首页|期刊导航|针灸推拿医学(英文版)|不同频次针刺联合中药治疗功能性消化不良的临床观察

不同频次针刺联合中药治疗功能性消化不良的临床观察OA

Clinical observation of different-frequency acupuncture combined with herbal medicine for functional dyspepsia

中文摘要英文摘要

目的:观察不同频次针刺联合香砂理中汤治疗功能性消化不良(FD)的临床疗效.方法:选取90例FD患者,按照随机数字表法分为研究组及对照组,每组45例.两组患者均口服香砂理中汤.研究组加用每日一次的针刺治疗;对照组加用隔日一次的针刺治疗.治疗4周后评估两组患者中医症状评分、临床疗效、尼平消化不良症状指数(NDSI)评分、尼平消化不良生活质量指数(NDLQI)评分及治疗安全性.结果:治疗4周后,研究组总有效率为95.6%,高于对照组的82.2%(P<0.05).与治疗前相比,治疗后两组中医症状评分中的主症、次症及总症状评分均下降(P<0.05),研究组三项评分均低于对照组(P<0.05).治疗后,两组NDSI评分均低于治疗前(P<0.05),NDLQI评分均高于治疗前(P<0.05);研究组NDSI评分低于对照组(P<0.05),NDLQI评分高于对照组(P<0.05).两组患者在治疗期间均未发生严重不良事件,安全性较好.结论:在口服香砂理中汤基础上,相较于加用隔日一次的针刺治疗,加用每日一次的针刺治疗可更好改善FD患者的临床症状,提高其生活质量.

Objective:To observe the clinical efficacy of different-frequency acupuncture combined with Xiang Sha Li Zhong Tang(costusroot and amomum center-regulating decoction)in the treatment of functional dyspepsia(FD). Methods:Ninety patients with FD were selected and randomly assigned into a study group and a control group using a random number table method,with 45 patients in each group.Both groups received oral administration of Xiang Sha Li Zhong Tang.The study group additionally received acupuncture treatment once daily,whereas the control group additionally received acupuncture treatment once every other day.After 4 weeks of treatment,traditional Chinese medicine(TCM)symptom score,clinical efficacy,Nepean dyspepsia symptom index(NDSI),Nepean dyspepsia life quality index(NDLQI),and treatment safety were evaluated in both groups. Results:After 4 weeks of treatment,the total effective rate was 95.6%in the study group,which was higher than 82.2%in the control group(P<0.05).Compared with baseline,the scores of primary symptoms,secondary symptoms,and total TCM symptoms decreased after treatment in both groups(P<0.05),and all three scores in the study group were lower than those in the control group(P<0.05).After treatment,the NDSI score decreased(P<0.05),and the NDLQI score increased(P<0.05)in both groups compared with baseline;the NDSI score was lower,and the NDLQI score was higher in the study group than in the control group(P<0.05).No serious adverse events occurred in either group during treatment,indicating good safety. Conclusion:On the basis of oral administration of Xiang Sha Li Zhong Tang,daily acupuncture treatment can better improve clinical symptoms and enhance quality of life in patients with FD compared with acupuncture treatment administered once every other day.

潘慧如;万宁慧;杜邱云;徐梦茜;张恒;李艾嘉;林妍;孔谐和

医药卫生

针刺疗法针药并用针刺刺激量消化不良生活质量随机对照试验

Acupuncture TherapyAcupuncture Medication CombinedStimulating Quantity of AcupunctureDyspepsiaQuality of LifeRandomized Controlled Trial

《针灸推拿医学(英文版)》 2026 (4)

386-391,6

10.1007/s11726-026-1587-4

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