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针刺治疗肝胃郁热型反流性食管炎的临床观察

[Clinical observation on acupuncture for treatment of reflux esophagitis of heat stagnation of liver and stomach type].

作者信息

Wen Na, Hao Jin-Dong, Jin Zhi-Gao

机构信息

Department of Acupuncture and Moxibustion, Coal General Hospital, Beijing 100028, China.

出版信息

Zhongguo Zhen Jiu. 2010 Apr;30(4):285-8.

Abstract

OBJECTIVE

To observe the clinical therapeutic effect of acupuncture for treatment of reflux esophagitis of heat stagnation of liver and stomach type.

METHODS

Sixty-one cases were randomly divided into an acupuncture group (31 cases) and a medication group (30 cases). The acupuncture group was treated with needles at Zusanli (ST 36), Zhongwan (CV 12), Weishu (BL 21) and Neiguan (PC 6) mainly, once a day; and the medication group was treated with oral administration of 20 mg Omeprazole, once a day. The scores of clincial symptoms, comprehensive therapeutic effect, results of gastroscopy and pathology as well as recurrence rate etc. were observed before and after treatment.

RESULTS

After treatment, the scores of symptoms significantly decreased in the two groups (both P < 0.01). The total effective rate of the acupuncture group was 90.3% (28/31), and 90.0% (27/30 )in the medication group, there was no statistical difference between two groups (P > 0.05); results of gastroscopy and esophageal mucosa pathology showed no statistical difference between two groups (both P > 0.05), the recurrence rate 12 weeks after treatment of 9.1% in the acupuncture group was lower than that of 42.9% in the medication grou p (P < 0.05).

CONCLUSION

Acupuncture has preferable short and long-term therapeutic effects for treatment of reflux esophagitis of heat stagnation of liver and stomach type.

摘要

目的

观察针刺治疗肝胃郁热型反流性食管炎的临床疗效。

方法

将61例患者随机分为针刺组(31例)和药物组(30例)。针刺组主要针刺足三里(ST 36)、中脘(CV 12)、胃俞(BL 21)和内关(PC 6),每日1次;药物组口服20mg奥美拉唑,每日1次。观察治疗前后临床症状评分、综合疗效、胃镜及病理结果以及复发率等。

结果

治疗后,两组症状评分均显著降低(均P<0.01)。针刺组总有效率为90.3%(28/31),药物组为90.0%(27/30),两组比较差异无统计学意义(P>0.05);胃镜及食管黏膜病理结果两组比较差异无统计学意义(均P>0.05),针刺组治疗12周后复发率为9.1%,低于药物组的42.9%(P<0.05)。

结论

针刺治疗肝胃郁热型反流性食管炎具有较好的近期和远期疗效。

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