以气机升降理论为组方选穴原则的针刺治疗反流性咽喉炎临床观察

目的:验证以气机升降理论为组方选穴原则的针刺治疗反流性咽喉炎的临床疗效。方法:将84例反流性咽喉炎患者随机分为观察组和对照组,每组42例。两组均给予常规治疗,对照组给予口服埃索美拉唑片(20 mg/次,2次/d)及枸橼酸莫沙必利片(5 mg/次,3次/d),连续治疗14 d;观察组口服药物同对照组,另予以气机升降理论为组方选穴原则的针刺治疗,穴取天突、膻中、中脘、足三里、太冲、内关,每日1次,5次/周,治疗10次,持续2周(14d)。比较两组治疗前后反流症状指数(RSI)评分、反流体征指数(RFS)评分、24h食管p H<4时间占比,并评定疗效。结果:两组患者治疗后RSI评分、RFS评分、24 h食管p H<4时间占比较治疗前均降低(P<0.05);且治疗后观察组RSI评分、RFS评分、24 h食管pH<4时间占比均低于对照组(P<0.05)。观察组总有效率为92.9%(39/42),优于对照组的71.4%(30/42,P<0.05)。结论:在常规治疗基础上,以气机升降理论为组方选穴原则的针刺治疗联合西药治疗有助于胃肠功能的恢复,能有效控制咽喉部症状...

Clinical study of laryngopharyngeal reflux treated with acupuncture on the base of theory of the ascending and the descending of qi

Objective To verify the clinical effect of laryngopharyngeal reflux(LPR) treated with acupuncture at the acupoints composed on the base of theory of the ascending and the descending of qi. Methods A total of 84 patients of LPR were randomized into an observation group and a control group, 42 cases in each one. The conventional treatment was provided in the two groups. Additionally, in the control group, the medication was administered, i.e. esomeprazole tablets(20 mg, twice a day) and mosapride tablets(5 mg, three times a day), consecutively for 14 days. In the observation group, the oral medication was the same as the control group. Besides, acupuncture at the acupoints composed on the base of theory of the ascending and the descending of qi was supplemented. The acupoints were Tiantu(CV 22), Danzhong(CV 17), Zhongwan(CV 12), Zusanli(ST 36), Taichong(LR 3) and Neiguan(PC 6). The acupuncture treatment was given once a day, 5 times a week, consecutively for 10 times in 2 weeks(14 days in total). Before and after treatment, the reflux symptom index(RSI) score, the reflux finding score(RFS) and the time proportion of esophageal pH < 4 in 24 h were compared, and the therapeutic effect was evaluated in the two groups. Results After treatment, RSI score, RFS, 24 h esophageal pH<4 time proportion were all reduced as compared with those before treatment in the two groups(P<0.05). After treatment, RSI score, RFS, 24 h esophageal pH<4 time proportion in the observation group were lower than those in the control group(P<0.05). The total effective rate was 92.9%(39/42) in the observation group, better than 71.4%(30/42) in the control group(P<0.05). Conclusion On the base of the conventional treatment, acupuncture at the acupoints composed in compliance with the theory of the ascending and the descending of qi combined with western medication contribute to the recovery of gastrointestinal function, effectively control the laryngopharyngeal symptoms and physical signs. The therapeutic effect of this comprehensive therapy is better than the simple treatment with western medication.