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北京中医药大学针灸推拿学院
纸质出版日期:2019
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高丹霞, 白兴华. 针刺督脉背段治疗胃食管反流性咳嗽的临床观察[J]. 针刺研究, 2019,44(2):140-143.
GAO Dan-xia, BAI Xing-hua. Clinical trial of acupuncture treatment of gastroesophageal reflux cough by needling dorsal segment of the Governor Vessel[J]. Acupuncture research, 2019, 44(2): 140-143.
高丹霞, 白兴华. 针刺督脉背段治疗胃食管反流性咳嗽的临床观察[J]. 针刺研究, 2019,44(2):140-143. DOI: 10.13702/j.1000-0607.170761.
GAO Dan-xia, BAI Xing-hua. Clinical trial of acupuncture treatment of gastroesophageal reflux cough by needling dorsal segment of the Governor Vessel[J]. Acupuncture research, 2019, 44(2): 140-143. DOI: 10.13702/j.1000-0607.170761.
目的:通过观察胃食管反流性咳嗽(GERC)患者咳嗽及生活质量改善情况来评价针刺督脉背段治疗GERC的临床疗效。方法:60例GERC患者按随机数字表法分为针刺组和西药组
每组30例。针刺组针刺督脉背部胸(T)3—T12段棘突下(含经穴及非经穴)
每周二、四、六治疗
疗程8周。西药组予奥美拉唑肠溶胶囊口服
每日2次
疗程8周。分别观察两组患者治疗前后反流性疾病诊断问卷(RDQ)、咳嗽症状积分表、莱塞斯特咳嗽生命质量问卷(LCQ)评分。结果:两组治疗后RDQ、咳嗽症状积分表评分均较治疗前明显降低(P<0.05)
LCQ三大区域评分均较治疗前明显升高(P<0.05)。治疗后针刺组RDQ、咳嗽症状积分表评分显著低于对照组(P<0.05)
LCQ评分显著高于对照组(P<0.05)。结论:两组治疗均有效
但针刺督脉背部T3—T12段棘突下对改善GERC患者反流症状、咳嗽症状及生活质量水平的临床疗效更优。
Objective To observe the curative effect of acupuncture stimulation of the back segment(10 spots below the spinous processes from T3 to T12)of the Governor Vessel in the treatment of gastroesophageal reflux cough(GERC).Methods A total of 60 cases of GERC patients were randomly divided into acupuncture and medication groups(n=30 in each).For patients of the acupuncture group
the depression spots below the spinous processes from T3 to T12
including acupoints Shenzhu(GV12)
Shendao(GV11)
Lingtai(GV10)
Zhiyang(GV9)
Jinsuo(GV8)and non-acupoints(T4
T8
T12)were punctured with filiform needles
once every other day for 8 weeks.Patients of the medication group were ordered to take omeprazole capsules(20 mg/time)
twice a day for 8 weeks.The therapeutic effect was assessed by using"Reflux Diagnostic Questionnaire"(RDQ
scores of symptoms of heartburn
retrosternal pain
acid regurgitation and food regurgitation
0-40 points)
cough symptom score(0-3 points)and"Leicester Cough Questionnaire"(LCQ
scores of physiological
psychological and social functions
0-21 points)
respectively.Results Following the treatment
RDQ score and cough symptom scores during both daytime and night were significantly decreased in both groups(P<0.05)
and the scores of physiological status
psychological health and social function of LCQ were significantly increased in both acupuncture and medication groups in comparison with their own pre-treatment(P<0.05).The therapeutic effect of acupuncture was markedly superior to that of medication in lowering RDQ score and cough symptom scores of daytime and night
and in raising LCQ scores of the physiological status
psychological health and social function(P<0.05).Conclusion Acupuncture stimulation of the dorsal segment of the Governor Vessel is effective in improving clinical symptoms and living quality of GERC patients.
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