摘要
[目的]观察旋覆代赭汤与针刺联合西药治疗反流性食管炎疗效。[方法]使用随机平行对照方法,将90例门诊患者按就诊顺序号方法简单随机分两组。对照组45例雷贝拉唑钠,10mg/次,2次/d,早餐和晚餐前口服;枸橼酸莫沙必利,5mg/次,3次/d,餐前口服。治疗组45例旋覆代赭汤(旋覆花30g,代赭石、姜半夏、党参、生姜、炙甘草各15g,大枣8枚),1剂/d,水煎100m L,早晚口服;针刺,双侧足三里、中脘、双侧内关、双侧太冲;根据穴位部位所在特点选择相应的针刺深度以及针刺角度,使用相应的进针手法,待刺入穴位后采用捻转、提插,平补平泻,得气后,留针30min,每隔10min行针一次,1次/d;西药治疗同对照组。连续治疗8周为1疗程。观测临床症状、胃镜、症状积分、不良反应。治疗1疗程,判定疗效。[结果]临床疗效、胃镜疗效治疗组优于对照组(P<0.05)。症状积分治疗组降低优于对照组(P<0.05)。[结论]旋覆代赭汤与针刺联合西药治疗反流性食管炎,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of XFDZT and Acupuncture with Western Medicine on Treating Reflux Esophagitis. [Methods] Using random parallel control method, 90 outpatients were randomly and equally diwided into two groups arranged by registration order. 45 cases of the control group was given Sodium Rabeprazole Enteric-coated Tablets （10 mg,Bid）, Oral before breakfast and dinner; Mosapride benefit （5 mg, tid）, Oral before the meal. 45 cases of the treatment group was given one dose XFDZT （Inula flowers 30g, Red ochre, ginger processed pinellia, dangshen, ginger, honey-fried licorice each 15 g, jujube 8 golds, one dose a day, boiling water 100 mL, oral In the morning and evening）. Acupuncture, Zusanli（double-sided）, point Zhongwan, Neiguan point （double-sided）, Taichong （double-sided）, choose the disposable sterile sterile needle, different needling depth andangle will be choosed on the basis of performance feature, using the corresponding into needle technique, mild reinforcing-attenuating by entwisting lifting-inserting after the Pierce point, while thearrival of Qi was achieved,retention of the needle in the body for 30 minutes, hand-manipulating of needle every 10 minutes, once a day;western medical therapy is identical as the control group. 8 weeks for a course of treatment. clinical symptoms, mucosal lesions under gastroscope, score of symptoms and untoward effect were observed and compared after the treatment cycles. After one course of treatment, measure the effect of the treatment, the clinical effects and the effects of electronic gastroscope of the treatment group were better than the control group （P 〈0.05）. The treatment group was lower than the control group in the score of symptoms （P〈0.05）. [Conclusion] XFDZT and Acupuncture with western medicine was markedly effective in the treatment of Reflux Esophagitis, there was no serious adverse reaction,it is worth to be widely used clinically.
出处
《实用中医内科杂志》
2016年第9期52-55,共4页
Journal of Practical Traditional Chinese Internal Medicine
关键词
反流性食管炎
旋覆代赭汤
针刺
雷贝拉唑钠
枸橼酸莫沙必利
胃镜
症状积分
中西医结合治疗
随机平行对照研究
reflux esophagitis
Xuanfu Daizhe Tang（旋覆代赭汤）
acupuncture
sodium rabeprazole enteric-coated tablets
mosapride benefit
gastroscope
clinical symptomatic score
combined treatment of traditional chinesemedicineand western medicine
random parallel control study
