higher than the control group （P〈0.05）. The rest pressure of the sphincter after treatment in the observation group were significantly higher than that before treatment （P〈0.05）, and there were no significant change in the control group （P〉0.05）, there were no significant difference in the change of the residual pressure of the sphincter before and after treatment （P〉0.05）. The duration of peristalsis in the observation group after treatment were significantly higher than that before treatment （P〈0.05）, but there were no significant change in the control group （P〉0.05）, there was no significant difference in the initial velocity of the peristaltic wave and the contractile velocity of the foristaltic wave compared between the groups and the groups （P〉0.05）. Conclusion The application of Wumei Pill combined with acupuncture in the treatment of GERD can improve the mo
作者
王茜茜
李华岳
WANG Xixi;LI Huayue(Department of Internal Medicine,Chaoyang District Hospital of Traditional Chinese Medicine,Beijing 100020,China;Acupuncture Department,Beijing Hospital of Traditional Chinese Medicine,Beijing 100023,China)
出处
《中国中医药现代远程教育》
2018年第23期42-44,共3页
Chinese Medicine Modern Distance Education of China
基金
国家重点基础研究发展计划(973计划)项目【No.2014CB543203】
关键词
加减乌梅丸方
穴位针刺
胃食管反流病
食管动力
modified Wuinei pill
acupuncture
gastroesophageal reflux disease
esophageal motility
