| 摘要: |
| 目的：观察热敏化腧穴疏香灸治疗功能性消化不良（functional dyspepsia，FD）肝郁脾虚证的临床
疗效及其对患者生活质量的影响。方法：选取60 例FD 肝郁脾虚证患者，将其随机分为治疗组和对照组，每组
各30 例。治疗组予以热敏化腧穴探查，并使用疏香灸治疗；对照组予口服枸橼酸莫沙必利片治疗；2 组疗程
均为2 周。比较2 组治疗前后中医证候积分、尼平消化不良症状指数量表（Nepean Dyspepsia Symptom Index，
NDSI）评分、尼平消化不良生活质量指数量表（Nipine Digestive Dysplasia Life Index Scale，NDLQI）评分，并进
行3 个月的病情随访以评估远期疗效。结果：总有效率治疗组为93.33%（28/30），对照组为86.67%（26/30），
2 组比较，差异有统计学意义（P <0.05）。2 组中医证候积分、NDSI 评分、NDLQI 评分治疗前后组内比较及治
疗后组间比较，差异均有统计学意义（P <0.05 或P <0.01）；随访3 个月后，复发率治疗组为10.71%（3/28），对
照组为38.46%（10/26），2 组比较，差异有统计学意义（P <0.05）。结论：热敏化腧穴疏香灸治疗FD 肝郁脾虚
证在短期和远期均有较好的疗效，可减轻症状，提高生活质量。 |
| 关键词: 功能性消化不良 肝郁脾虚证 热敏化腧穴 疏香灸 临床疗效 |
| DOI： |
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| Clinical effect of Shuxiang moxibustion at heat-sensitized acupoints in treatment of functional dyspepsiawith liver depression and spleen deficiency: An analysis of 30 cases |
| LI Ruisheng,LUO Sha |
| (Nanning Hospital of Traditional Chinese Medicine, Nanning 530001, Guangxi, China) |
| Abstract: |
| Objective: To investigate the clinical effect of Shuxiang moxibustion at heat-sensitized acupoints in the
treatment of patients with functional dyspepsia （FD） of liver depression and spleen deficiency syndrome, as well as its
impact on the quality of life of patients. Methods: A total of 60 FD patients with liver depression and spleen deficiency were
enrolled and randomly divided into treatment group and control group, with 30 patients in each group. The patients in the
treatment group received exploration of heat-sensitized acupoints followed by Shuxiang moxibustion, and those in the control
group received oral administration of mosapride citrate tablets. The course of treatment was 2 weeks for both groups. The
two groups were compared in terms of traditional Chinese medicine （TCM） syndrome score, Nepean Dyspepsia Symptom Index （NDSI） score, and Nepean Dyspepsia Life Quality Index （NDLQI） score before and after treatment, and the patients were followed up for 3 months to assess long-term outcome. Results: After treatment, both groups had significant
changes in TCM syndrome scores and NDLQI score, and there were significant differences in these indicators between the
two groups after treatment （P < 0.05 or P < 0.01）. After follow-up for 3 months, there was a significant difference in
recurrence rate between the treatment group and the control group ［10.71% （3/28） vs 38.46% （10/26）, P < 0.05］.
Conclusion: Shuxiang moxibustion at heat-sensitized acupoints shows favorable short- and long-term effects in the treatment
of FD with liver depression and spleen deficiency and can alleviate symptoms and improve the quality of life. |
| Key words: functional dyspepsia liver depression and spleen deficiency heat-sensitized acupoints Shuxiang moxibustion clinical effect |
