| 针刺督脉背段T3～T12棘突下治疗难治性胃食管反流病的临床观察 |
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| 引用本文： | 黄雪,白兴华,刘镇文,高璐佼,张陪,李昕. 针刺督脉背段T3～T12棘突下治疗难治性胃食管反流病的临床观察[J]. 上海中医药杂志, 2019, 53(2): 64-67 |
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| 作者姓名： | 黄雪 白兴华 刘镇文 高璐佼 张陪 李昕 |
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| 作者单位： | 北京中医药大学针灸推拿学院 |
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| 基金项目： | 北京中医药大学在读研究生项目(2018-JYBZZ-XS112) |
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| 摘 要： | 目的观察针刺督脉背段T_3～T_(12)棘突下治疗难治性胃食管反流病患者的临床疗效。方法将60例难治性胃食管反流病患者随机分为针刺组和西药组,每组30例。西药组予埃索美拉唑镁肠溶片口服,针刺组予针刺督脉背段T_3～T_(12)棘突下治疗。两组均治疗8周,观察临床疗效,比较胃食管反流病问卷(RDQ)评分、胃食管反流病健康相关生存质量量表(GERDHRQL)评分及T_3～T_(12)棘突下压痛阈值的变化情况。结果 (1)针刺组、西药组愈显率分别为60.0%、26.7%;两组临床疗效比较,针刺组优于西药组(P0.05)。(2)治疗前后组内比较,两组RDQ、GERD-HRQL评分均较治疗前减少(P0.05);组间治疗后比较,针刺组RDQ、GERD-HRQL评分均低于西药组(P0.05)。(3)治疗前后组内比较,针刺组治疗后T_3～T_(12)各棘突下压痛阈值均较治疗前升高(P0.05),西药组T_3～T_(12)各棘突下压痛阈值均较治疗前降低(P0.05);组间治疗后比较,针刺组T_3～T_(12)各棘突下压痛阈值均高于西药组(P0.05)。结论针刺督脉背段T_3～T_(12)棘突下治疗难治性胃食管反流病疗效满意,较埃索美拉唑镁肠溶片能更好地改善患者的临床症状,提高生活质量。
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| 关 键 词： | 难治性胃食管反流病 针刺 督脉背段 棘突下 压痛 临床研究 |
| 收稿时间： | 2018-10-31 |
Clinical observation on acupuncture treatment of refractory gastroesophageal reflux disease by needling dorsal segment of Governor Vessel below spinous processes from T3 to T12 |
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| HUANG Xue,BAI Xinghu,LIU Zhenwen,GAO Lujiao,ZHANG Pei and LI Xin. Clinical observation on acupuncture treatment of refractory gastroesophageal reflux disease by needling dorsal segment of Governor Vessel below spinous processes from T3 to T12[J]. Shanghai Journal of Traditional Chinese Medicine, 2019, 53(2): 64-67 |
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| Authors: | HUANG Xue BAI Xinghu LIU Zhenwen GAO Lujiao ZHANG Pei LI Xin |
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| Affiliation: | School of Acupuncture-moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China,School of Acupuncture-moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China,School of Acupuncture-moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China,School of Acupuncture-moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China,School of Acupuncture-moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China and School of Acupuncture-moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China |
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| Abstract: | |
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| Keywords: | refractory gastroesophageal reflux disease acupuncture dorsal segment of Governor Vessel below the spinous processes tenderness clinical study |
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