合募配穴治疗功能性消化不良临床观察

摘要

ObjectiveTo observe the synergistic action of lower He-sea and Front-mu points in treating functional dyspepsia by adopting electroacupuncture at the lower He-sea and Frong-mu points of stomach.MethodSixty patients with functional dyspepsia were randomized into a lower He-sea group, a Front-mu group, and a combining group of lower He-sea and Front-mu points, to receive treatment once daily, 5 sessions a week, totally for 4 weeks. Nepean Dyspepsia Index (NDI) was tested before and after intervention, and the general therapeutic efficacy was evaluated.ResultThe total effective rate was 100.0% in the combining group, versus 90.0% in the Front-mu group and 90.0% in the lower He-sea group, and the differences were statistically significant (P<0.05). The follow-up study showed that the total effective rate was 100.0% in the combining group, versus 90.0% in the Front-mu group and 85.0% in the lower He-sea group, and the differences were statistically significant (P<0.05). Before treatment, therewere no significant inter-group differences in comparing Nepean Dyspepsia Symptom Index (NDSI) and Nepean Dyspepsia Life Quality Index (NDLQI)(P>0.05), while there were significant differences in comparing NDSI and NDLQI after treatment (P<0.05). ConclusionIt can improve the functional dyspepsia symptoms by using the lower He-sea point and Front-mu point together or using them separately, while the combining use can produce a more significant efficacy.%目的：采用电针胃的合募穴,观察合募配穴治疗功能性消化不良的临床协同作用。方法将60例功能性消化不良患者随机分为下合穴组、募穴组、合募配穴组,均每日1次,每星期5次,连续观察治疗4星期。分别于治疗前后填写尼平消化不良指数(NDI)和总体疗效评价。结果治疗后合募配穴组总有效率为100.0%,募穴组为90.0%,下合穴组为90.0%,3组比较差异均有统计学意义(P＜0.05)。随访合募配穴组总有效率为100.0%,募穴组总有效率为90.0%,下合穴组总有效率为85.0%,3组比较差异均有统计学意义(P＜0.05)。治疗前3组症状指数(NDSI)、生活质量指数(NDLQI)比较差异无统计学意义(P＞0.05),3组治疗后NDSI、NDLQI 比较差异均有统计学意义(P＜0.05)。结论合募配穴、下合穴、募穴均能改善功能性消化不良患者的症状,但合募配穴疗效更显著。