本文選題：針刺 + 頭針��； 參考：《黑龍江省中醫(yī)藥科學院》2017年碩士論文

【摘要】：目的:本研究采用頭針配合體針療法治療肝胃不和型反流性食管炎的患者,通過觀察患者的中醫(yī)癥狀評分和胃鏡的檢查情況,探討頭針配合體針療法治療肝胃不和型反流性食管炎治療效果,為臨床治療此病提供安全性高、療效好、價格低廉的治療方法。方法:選取符合肝胃不和型納入標準的反流型食管炎患者60例,采用隨機對照原則,將患者隨機分為治療組和對照組各30例,對治療組采用頭針配合體針治療,對照組的患者采用西藥進行治療。兩組患者治療2個療程(8周),觀察其臨床療效。結(jié)束后觀察其胃鏡下食管黏膜分級情況和中醫(yī)證候積分,來分析并評價兩種治療方法對于本病的治療效果。結(jié)果:(1)頭針配合針刺及常規(guī)藥物治療肝胃不和型RE都有一定的臨床療效,治療組與對照總有效率分別為90%和76.67%,針刺組優(yōu)于藥物組,有統(tǒng)計學意義(P0.05)。(2)治療后兩組的中醫(yī)證候總積分與其治療前相比,差異有統(tǒng)計學意義(P0.05),治療后兩組間進行比較,差異有統(tǒng)計學意義(P0.05),對于主癥反酸、燒心癥狀的改善,兩組進行比較,差異有統(tǒng)計學意義(P0.05),治療組在主癥胸骨后疼痛上,療效要高于對照組,兩組之間差異有統(tǒng)計學意義(P0.05),對噯氣、喜太息、脘腹脹滿或脹痛、呃逆癥狀的療效,兩組差異有統(tǒng)計學意義(P0.05),治療組優(yōu)于對照組。對納差的療效,兩組間差異無統(tǒng)計學意義(P0.05)。(3)胃鏡下的食管黏膜分級記分比較,兩組治療后組內(nèi)比較,差異具有顯著統(tǒng)計學意義(P0.05),治療后組間比較,差異有統(tǒng)計學意義(P0.05)。(4)不良反應,治療期間對照組有2例患者出現(xiàn)惡心不適癥狀,未經(jīng)處理,自然消失,治療組未發(fā)現(xiàn)不良反應。結(jié)論:頭針配合體針與常規(guī)藥物治療肝胃不和型反流型食管炎均有療效,能明顯改變患者臨床癥狀及胃鏡下食管黏膜病變情況,且頭針配合體針療效優(yōu)于常規(guī)藥物治療。
[Abstract]:Objective: to study the effect of scalp acupuncture combined with body acupuncture on patients with gastro-hepatic disharmony reflux esophagitis. To explore the therapeutic effect of scalp acupuncture combined with body acupuncture on hepatogastric reflux esophagitis, which provides a safe, effective and inexpensive treatment for this disease. Methods: sixty patients with reflux esophagitis were randomly divided into treatment group (n = 30) and control group (n = 30). The patients in the control group were treated with western medicine. The two groups were treated for 2 courses for 8 weeks. To analyze and evaluate the therapeutic effect of the two treatment methods, we observed the esophageal mucosal grade and TCM syndromes score under gastroscope. Results (1) scalp acupuncture combined with acupuncture and routine medicine had certain clinical efficacy in the treatment of liver and stomach disharmony type RE. The total effective rates of the treatment group and the control group were 90% and 76.67%, respectively. The acupuncture group was superior to the drug group. There was significant difference in the total score of TCM syndromes between the two groups after treatment and before treatment. After treatment, there was a significant difference between the two groups. After treatment, there was a significant difference between the two groups (P 0.05), and the improvement of the symptoms of regurgitation and heartburn. The difference between the two groups was statistically significant (P 0.05). In the treatment group, the curative effect was higher than that in the control group in the treatment group. The difference between the two groups was statistically significant (P 0.05). The effect of the treatment group on the symptoms of belching, flatulence, epigastric distension or distending pain, hiccup, and hiccup was significant. The difference between the two groups was statistically significant (P 0.05), and the treatment group was superior to the control group. There was no significant difference between the two groups in the efficacy of anorexia. There was no significant difference between the two groups. There was no significant difference between the two groups in the score of esophageal mucosal grading under gastroscopy. The difference between the two groups after treatment was statistically significant (P 0.05), and the difference between the two groups after treatment was significant (P 0.05). The difference was statistically significant (P0.05. 4). During the treatment period, 2 patients in the control group had nausea and discomfort symptoms, untreated, disappeared naturally, and no adverse reactions were found in the treatment group. Conclusion: scalp acupuncture combined with traditional medicine is effective in the treatment of hepatogastric reflux esophagitis, which can obviously change the clinical symptoms and gastroscopic esophageal mucosal lesions, and the curative effect of scalp acupuncture combined with body acupuncture is better than that of routine drug therapy.
【學位授予單位】：黑龍江省中醫(yī)藥科學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.1

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本文編號：1978760