首页|辨证针灸联合双歧杆菌三联活菌胶囊治疗脑梗死恢复期脾胃虚弱证功能性消化不良的疗效

辨证针灸联合双歧杆菌三联活菌胶囊治疗脑梗死恢复期脾胃虚弱证功能性消化不良的疗效

Therapeutic effect of syndrome differentiation acupuncture and moxibustion combined with bifidobacterium triple live bacteria capsule in the treatment of functional dyspepsia with spleen and stomach weakness during cerebral infarction convalescence

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目的 探讨辨证针灸联合双歧杆菌三联活菌胶囊治疗脑梗死恢复期脾胃虚弱证功能性消化不良临床疗效.方法 选择 2021年 1月至 2023年 1月邢台市中心医院诊治脑梗死恢复期脾胃虚弱证功能性消化不良患者 108 例,随机分为两组,对照组 54 例采用双歧杆菌三联活菌胶囊治疗,观察组 54 例则在对照组基础上加用辨证针灸治疗.比较两组治疗总有效率、随访复发率、治疗前后消化系统症状积分、胃电参数指标水平及胃肠激素指标水平.结果 观察组治疗总有效率显著高于对照组(P<0.05);观察组随访复发率显著低于对照组(P<0.05);两组治疗后 4 周及 8周消化系统症状积分较治疗前明显下降,胃电参数指标水平、胃泌素及胃动素水平较治疗前明显提高,观察组治疗后以上指标明显优于同期对照组(P<0.05);两组治疗过程中均未见明显不良反应.结论 辨证针灸联合双歧杆菌三联活菌胶囊治疗脑梗死恢复期脾胃虚弱证功能性消化不良可有效改善临床症状,降低复发风险,且安全性良好;其机制可能与辨证针灸有效纠正胃电紊乱及刺激胃肠激素分泌有关.
Objective To investigate the clinical effect of syndrome differentiation acupuncture and moxibustion combined with bifidobacterium triple live bacteria capsule in the treatment of functional dyspepsia with spleen and stomach weakness during cerebral infarction convalescence.Methods A total of 108 patients with functional dyspepsia with spleen and stomach weakness during the convalescent period of cerebral infarction in Xingtai Central Hospital from January 2021 to January 2023 were selected and randomly divided into two groups:control group(54 cases)were treated with bifidobacterium triple live capsule,and observation group(54 cases)were treated with dialectical acupuncture and moxibustion on the basis of control group.The total effective rate,follow-up recurrence rate,digestive symptom score,gastric electrical parameters and gastrointestinal hormone indexes before and after treatment of the two groups were compared.Results The total effective rate of observation group was significantly higher than that of control group(P<0.05).The recurrence rate of observation group was significantly lower than that of control group(P<0.05).The scores of digestive system symptoms after 4 weeks and 8 weeks of treatment of the two groups were significantly decreased compared with that before treatment,and the levels of gastroelectric parameters,gastrin and motilin were significantly increased compared with those before treatment(P<0.05).The above indexes after treatment of observation group were significantly better than those of control group(P<0.05).There were no serious adverse reactions were observed in both groups during treatment.Conclusion Syndrome differentiation acupuncture and moxibustion combined with bifidobacterium triple live bacteria capsule in the treatment of functional dyspepsia with spleen and stomach weakness during cerebral infarction convalescence can effectively improve clinical symptoms,reduce the risk of recurrence,and has good safety.The mechanism may be related to the effective correction of gastric electrical disorders and stimulation of gastrointestinal hormone secretion by syndrome differentiation acupuncture and moxibustion.

Syndrome differentiationAcupunctureBifidobacterium triple live bacteriaFunctional dyspepsiaCerebral infarction

窦丽辉、李鹏、窦静敏、王贵玲

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054000 河北省,邢台市中心医院康复医学科

辨证 针灸 双歧杆菌三联活菌 功能性消化不良 脑梗死

河北省邢台市重点研发计划自筹项目

2020ZC257

2024

中华消化病与影像杂志(电子版)
中华医学会

中华消化病与影像杂志(电子版)

CSTPCD
影响因子:0.641
ISSN:2095-2015
年,卷(期):2024.14(3)
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