消痞五穴针刺疗法对老年功能性消化不良患者的胃动力学功能和生活质量的影响

目的 从胃动力学和生活质量的角度分析消痞五穴针刺疗法治疗功能性消化不良(functional dyspepsia,FD)的应用价值。 方法 将103例FD患者采用随机数字表法分为2组，对照组口服枸橼酸莫沙必利分散片，观察组针刺脾俞、胃俞、建里、太乙、足三里。评价中医症候评分和临床疗效，并分别于治疗前后采用胃电图测定平均收缩波频率(MFC)和收缩波幅值(AC)，采用36条目健康调查简表(SF-36)以及反流和消化不良生活质量表(QoLRAD)评价患者生活质量。 结果 治疗前，2组的中医症候评分差异无统计学意义(P>0.05)；治疗后，2组主症、次症评分以及总分均有降低，且观察组低于对照组，差异有统计学意义(P<0.05)。观察组的临床有效率明显高于对照组(P<0.05)。治疗前，2组的空腹和餐后MFC和AC差异无统计学意义(P>0.05)；治疗后，2组的MFC和AC均有提高，且观察组明显高于对照组，差异有统计学意义(P<0.05)。治疗前，2组的SF-36和QoLRAD量表得分差异无统计学意义(P>0.05)；治疗后，2组SF-36和QoLRAD量表得分均有升高，且观察组高于对照组，差异有统计学意义(P<0.05)。 结论 消痞五穴针刺疗法能够显著改善FD患者的胃动力学功能和生活质量，用于FD治疗具有积极意义。 

Efficacy of TCM Xiaopi five-point acupuncture therapy on gastric motility and quality of life in elderly patients with functional dyspepsia

Objective To analyze the application value of TCM Xiaopi five-point acupuncture therapy in the treatment of functional dyspepsia(FD) at gastric motility and quality of life points. Methods Total 103 patients with FD were randomly divided into 2 groups.The patients in the control group were given mosapride citrate dispersible tablets,while the patients in the observation group were given TCM Xiaopi five-point(Pishu,Weishu,Jianli,Taiyi and Zusanli) acupuncture therapy.The TCM clinical symptoms score and efficiency were evaluated.Before and after the treatment,the mean frequency of contraction(MFC) and amplitude contraction(AC) were detected by electrogastrogram,and the life quality of patients were assessed by the 36-item short-form health survey(SF-36) and Quality of life in reflux and dyspepsia(QOLRAD). Results Before the treatment,there was no significant difference in TCM clinical symptoms score between the two groups(P>0.05).After the treatment,the primary symptom score,subordinate symptom score,and total TCM score of both groups decreased,and those of the observation group were lower than those of the control group,the difference was statistical significance(P<0.05).The clinical effective rate of the observation group was higher than that of the control group(P<0.05).Before the treatment,there was no significant difference in MFC and AC between the two groups(P>0.05).After the treatment,the MFC and AC of both groups increased,and those of the observation group were higher than those of the control group,the difference was statistical significance(P<0.05).Before the treatment,there was no significant difference in life quality score between groups(P>0.05).After the treatment,both SF-36 and QoLRAD score of patients in the two groups increased,and those of the observation group were higher than those of the control group,the difference was statistical significance(P<0.05). Conclusion TCM Xiaopi five points acupuncture therapy can obviously improve the gastric motility and quality of life points of FD patients,which is positive thing for the therapy of FD.