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三梗降气汤联合针灸治疗非糜烂性胃食管反流病患者疗效观察
Efficacy of Sangeng Jiangqi decoction combined with acupuncture in treatment of patients with non erosive gastroesophageal reflux disease

内科 201813卷02期 页码:188-191

作者机构:1 甘肃省天祝县人民医院中医科;天祝县733299;2 甘肃省天祝县藏医院;天祝县733299

基金信息:

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2018.02.13

  • 中文简介
  • 英文简介
  • 参考文献
目的观察三梗降气汤联合针灸治疗非糜烂性胃食管反流病的临床疗效。方法选取2016年7月至2017年7月我院收治非糜烂性胃食管反流病患者92例,运用随机数字表法分为对照组与观察组,每组46例。对照组患者采用三梗降气汤治疗,观察组患者采用三梗降气汤联合针灸治疗,疗程12周。比较两组患者的临床疗效;检测比较两组患者治疗前后的血清胃肠激素水平、血管活性肠肽水平以及两组患者治疗后食管内24 h pH值的变化情况。结果治疗12周,观察组患者的临床疗效优于对照组,观察组患者的治疗总有效率(95.65%)显著高于对照组(78.36%),差异有统计学义(P<0.05);治疗后观察组患者餐前、餐后的胃动素以及胃泌素水平均显著高于对照组,血管活性肠肽水平显著低于对照组,差异均有统计学意义(P<0.01);观察组患者24 h内食管内pH值的变化情况优于对照组(P<0.01)。结论三梗降气汤联合针灸治疗非糜烂性胃食管反流病患者,可提高患者的胃动素和胃泌素水平,降低血管活性肠肽水平,抑制胃酸分泌,提升胃动力,提高治疗效果,值得在临床推广应用。
ObjectiveTo observe the clinical efficacy of Sangeng Jiangqi decoction combined with acupuncture in the treatment of non erosive gastroesophageal reflux disease. Methods92 patients with non erosive gastroesophageal reflux disease were treated in our hospital from July 2016 to July 2017 were divided into the control group and the observation group, 46 cases in each group. The control group were treated with Sangeng Jiangqi decoction. The observation group were treated with Sangeng Jiangqi decoction combined with acupuncture. The two groups were treated for 12 weeks. The clinical efficacy of two groups were compared. Serum gastrointestinal hormone levels, vasoactive intestinal peptide levels and changes of 24h pH in the two groups after treatment were compared between the two groups. ResultsAfter 12 weeks of treatment, the clinical efficacy of the observation group was better than that of the control group. The total effective rate (95.65%) of the observation group was significantly higher than that of the control group (78.36%), the difference was statistically significant (P<0.05). After treatment, the levels of motilin and gastrin in the observation group were significantly higher than those in the control group, and the vasoactive intestinal peptide level was significantly lower than that in the control group. The difference was statistically significant (P<0.01). The pH value of the esophagus in the observation group was better than that in the control group within 24 hours(P<0.01). ConclusionThe combination of Sangeng Jiangqi decoction and acupuncture in the treatment of patients with non erosive gastroesophageal reflux disease can improve the level of motilin and gastrin, reduce the secretion of vasoactive intestinal peptide, inhibit the secretion of gastric acid, improve the gastric motility, and improve the therapeutic effect. It is worth popularizing in clinical application.

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