Liu Wenxiu, Xie Nina, Niu Hongyue
Tianjin University of TCM, Tianjin 300073, China.
the First Teaching Hospital of Tianjin University of TCM.
Zhongguo Zhen Jiu. 2017 Nov 12;37(11):1147-52. doi: 10.13703/j.0255-2930.2017.11.003.
To observe the clinical efficacy difference among elongated needle, filiform needle and medication for post-stroke indigestion.
Sixty cases of post-stroke indigestion were randomly assigned into an elongated needle group, a filiform needle group and a medication group, 20 cases in each one. Acupuncture of restoring consciousness and inducing resuscitation and conventional medical treatment were applied in the three groups. 125 mm elongated needles were perpendicularly inserted at Zhongwan (CV 12), Liangmen (ST 21) and Tianshu (ST 25) in the elongated needle group; 20 to 30 mm perpendicular filiform at the same points in the filiform needle group. All the treatment was given for 4 weeks, 6 times a week, 1 time a day. Domperidone was prescribed orally in the medication group for 4 weeks, 3 times a day and once 10 mg. The indexes were dyspepsia TCM symptom score, Liz dyspepsia questionnaire (LDQ), Nepean Dyspepsia Index of quality of life (NDLQI), Safety Data Sheet (SDS) self rating scale and side effect scale (TESS). The effects were evaluated.
The scores of TCM symptom, LDQ, SDS scores in the three groups decreased and NDLQI increased after 7-day, 14-day, and 28-day treatment as compared with those before treatment (<0.05, <0.01). The TCM symptom score and LDQ score in the elongated needle group after 28-day treatment were lower than those in the filiform needle and medication groups (<0.05, <0.01). The SDS score in the medication group was lower than that in the elongated needle and filiform needle group (both <0.05). There were no significant statistical difference for NDLQI score in the three groups (>0.05). The total effective rate was 90% (18/20) in the elongated needle group; those in the filiform needle group and medication group were 70% (14/20) and 75% (15/20) respectively, indicating statistical significance (<0.01).
Acupuncture with elongated needle can obviously improve symptoms in the patients with post-stroke indigestion, which is better than filiform needle and medication.
观察芒针、毫针及药物治疗中风后消化不良的临床疗效差异。
将60例中风后消化不良患者随机分为芒针组、毫针组和药物组，每组20例。三组均采用醒脑开窍针刺法及常规药物治疗。芒针组选用125mm芒针，垂直刺入中脘（CV 12）、梁门（ST 21）、天枢（ST 25）；毫针组选用20～30mm毫针，垂直刺入相同穴位。所有治疗均持续4周，每周6次，每日1次。药物组口服多潘立酮4周，每日3次，每次10mg。观察指标为消化不良中医症状评分、利兹消化不良问卷（LDQ）、内皮恩消化不良生活质量指数（NDLQI）、安全数据表（SDS）自评量表及副作用量表（TESS），并对疗效进行评估。
治疗7天、14天、28天后，三组患者的中医症状评分、LDQ评分、SDS评分均降低，NDLQI评分升高（均P<0.05，P<0.01）。治疗28天后，芒针组的中医症状评分及LDQ评分低于毫针组和药物组（均P<0.05，P<0.01）。药物组的SDS评分低于芒针组和毫针组（均P<0.05）。三组患者的NDLQI评分比较，差异无统计学意义（P>0.05）。芒针组总有效率为90%（18/20），毫针组和药物组分别为70%（14/2）和75%（15/20），差异有统计学意义（P<0.01）。
芒针治疗中风后消化不良患者可明显改善症状，疗效优于毫针及药物治疗。
