针刺督脉背段治疗胃食管反流病的临床研究

目的:观察针刺督脉背部T3-T9段棘突下治疗胃食管反流病(GERD)的临床疗效。方法:60例GERD患者按就诊顺序随机分为针刺组和西药组,各30例。针刺组针刺督脉背段T3-T9段棘突下(含穴位及非穴位),隔日1次,每周3次,共治疗8周。西药组予奥美拉唑肠溶胶囊口服,每次20mg,每日2次,共治疗8周。两组治疗前后进行反流性疾病诊断问卷评分(RDQ)和GERD症状程度评分并评价疗效。结果:两组治疗后RDQ和GERD症状程度评分较治疗前均改善(P0.05),针刺组治疗后RDQ和GERD症状程度评分均显著低于西药组(P0.05),针刺组RDQ愈显率为70.0%(21/30),GERD症状程度评分总有效率为93.3%(28/30),西药组分别为43.3%(13/30)和66.7%(20/30),针刺组均优于西药组(P0.05)。结论:针刺督脉背段T3-T9段棘突下治疗GERD安全有效。

Clinical Trial of Acupuncture Treatment of Gastro-esophageal Reflex Disease by Needling Dorsal Segment of the Governor Vessel

Objective To observe the curative effect of needling stimulation of the dorsal segment(7spots below the spinous processes from T3 to T9)of the Governor Vessel for gastro-esophageal reflux disease(GERD).Methods A total of 60 cases of GERD patients were randomly divided into acupuncture group and medication group(n=30in each group).For patients of the acupuncture group,the depression spots below the spinous processes from T3 to T9,including both acupoints [Shenzhu(GV 12),Shendao(GV 11),Lingtai(GV 10),Zhiyang(GV 9),Jinsuo(GV 8)]and non-acupoints(T4,T8)were punctured with filiform needles,once every other day for 8weeks.Patients of the medication group were asked to take Omeprazole capsules(20mg/time)twice a day for 8weeks.The curative effects were assessed by"Reflux Disease Questionnaire"score(RDQ score of heartburn,retrosternal pain,acid regurgitation and food regurgitation,0-40points),the"Guidelines for Clinical Research on Chinese New Herbal Drugs"(GRED symptom scale scores about the 38 symptoms of the digestive system,respiratory system,five-sense organs,cardiovascular system,back-pain,sleep,headache,daily life activity,etc.0-114 points,0-3scales),and "the Consensus about Diagnosis and Treatment of GERD of Traditional Chinese Medicine",respectively.Results Following the treatment,both RDQ score and GERD symptom scale score were significantly decreased in patients of the acupuncture and medication groups(P<0.05),and the effect of acupuncture was markedly superior to that of the medication in lowering RDQ and GERD scale scores(P<0.05).The cured plus markedly effective rate for RDQ score and the effective rate for GERD scale score were 70.0%(21/30)and 93.3%(28/30)respectively in the acupuncture group,being significantly higher than those [43.3%(13/30)and 66.7%(20/30)]in the medication group(P<0.05).Conclusion Acupuncture stimulation of the dorsal segment of the Governor Vessel is effective in improving clinical symptoms GERD patients.