辨证针刺治疗功能性消化不良的临床研究

目的：观察辨证针刺治疗功能性消化不良（FD）患者的临床疗效。方法：将64例FD患者随机分为辨证针刺组32例和普通针刺组32例，分别于治疗前、治疗后测定患者的胃泌素、胃动素水平，并由受试者填写尼平消化不良指数（NDI，包括症状指数NDSI和生活质量指数NDLQI），两组均每日针刺一次，每次30min，以6天为一疗程，共治疗两个疗程，一个月后回访患者NDI水平。结果：治疗后两组患者的血浆胃泌素、胃动素水平均较前明显升高（P〈0．05），NDSI较前下降（P〈0．01），NDLQI较前升高（P〈0．01）；治疗后一个月，NDSI与NDLQI与治疗前比较均具有显著差异（P〈0．01）；辨证针刺组与普通针刺组比较，同期差异具有统计学意义（P〈0．05）。结论：针刺辨证治疗与普通针刺治疗FD均为有效的治疗方法，但辨证针刺具有更好的近期及远期疗效。

Clinical Observation of Acupuncture Treatment by S yndrome Differentiation on Functional Dyspepsia

Objective：To observe the therapeutic effects of acupuncture by syndrome differentiation on the pa- tients with functional dyspepsia（FD）. Methods ：64 patients with FD were randomly divided into two groups,32 patients in Syndrome differentiation acupuncture group and other 32 patients in the ordinary acupuncture group. Immediately before and after the treatment, plasma gastrin and motilin level were to be determined and all pa- tients were requested to fill in Nepean Dyspepsia Index （NDI, including Nepean Dyspepsia Symptom Index namely NDSI and Nepean Dyspepsia Life Quality Index namely NDLQI）. Both of two groups were treated once a day,30 minutes each time,6 times as one treatment cycle, two treatment cycles in all, the level of NDI in pa- tients with follow - up one month after the treatment. Results： After treatment, plasma gastrin and motilin levels increased significantly in each group （P 〈 0.05 ）, and NDLQI was also increased too significantly. While NDSI was decreased significantly（P 〈0.05 ）. One month after the treatment, NDSI and NDLQI compared with before treatment were significantly different （ P 〈 0.05 ）. Compared with the ordinary acupuncture group, the difference was statistically signifi acupuncture treatment efficacy. cant （ P 〈 0.05 ）. Conclusion ： The acupuncture on syndrome differentiation and ordinary were both effective to treat FD, but the former has a better short - term and long - term