摘要
目的比较针刺足阳明胃经特定穴与非特定穴对功能性消化不良(FD)患者情感障碍和生活质量影响的差异,探讨经穴效应差异性。方法 70例FD患者随机分为足阳明胃经特定穴组(A组)35例和足阳明胃经非特定穴组(B组)35例。A组针刺冲阳、丰隆、足三里、梁丘,B组针刺条口、阴市、伏兔、犊鼻,并均沿穴位所在经络近心端约2 mm位置设置辅助针刺点进行浅刺。各组针刺点及其旁开的辅助针刺点均接韩氏穴位神经刺激仪,均每日1次,9次为1个疗程,共治疗3个疗程。观察并比较两组患者治疗前后焦虑、抑郁等情感障碍和生活质量评分的变化。结果治疗3个疗程后,两组患者抑郁自评量表(SDS)和焦虑自评量表(SAS)评分较治疗前均有明显下降(P<0.05,P<0.01),且A组明显低于B组(P<0.05)。同时两组患者心理、躯体、物质和社会各项目评分较治疗前均有明显上升(P<0.05,P<0.01),且A组明显高于B组(P<0.05)。结论针刺足阳明胃经特定穴与非特定穴对FD患者情感障碍和生活质量均具有改善作用,但针刺足阳明胃经特定穴在减轻或缓解患者的抑郁、焦虑等负性情绪,提高患者的生活质量,改善其预后方面具有更好的疗效,证实了经穴特异性效应的存在。
Objective To compare the effect of acupuncture at specific acupoints of Stomach Meridian to that of non-specific points of the same meridian on emotional disorders and quality of life in patients with functional dyspepsia（FD）, and to explore the difference of acupoint action. Method Seventy FD patients were randomized into group A（group of specific acupoints of Stomach Meridian） of 35 cases and group B（group of non-specific acupoints of Stomach Meridian） of 35 cases. Group A was intervened by acupuncture at Chongyang（ST42）, Fenglong（ST40）, Zusanli（ST36） and Liangqiu（ST34）; group B was by acupuncture at Tiaokou（ST38）, Yinshi（ST33）, Futu（ST32） and Dubi（ST35）. For both groups, the assistant points（2 mm away from the punctured acupoints on the proximal side） were also punctured. Each acupoint and its assistant point were stimulated by Han＇s acupoint nerve stimulator. The treatment was given once daily, 9 sessions as a treatment course, and 3 courses were given in total. Emotional disorders such as anxiety and depression, and the quality of life were observed and compared. Result After 3 treatment courses, the Self-rating Depression Scale（SDS） and Self-rating Anxiety Scale（SAS） scores decreased significantly in both groups（P〈0.05,P〈0.01）, and the scores in group A were markedly lower than that in group B（P〈0.05）. Meanwhile, the psychological, somatic, material and social scores were elevated in both groups（P〈0.05,P〈0.01）, and the scores in group A were significantly higher than that in group B（P〈0.05）. Conclusion Acupuncture at the specific acupoints and non-specific acupoints of the Stomach Meridian both can improve the emotional disorders and the quality of life of FD patients; while acupuncture at the specific acupoints can produce a more significant effect in reducing or releasing the negative emotions such as depression and anxiety, and in enhancing the quality of life, which has proven the existence of the specificity of acupoints.
出处
《上海针灸杂志》
2015年第8期699-702,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
国家重点基础研究发展计划项目(2006CB504501)
国家自然科学基金项目(81173326)
湖南省医药卫生科研计划课题(C23013-062)
湖南省中医药科研计划项目(201482)
关键词
针刺
消化不良
胃经
特定穴
情感障碍
生活质量
Acupuncture
Dyspepsia
Stomach Meridian
Specific acupoints
Affective disorders
Quality of life
