摘要
目的:观察肝病红外治疗仪联合针灸对肝郁脾虚型肝硬化代偿期患者的临床疗效。方法:选取2014年12月至2016年12月在上海市公共卫生临床中心的中医科住院患者及门诊治疗的肝郁脾虚型肝硬化患者患者87例,随机分为肝病红外治疗仪组40例和肝病红外治疗仪联合针灸组47例。肝病红外观察组在常规治疗基础上采用肝病红外治疗仪进行治疗30 min/d;肝病红外治疗仪联合针灸组在常规治疗基础上予肝病红外治疗仪联合针灸治疗。30个工作日为1个疗程。观察并比较2组Fibro Scan、中医临床症状评分。结果:治疗后2组中医临床症状评分:胁痛、腹部胀满评分及Fibro Scan均较治疗前有所改善(均P<0.05),组间比较,肝病红外治疗仪联合针灸组对失眠、腹部胀满、恶心厌食、腹泻、乏力倦怠的疗效优于肝病红外治疗仪组(P<0.05)。在中医临床症状疗效比较中,肝病红外治疗仪联合针灸组总有效率为41.2%,肝病红外观察组总有效率为23.22%,总有效率有统计学意义。在临床疗效分级构成比方面,肝病红外治疗仪联合针灸组明显优于肝病红外观察组(P<0.05)。在患者临床指标比较中,2组患者治疗后Fibro Scan指标均有明显改善(P<0.05)。结论:肝病红外治疗仪联合针灸治疗能有效改善肝郁脾虚型肝硬化代偿期患者的中医临床症状及Fibro Scan指标。
Objective： To investigate the therapeutic effects of the infrared therapeutic apparatus with acupuncture in the treatment of patients with cirrhosis at compensatory phase （liver-qi-stagnation and spleen-deficiency pattern）.Methods： Patients were selected from inpatients and outpatients in traditional Chinese Medicine Department of Shanghai Public Health Clinical Center from December 2014 to December 2016. A total number of 87 patients with cirrhosis were randomly divided into the liver infrared therapeutic apparatus group （LAG） and liver infrared therapeutic apparatus combined with acupuncture group （LAAG）.Patients in the LAG were treated with infrared therapeutic apparatus for 30 minutes on the basis of conventional treatment, while patients in the LAAG were additionally treated with infrared therapeutic apparatus and acupuncture.Both groups were treated for 30 days as a course.FibroScan and TCM symptoms scores of the two groups were observed and compared.Results： FibroScan and hypochondriac pain, abdominal distension in both groups have been improved compared with those of before the treatment （P〈0.05）.The effect of the LAAG on hypochondriac pain, anorexia, nausea, abdominal fullness, insomnia was better than those of the LAG（P〈0.05）, In comparison of curative effect of TCM symptoms scores, the total effect rate of the LAAG was 41.2%, while that of the LAG was 23.22%, which showed statistically significant differences between the two groups.The LAAG was superior to the LAG in clinical curative effect （P〈0.05）.The FibroScan in the LAAG and LAG were both significantly decreased after the treatment （P〈0.05）.Conclusion： For patients with cirrhosis at compensatory phase of liver qi stagnation and spleen deficiency pattern, infrared therapeutic apparatus on hepatopathy combined with acupuncture may relive related clinical TCM symptoms and improve FibroScan indicators.
出处
《世界中医药》
CAS
2017年第5期1138-1140,1143,共4页
World Chinese Medicine
基金
国家中医药管理局中医药重点学科(传染病)建设项目
上海市市级医院适宜技术项目(编号:SHDC12014235)--软坚化瘀方联合解毒消痞散治疗瘀血阻络型肝硬化临床研究
关键词
肝病红外治疗仪
肝郁脾虚型肝硬化代偿期
针灸
Infrared therapeutic apparatus on hepatopathy
Cirrhosis at compensatory phase of liver qi stagnation and spleen deficiency pattern
Acupuncture
