【摘要】 目的观察针灸药浴对胃食管反流病患者焦虑症状和睡眠质量的改善。方法将2014年1月至2015年2月绍兴第二医院和山东中医药大学收治的119例胃食管反流病患者随机分为治疗组和对照组,治疗组在规律服用质子泵抑制剂的基础上,给予中医药针灸药浴治疗,而对照组仅使用质子泵抑制剂治疗,采用匹兹堡睡眠质量指数量表(PSQI)和综合医院焦虑抑郁量表(HADS)对两组患者焦虑症状和睡眠质量的效果进行比较和评价。结果治疗8周后,治疗组症状缓解总有效率为91.4%(53/58),对照组总有效率为73.7%(45/61),两组疗效比较差异有统计学意义(P<0.05),治疗组明显优于对照组。两组治疗后PSQI和HADS积分较本组治疗前有改善,但治疗组较对照组更为明显,差异有统计学意义(P<0.05)。结论针灸药浴配合质子泵抑制剂能够更有效缓解胃食管反流病患者的焦虑和反流症状,避免依赖精神类药物和药物反流问题。更多还原

【Abstract】 Objective To investigate the effects of acupuncture and herb-bath on the relief of anxiety and improvement of sleep quality in patients with gastroesophageal reflux disease( GERD).Methods One hundred and nineteen GERD patients in the Second Hospital of Shaoxing and Shandong University of Traditional Chinese Medicine,during January 2014 to February 2015,were randomly divided into treatment and control groups. Both groups regularly took PPI,but the treatment group added herb-bath and acupuncture treatment,while the control group only applied PPI therapy. Pittsburgh sleep quality index scale( PSQI) and the hospital anxiety and depression scale( HADS) were calculated to evaluate the anxiety and depression. Results After eight weeks,the total effective rate of remission in treatment group was 91. 4%( 53 /58),while in the control group,the total efficiency was 73. 7%( 45 /61). There were significant differences between the two groups( P < 0. 05). PSQI and HADS scores improved after treatment in both groups,but the treatment group was significantly more effective than the control group( P < 0. 05).Conclusion Acupuncture and herb-bath with PPI can be more effectively relieve anxiety and reflux symptoms in patients with esophageal reflux,avoiding dependence on psychotropic drugs and medicine-caused reflux problems.更多还原