【摘要】 目的观察背俞指针疗法对胃食管反流病患者任督二脉穴位皮温与胃电节律的影响,探讨二者的相关性。方法观察对象为120例胃食管反流病合格受试者。治疗组60例患者行背俞指针疗法治疗,对照组60例予枸橼酸莫沙必利分散联合兰索拉唑肠溶片口服治疗,通过对两组患者治疗前后胃电图的分析,评价背俞指针疗法对胃电节律的影响;同时检测治疗前、治疗第7天、治疗第14天任督二脉穴位皮温的变化。结果治疗后,两组主频率、主导功率均较治疗前增高显著(P<0.01),有统计学差异;节律紊乱系数均较前下降显著(P<0.01)。治疗后组间比较无统计学差异(P>0.05);治疗组治疗第7天、第14天任督二脉穴位皮温均较治疗前上升明显(P<0.05);而对照组则较治疗前下降明显(P<0.05)。治疗组第14天与第7天相比任脉穴位皮温下降明显(P<0.05)。结论背俞指针疗法能提高患者任督二脉穴位皮温;可增强胃主频率、主导功率,减少胃电的紊乱系数;这一作用考虑与背俞指针治疗改善任督二脉交会,改善脾胃、肝胆枢机,补元气、泻阴火促进胃动力进而改善胃电生理活动相关。更多还原

【Abstract】 Objective To observe the effect of the acupuncture therapy with finger on back-shu point Ren and Du meridians points of temperature and gastric electrical rhythm of gastroesophageal reflux disease( GERD),then to investigate the correlation between them. Methods 120 patients with GERD were randomly chosen in this study. 60 cases in therapy group were treated with finger on back-shu point; 60 cases from control group were treated with lansoprazole tabletsa and dispersible mosapride citrate,to evaluate the intra-group influence of the acupuncture therapy with finger on back-shu point on gastric electrical rhythm by analyzing the electrogastrography before and after treatment; at the same time,to test the temperature change of Ren and Du meridian points before treatment,and at 7th days and 14th of treatment. Results After treatment,two groups of dominant frequency,dominant power were significantly increased( P <0. 01),and there was significant difference; rhythm disturbance coefficients were decreased significantly( P < 0. 01). After treatment,there were no significant differences between groups( P > 0. 05). Ren and Du meridians points of temperature was increased significantly( P < 0. 05) in 7th and 14th days compared with that before treatment; while the temperature of points was decreased significantly( P < 0. 05) in the control group. Conclusion The therapy of finger on back-shu poin can enhance the main frequency, amplitude of gastric electricity,and reduce the disturbance coefficient of gastric electrical; as well as improve the Du Meridian skin temperature,skin temperature of acupoint Ren has first and then decreased; considered the effect was correlation with the therapy of finger on back-shu poin can improve balance in the Meridian Qi intersection of Ren and Du,improve the cardinal of the spleen and stomach,liver and gall,fill the vitality,Xie Yin Fire promoting gastric motility to improve the physiological activity of gastric electric.更多还原