摘要
目的:观察针药结合"三位一体化"治疗残胃引起反流性食管炎的临床疗效。方法:选择2013年5月—2014年3月收治的82例反流性食管炎患者,随机分为治疗组40例和对照组42例。对照组患者仅采用针刺和降逆中药治疗,治疗组在对照组的基础上采取"三位一体化"辨证理论进行治疗。比较两组患者的临床疗效,观察两组患者治疗前后症状积分、胃泌素和胃动素的变化情况。结果:治疗组有效率为95.0%,对照组有效率为73.8%,两组患者临床疗效比较,差异具有统计学意义(P<0.05)。两组患者治疗后症状积分均较治疗前显著减低,且治疗组低于对照组,差异均有统计学意义(P<0.05)。两组患者治疗后胃泌素与胃动素水平均较治疗前显著升高,且治疗组高于对照组,差异具有统计学意义(P<0.05)。结论:针药结合"三位一体化"治疗残胃引起反流性食管炎患者,能够显著提高临床疗效,显著降低食管反流症状、上消化道动力症状以及舌脉表现等积分,且显著提高胃泌素与胃动素的水平,进而防止食物反流。
Objective ：To observe the clinical curative effect of combination of acupuncture and medicine ＂three integration＂ on re- flux esophagitis due to gastric stump. Methods：Eighty-two patients with reflux esophagitis who were treated between May 2013 and March 2014 were randomly divided into the treatment group and the control group, with 40 and 42 cases respectively in each group. The patients in the control group were treated only with acupuncture and traditional Chinese medicine for lowering adverse qi, while the ones in the treatment group was added ＂three integration＂ syndrome differentiation on the basis of the control group. Then the clinical effieacies of the two groups were compared. Their changes of symptom scores, gastrin and motilin before and ＇after treatment were observed. Results：The effective rate of the treatment group was 95% ,while that of the control group was 73.8% , and the difference in the clinical efficacy of the two groups was statistically significant （P 〈 0. 05 ）. The symptom scores of the two groups after treatment were significantly lower than those before treatment, and the treatment group was lower than the control group, the difference was statistically significant （ P 〈 0.05 ）. The levels of gastrin and motilin in the two groups were significantly higher than those before treatment ,and the treatment group was higher than the control group, the difference was statistically sig- nificant （P 〈 0.05 ）. Conclusion：Combination of acupuncture and medicine ＂three integration＂ has a remarkable clinical curative effect on reflux esophagitis due to gastric stump, can significantly reduce the symptoms of esophageal reflux, upper gastrointestinal symptoms, as well as the performance of tongue pulse, and significantly improve the levels of gastrin and motilin, thereby preven- ting food reflux.
出处
《河南中医》
2017年第6期1036-1038,共3页
Henan Traditional Chinese Medicine
基金
河北省中医药管理局科研计划项目(编号:2014037)
关键词
反流性食管炎
残胃
针药结合
“三位一体化”
胃泌素
胃动素
reflux esophagitis （RE）
gastric stump
combination of acupuncture and medicine
＂ three integration＂
gastrin
moti- lin
