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时间:2019-05-24
《耳穴贴压联合西药对功能性消化不良相关胃肠激素影响》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、河北中医2015年10月第37卷第10期HebeiJTCM,October2015,Vol37,No.101463doi:10.3969/j.issn.1002-2619.2015.10.007耳穴贴压联合西药对功能性消化不良相关胃肠激素的影响潘庆华(湖北省恩施自治州中心医院消化肾病内科,湖北恩施445000)【摘要】目的观察耳穴贴压联合西药治疗功能性消化不良(FD)的临床疗效及对相关胃肠激素的影响。方法将80例FD患者随机分为2组,对照组40例给予西药多潘立酮及黛力新治疗,耳穴组40例在对照组基础上加用中医耳穴贴压。均治疗1个疗程。2组治疗前后分别检测血清一氧
2、化氮合酶(NOS)、血浆胃动素(MTL)、胃泌素(GAS)及生长激素释放抑制因子(SS),并评价疗效。结果耳穴组总有效率90.0%,高于对照组(77.5%,P<0.05)。2组治疗后NOS、MTL、GAS及SS水平较治疗前均改善(P<0.05),且耳穴组较对照组改善更明显(P<0.05)。结论耳穴贴压联合西药可以提高FD患者体内GAS、MTL水平,降低NOS、SS水平,进而提高临床疗效。【关键词】消化不良;耳穴贴压;中西医结合疗法【中图分类号】R570.58;R245.9【文献标识码】A【文章编号】1002-2619(2015)10-1463-03Effects
3、ofauricularpointstickingcombinedwithwesternmedicineongastrointestinalhormonesrelatingtofunctionaldyspepsiaPANQinghua.DepartmentofDigestiveKidneyInternalMedicine,EnshiAutonomousPrefectureCenterHospitalinHubeiProvince,Hubei,Enshi445000【Abstract】ObjectiveToobservetheeffectsofauricularpo
4、intstickingcombinedwithwesternmedicineongastrointestinalhormonesrelatingtofunctionaldyspepsia(FD).Methods80FDpatientswererandomlydividedintotwogroups.40patientsincontrolgroupweretreatedbydomperidoneanddeanxiit.40patientsinauricularpointgroupweretreatedbyauricularpointstickingonthebas
5、isofcontrolgrouptraeatment.Thecurativeeffectwasevalua-tedafteronetreatmentcourse.Theserumnitricoxidesynthas(NOS),plasmamotilin(MTL),gastrin(GAS)andso-matostatin(SS)weredetectedbeforeandaftertreatmentintwogroups,andthecurativeeffectwasevaluated.ResultsThetotaleffectiverateinauricularp
6、ointgroup(90.0%)wassuperiortothatincontrolgroup(77.5%,P<0.05).ThelevelsofNOS,MTL,GASandSSwereimprovedaftertreatmentintwogroups(P<0.05),andtheimprove-mentinauricularpointgroupwassuperiortothatincontrolgroup(P<0.05).ConclusionThecombinedtherapyofauricularpointstickingandwesternmedicine
7、canenhancethelevelofGASandMTL,andtodecreasethelevelofNOSandSS,andthenincreaseclinicalefficacy.【Keywords】Dyspepsia;Auricularpointsticking;IntegratedChinese-Westerntherapy功能性消化不良(functiondyspepsia,FD)是1资料与方法临床常见的疾病,因胃肠功能紊乱引起的以持续1.1一般资料全部80例均为我科门诊(20或反复发作的无器质性病变引起的上腹痛或不例)及住院(60例)的FD患者,随
8、机分为2组。适、上腹胀感
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