针刺督脉背段对胃食管反流病患者反流症状和心理状态的影响

摘要

目的：通过观察胃食管反流病(GERD)患者躯体和心理症状改善情况来评价针刺督脉背段疗法的临床疗效。方法随机选取就诊的60例 GERD 患者,按随机数字法随机分为针刺组和西药组,每组30例。针刺组针刺督脉背部 T3~T12段棘突下(含经穴及非经穴)治疗,每周二、四、六治疗,共3次,疗程8周。西药组予奥美拉唑肠溶胶囊口服；同时服用氟哌噻吨美利曲辛片(黛力新)。分别观察2组患者治疗前后的反流性疾病诊断问卷(RDQ)各症状、焦虑自评量表(SAS)和抑郁自评量表(SDS)的评分。结果2组治疗后 RDQ 问卷各症状、SAS 和 SDS 评分较治疗前明显改善(P <0.01)；治疗后针刺组 RDQ 问卷各症状、SAS 和 SDS 评分均显著低于西药组(P <0.05)；针刺组 RDQ 愈显率为66.67%(20/30),西药组为40%(12/30),2组愈显率比较差异有统计学意义(P <0.05)。结论2组治疗均有效,但针刺督脉背部 T3~T12段棘突下对改善胃食管反流病患者反流症状和心理状态的临床疗效更优。%OBJECTIVE To evaluate the therapeutic effect of acupuncturing governor vessel for treating gastroesophageal reflux disease by observing patients'reflux symptoms and psychological states.METHODS 60 cases with gastroesophageal re-flux disease were randomly chosen and then divided into the acupuncture group and western medicine group based on the visit-ing sequence,with 30 cases in each group.Acupunctures were given to patients in the acupuncture group on back below the spinous processes of T3 to T12(both meridian acupoints and non-meridian acupoints included)on Tuesday,Thursday and Sat-urday,three times per week,for eight weeks in total.Patients in the western medicine group took omeprazole capsules orally. In addition,they also took one tablet of deanxit per time.Reflux diagnostic questionnaire scores,scores of self-rating anxiety scale and self-rating depression scale of both groups were observed.RESULTS All of these scores in the two groups were much improved than before(P <0.01).After treatment,the scores of the acupuncture group were evidently lower than those of the western medicine group(P <0.05).The markedly effective rate of the acupuncture group was 66.67% (20/30),which was much higher than 40%(12/30)of the western medicine group,with significant differences when compared with each other (P <0.05).CONCLUSION Both treatment methods are effective,while needling along Du meridian from T3 to T12 seg-ments is more superior in improving the reflux symptoms and psychological states.