低频脉冲加耳穴贴磁治疗功能性消化不良及其对胃电的影响

目的:观察低频脉冲加耳穴磁疗及普瑞博思对功能性消化不良(FD)患者的疗效差异。方法:50例FD患者随机分为两组,治疗组采用低频脉冲刺激中脘、胃俞、内关、足三里,并辨证选丰隆、三阴交,配合耳穴磁疗,每次治疗30分钟,每天1次;对照组每日口服普瑞博思。两组均5天为一疗程。观察治疗前后症状评分和胃电图参数变化及临床疗效。结果:两组患者治疗后临床症状积分均较治疗前明显降低(P<0.01),两组患者单项症状积分差值比较差异具有显著性意义(P<0.05)。治疗后两组患者胃电参数改善,与治疗前比较差异均有显著性意义(P<0.05);但两组间差异无显著性意义。治疗组临床疗效总有效率为93.3%,明显优于对照组的75.0%(P<0.05)。结论:低频脉冲加耳穴磁疗可明显改善FD患者的胃电活动及临床症状,其疗效优于普瑞博思。

Study on effects of low frequency pulse plus auricular point magnetic therapy on electrogastrogram and clinical therapeutic effect in the patient of functional dyspepsia

Objective To compare therapeutic effects of low frequency pulse plus auricular point magnetic therapy and prepulsid on functional dyspepsia(FD).Methods Fifty cases of FD were randomly divided into a treatment group and a control group.The treatment group were treated with low frequency pulse stimulation on Zhongwan(CV 12),Weishu(BL 21),Neiguan(PC 6),Zusanli(ST 36),with Fenglong(ST 40)and Sanyinjiao(SP 6)selected according to syndrome differentiation,once a day,30 min each session.The control group were treated with oral administration of prepulsid.Five days constituted one course.The scores of symptoms and parameters of electrogastrogram(EGG)before and after treatment and the therapeutic effect were investigated.Results After treatment,the symptom scores significantly decreased(P<0.01),with a significant difference in the decrease of symptom scores between the two groups(P<0.05);and EGG parameters were improved(P<0.05).The total effective rate of 93.3% in the treatment group was better than 75.0% in the control group with a significant difference between the two groups(P<0.05).Conclusion Low frequency pulse plus auricular point magnetic therapy can significantly improve the clinical symptoms and gastric activities in the patient of FD,with a better therapeutic effect than prepulsid.