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药穴指针疗法治疗胃食管反流病的疗效观察
引用本文:谢胜,梁健,颜春艳,蒋应玲,朱初良,梁宜深,宁庆云,张志杰,杨文革.药穴指针疗法治疗胃食管反流病的疗效观察[J].中国中西医结合杂志,2007,27(4):355-358.
作者姓名:谢胜  梁健  颜春艳  蒋应玲  朱初良  梁宜深  宁庆云  张志杰  杨文革
作者单位:1. 广西柳州市中医院消化内科,广西,545001
2. 广西中医学院
摘    要:目的观察药穴指针疗法对胃食管反流病(gastroesophageal reflux disease,GERD)的临床疗效,探讨药穴指针疗法治疗GERD之可能机理。方法80例GERD患者随机分为两组,治疗组予药穴指针疗法:即治疗操作寿每次以适量棉花缠指后,沾少许药液涂敷患者双侧足太阳膀胱经肝俞、胆俞、胃俞及脾俞穴位上,先后按揉法、扪法及捏法进行操作;每次操作15min,每日2次,上下午各1次。连续治疗3周为1个疗程。对照组予抑酸及促胃动力治疗,分别予奥美拉唑肠溶片(20mg,早晚间隔12h各服1次),西沙比利片(10mg,每天3次,饭前15min)疗程均为3周。结果治疗后两组症状积分均较入选时有明显下降(P〈0.05),两组之间差异无显著性;食管压力有明显改善(P〈0.05),两组之间差异无显著性;24h食管pH〈4反流总时间百分率有明显下降(P〈0.05),酸反流大于5min次数及最长反流时间也有下降(P〈0.05),两组之间差异有显著性(P〈0.05);上消化道镜提示,食管炎有明显改善(P〈0.05),但两组间差异无显著性;总体疗效显示,治疗组有效率97.5%,对照组有效率80.0%,组间比效差异有显著性(P〈0.05),治疗组未见明显不良反应。结论药穴指针疗法中医特色显著,疗效突出,无明显的不良反应,易为患者所接受。为胃食管反流病治疗提供了一种新的选择,值得推广应用。

关 键 词:药穴指针疗法  胃食管反流病  疗效
收稿时间:2006-06-26
修稿时间:2006-08-20

Therapeutic Effects of Acupoint Drug-Finger Pressing on Gastroesophageal Reflux
Authors:XIE Sheng  LIANG Jian  YAN Chun-yan
Abstract:Objective To observe the clinical effects and possible mechanism of acupoint drug-finger pressing (ADFP) on gastroesophageal reflux (GER). Methods Eighty patients were randomly assigned to the treatment group and the control group, 40 in each group. The treatment group was treated by ADFP on Ganshu (BL18), Danshu (BL19), Weishu (BL21) and Pishu (BL20) acupoint of bilateral Foot-taiyang Bladder Meridians with pressing and kneading maneuver for 15 min each time, twice per day, while the control group was treated with acid-inhibitory and gastrokinetic drugs as omeprazole enteric-coated tablets (20 mg, once administration at a 12-h interval) and cisapride tablets (10 mg, thrice daily, taken 15 min before meals). The treatment course for both was 3 weeks. Results The symptom score and esophageal pressure obviously decreased (P<0.05), esophageal pressure was relieved remarkably (P<0.05) in both groups after treatment with insignificant difference between the groups (P>0.05). The ratio of 24-h esophageal reflux times and total reflux time, the times of reflux lasting for more than 5 min and the maximum reflux time were all lowered obviously in all patients after treatment, and the improvements was significantly different between the two groups (P<0.05). Upper gastrointestinal endoscopy suggested obvious amelioration in esophagitis. The total effective rate was 97.5% in the treatment group, significantly higher than that in the control group (80.0%) (P<0.05). And no obvious adverse reaction was found. Conclusion Therapy of ADFP provides a new approach for GER treatment with TCM characteristics, prominent effects and less adverse reaction, and is easily be accepted by patients, so, it is worthy to be generalized.
Keywords:therapy with acupoint drug-finger pressing  gastroesophageal reflux  therapeutic effects
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