基于“斡旋中焦”理论的腹部推拿治疗肝郁脾虚型功能性消化不良的临床疗效观察

Clinical effect observation of abdominal massage on functional dyspepsia of liver-stagnation and spleen-deficiency based on “mediating zhongjiao”theory

关键词:  功能性消化不良  腹部推拿  胃电图  临床疗效

Key words:  functional dyspepsia  abdominal massage  electrogastrogram  clinical efficacy

摘要:

[目的] 以津沽脏腑推拿“斡旋中焦”理论为指导，观察运用腹部推拿治疗肝郁脾虚型功能性消化不良的临床疗效。[方法] 试验共纳入了60例功能性消化不良患者，将其随机分为试验组和对照组各30例，其中试验组采用“津沽脏腑推拿”的核心技法腹部推拿进行治疗，每日1次，每次于饭后1 h进行治疗。对照组干预方法为口服多潘立酮片，服用方法按照多潘立酮说明书，每次餐前0.5 h服用，每次10 mg，每日3次。上述两种方法分别连续治疗2个疗程，共14 d，比较两组的总有效率，以主要症状评分，中医证候积分以及胃电图变化作为效应指标观察两组的治疗效果。[结果] 治疗2个疗程后，总有效率方面，试验组和对照组分别为96.67%和80.00%；主要症状及中医证候总积分方面，两组治疗后均较本组治疗前降低，且试验组显著低于对照组（P<0.05）；胃窦和胃体部胃电图的平均幅值（VPP）和平均频率（f）方面，两组治疗后较治疗前均明显升高，且试验组治疗后明显高于对照组治疗后，差异均有统计学意义（P<0.05）。[结论] 以“斡旋中焦”理论为指导腹部推拿治疗功能性消化不良具有较好的临床疗效，患者在主要症状、中医证候及胃运动功能等方面得到了很好的改善，值得被临床广泛运用。

Abstract:

[Objective] To observe the clinical effect of abdominal massage on functional dyspepsia of liver-stagnation and spleen-deficiency based on "mediating zhongjiao" theory. [Methods] Sixty patients with functional dyspepsia were randomly divided into the experimental group and the control group, 30 cases in each group, in which the experimental group was treated with abdominal massage, once a day, 1 hour after meals, and the control group was treated with oral domperidone tablet, 10 mg a time, 3 times a day, one tablet was taken half an hour before each meal.The above treatment lasted for 1 week as a course of treatment. After 2 courses of treatment, the total effective rate, main symptom score and changes of gastric electric rhythm of patients in the two groups were compared. [Results] After 2 courses of treatment, the total effective rate of patients with functional dyspepsia in experimental group and control group was 96.67% and 80.00%, respectively.The scores of major symptoms and TCM syndromes in the experimental group were significantly lower than those before treatment, and the scores in the experimental group were significantly lower than those in the control group (P<0.05). After the treatment, the mean amplitude (VPP) and mean frequency (f) of the gastric antrum and body were significantly higher in both groups than those before the treatment, and the VPP and f of the treatment group was higher than that in the control group (P<0.05). [Conclusion] Abdominal massage in the treatment of functional dyspepsia has significant clinical effects on the main symptoms, TCM syndromes and gastric motility function of patients, which is worthy of promotion and application.