摘要
目的:分析子午流注雷火灸(辰时)联合中药贴敷(巳时)对老年功能性消化不良(functional dyspepsia,FD)患者的临床疗效。方法:选取2022年1月—2024年12月在南通市第三人民医院中医科住院的120例老年FD患者,随机平分为对两组,对照组采用口服多潘立酮片治疗,观察组在对照组基础上采用子午流注雷火灸(辰时)联合中药贴敷(巳时)治疗,两组患者均治疗2周。比较两组患者的临床疗效,治疗前后的中医证候积分,内脏敏感性指数和健康调查简表(short form 36 health survey,SF-36)评分,血清胃肠激素水平变化以及不良反应情况。结果:观察组的总体临床疗效明显高于对照组(P<0.05);观察组的主、次中医证候积分明显低于对照组(P<0.05);观察组内脏敏感性指数较对照组降低更明显(P<0.05),观察组SF-36评分较对照组提高更明显(P<0.05);观察组血清胃动素、胃泌素水平较对照组显著升高(P<0.05);两组不良反应情况比较差异无统计学意义(P>0.05)。结论:在子午流注理论的指导下,雷火灸与中药贴敷的联合应用能显著改善老年FD患者临床表现,调节胃肠动力,提高老年患者的生活质量。
Objective:To analyze the clinical effect of midnight-noon ebb-flow thunder-fire moxibustion(Dragon Hour)combined with traditional Chinese medicine plaster(Snake Hour)on elderly patients with functional dyspepsia(FD).Methods:A total of 120 elderly FD patients admitted to Nantong Third People's Hospital from January 2022 to December 2024 were selected for the study.They were randomly divided two groups.The control group was treated with oral domperidone tablets,and the observation group was treated with midnight-noon ebb-flow thunder-fire moxibustion(Dragon Hour)combined with traditional Chinese medicine plaster(Snake Hour)on the basis of the control group.Both groups were treated for 2 weeks.The clinical efficacy,traditional Chinese medicine(TCM)syndrome score,visceral sensitivity index and short form 36 health survey(SF-36)score before and after treatment,changes in serum gastrointestinal hormone levels and adverse reactions were compared between the two groups.Results:The overall clinical efficacy of the observation group was significantly higher than that of the control group(P<0.05).The scores of primary and secondary TCM symptoms in the observation group were significantly lower than those in the control group(P<0.05).The visceral sensitivity index of the observation group was lower than that of the control group(P<0.05),and the SF-36 score of the observation group was higher than that of the control group(P<0.05).The levels of serum motilin and gastrin in the observation group were significantly higher than those in the control group(P<0.05).There was no significant difference in adverse reactions between the two groups(P>0.05).Conclusion:Under the guidance of midnight-noon ebb-flow theory,the combined application of thunder-fire moxibustion and traditional Chinese medicine plaster can significantly improve the clinical manifestations of elderly patients with FD,regulate gastrointestinal motility,and improve the quality of life of elderly patients.
作者
张娟
邵建国
李民
达坤林
乔娇娇
蒋文
张玉
ZHANG Juan;SHAO Jianguo;LI Min;DA Kunlin;QIAO Jiaojiao;JIANG Wen;ZHANG Yu(Department of Traditional Chinese Medicine,Nantong Third People's Hospital,Nantong Clinical College of Integrated Traditional Chinese and Western Medicine of Nanjing University of Chinese Medicine,Jiangsu 226006)
出处
《南通大学学报(医学版)》
2025年第3期211-215,共5页
Journal of Nantong University(Medical sciences)
基金
国家中医药管理局监测统计中心课题(YGZXKT2024115)
南通市卫生健康委青年课题(QN2024040)
南通市基础科学研究和社会民生科技计划项目(MSZ2022119)。
关键词
功能性消化不良
子午流注
雷火灸
中药贴敷
胃肠激素
老年人
functional dyspepsia
midnight-noon ebb-flow
thunder-fire moxibustion
Chinese medicine plaster
gastrointestinal hormones
elderly
