首页|"抑木扶土"针刺法结合TDP神灯照射治疗肝郁脾虚型功能性消化不良临床疗效分析

"抑木扶土"针刺法结合TDP神灯照射治疗肝郁脾虚型功能性消化不良临床疗效分析

扫码查看
目的 探讨"抑木扶土"针刺法结合 TDP神灯照射治疗肝郁脾虚型功能性消化不良(functional dyspepsia,FD)的临床疗效.方法 将 120 例符合纳入标准的肝郁脾虚型 FD患者按照随机数字表法分为观察组和对照组,每组各 60 例.观察组采用"抑木扶土"针刺法结合 TDP神灯照射,对照组给予多潘立酮片治疗,疗程为 4 周.分析治疗前后观察组和对照组 FD 中医证候积分、尼平消化不良生活质量指数(Nepean dyspepsia life quality index,NDLQI)评分、尼平消化不良症状指数(Nepean dyspepsia symptoms index,NDSI)评分的改善情况;并进行总体疗效评价及复发率统计.结果 疗程结束后,观察组临床疗效高于对照组(91.67%vs 75.00%,P<0.05);干预后,观察组和对照组各项中医证候积分及总积分均降低(P<0.05),观察组除食后腹胀外,其余症状积分及总积分均低于对照组(P<0.05);干预后,观察组和对照组 NDLQI 评分升高、NDSI 评分降低(P<0.05),其中观察组的评分明显优于对照组(P<0.05);随访 6 个月后,观察组的复发率低于对照组(10.00%vs 21.67%,P<0.05).结论 "抑木扶土"针刺法结合 TDP 神灯照射可改善肝郁脾虚型 FD 患者的消化不良症状指数和中医证候积分,提高患者的生活质量,并降低复发率.
Clinical Efficacy of"Yimu Futu"Acupuncture Combined with TDP Lamp Irradiation in the Treatment of Functional Dyspepsia with Liver Stagnation and Spleen Deficiency Type
Objective To explore the clinical efficacy of"Yimu Futu"acupuncture combined with TDP lamp irradiation in the treat-ment of functional dyspepsia(FD)with liver stagnation and spleen deficiency.Methods A total of 120 FD patients with liver stagnation and spleen deficiency who met the inclusion criteria were divided into observation group and control group according to the random number table method,60 cases in each group.The observation group was treated with"Yimu Futu"acupuncture combined with TDP lamp irradia-tion,and the control group was treated with domperidone tablets for 4 weeks.The improvement of FD traditional chinese medicine(TCM)syndrome score,Nepean dyspepsia life quality index(NDLQI)score and Nepean dyspepsia symptoms index(NDSI)score in the observa-tion group and the control group before and after treatment were analyzed.And the overall efficacy evaluation and recurrence rate statis-tics.Results After the treatment,the clinical efficacy of the observation group was higher than that of the control group(91.67%vs 75.00%,P<0.05).After intervention,the TCM syndromes score and total scores in the observation group and the control group were decreased(P<0.05).Except for abdominal distension after eating,the other symptoms scores and total scores in the observation group were lower than those in the control group(P<0.05).After intervention,the NDLQI score of the observation group and the control group were increased and the NDSI score were decreased(P<0.05),and the score of the observation group was significantly better than that of the control group(P<0.05).After 6months of follow-up,the recurrence rate of the observation group was lower than that of the control group(10.00%vs 21.67%,P<0.05).Conclusion"Yimu Futu"acupuncture combined with TDP lamp irradiation can improve the dyspepsia symptom index and TCM syndrome score of FD patients with liver stagnation and spleen deficiency,improve the quality of life of patients,and reduce the recurrence rate.

"Yimu Futu"acupuncture methodTDP lamp irradiationFunctional dyspepsiaLiver stagnation and spleen deficiency

范明明、张艮霜、常雨、刘永梅、张艺川、李显筑

展开 >

150000 哈尔滨,黑龙江省中医药科学院南岗院区老年病科

150000 哈尔滨,黑龙江省中医药科学院南岗院区内科

"抑木扶土"针刺法 TDP神灯照射 功能性消化不良 肝郁脾虚

黑龙江省自然科学基金黑龙江省博士后基金黑龙江省卫生健康委科研项目黑龙江省中医药科研项目

LH2023G079040102-43820222121010688ZHY2022-084

2024

医学研究杂志
中国医学科学院

医学研究杂志

CSTPCD
影响因子:0.702
ISSN:1673-548X
年,卷(期):2024.53(4)
  • 22