Effect of Pluse-taking therapy of Zhouyixiangshu on symptom score and basal metabolic rate in patients with functional dyspepsia
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摘要: [目的]观察周易象数切脉疗法对功能性消化不良（Functional dyspepsia，FD）患者症状评分及基础代谢率的影响，并探讨二者的相关性。[方法]观察对象为160例FD合格受试者。治疗组80例行周易象数切脉疗法治疗，莫沙必利西药组80例予枸橼酸莫沙必利分散片口服治疗，检测2组治疗前后症状评分及基础代谢率，并对2者进行相关性分析。[结果]治疗前，2组患者的基础代谢率比较差异无统计学意义（P<0.05），治疗第7 d、第14 d、第21 d周易象数切脉治疗组基础代谢率高于治疗前，莫沙必利西药组治疗第7 d、第14 d、第21 d基础代谢率与治疗前比较，差异无统计学意义（P>0.05）；周易象数切脉疗法的总有效率为96.67%，莫沙必利西药组的总有效率为86.67%，2组比较差异有统计学意义（P<0.05）；2组治疗后中医证候评分均下降，且周易象数切脉疗法组下降更明显（P<0.05）；采用Spearman相关性分析，结果显示，症状评分与基础代谢率呈负相关（P=0.005）。[结论]周易象数切脉疗法可有效改善消化不良患者症状，其机制可能与改善患者的基础代谢率有关。Abstract: [Objective] To observe the effect of pluse-taking therapy of Zhouyixiangshu on symptom score and basal metabolic rate in patients with functional dyspepsia(FD), and to explore the correlation between them.[Methods] A total of 160 FD subjects were observed.80 patients in the treatment group were treated with pluse-taking therapy of Zhouyixiangshu, 80 cases of mosapride western medicine group were treated with mosapride citrate dispersible tablet, and the symptom score and basal metabolic rate were measured before and after treatment.And the correlation between symptom score and basal metabolic rate was analyzed.[Results] Before treatment, the basal metabolic rate of the two groups was statistically significant(P<0.05).The basal metabolic rate of the treatment group was higher than that before treatment on the 7 th day, the 14 th day and the 21 st day, There was no significant difference in the basal metabolic rate between the 7 th day, the 14 th day and the 21 st day(P>0.05).The total effective rate was 16.67%(P<0.05).The scores of TCM syndromes were decreased in both groups after treatment, and the incidence of TCM syndromes decreased significantly(P<0.05), and the difference had statistically significance(P<0.05).Using Spearman correlation analysis, the results showed that the symptom score was negatively correlated with basal metabolic rate(P=0.005).[Conclusion] The pluse-taking therapy of Zhouyixiangshu may be effective in improving the symptoms of dyspepsia patients, and the mechanism may be related to the improvement of basal metabolic rate in patients.
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[1] Zeng F, Qin W, Liang F, et al.Abnormal resting brain activity in patients with functional dyspepsia is related to symptom severity[J].Gastroenterology, 2011, 141(2):499-506.
[2] 刘晶, 李峰, 唐旭东, 等.功能性消化不良中医辨证及辨证标准的现代临床文献研究[J].世界中医药, 2015, 10(1):56-59.
[3] 马朝阳, 黄琪, 万文俊, 等.辨证针刺对功能性消化不良患者生活质量的影响[J].中国针灸, 2014, 34(2):125-129.
[4] 谢胜.周易象数切脉疗法治疗功能性消化不良的临床研究[J].江西中医学院学报, 2009, 21(3):38-40.
[5] 谢胜, 张越, 周晓玲, 等.周易象数切脉疗法对功能性消化不良患者胃动素的影响[J].按摩与康复医学, 2011, 2(8):60-61.
[6] 张越, 谢胜, 周晓玲, 等.周易象数切脉疗法对功能性消化不良患者胃泌素的影响[J].山西中医, 2012, 28(6):27-28.
[7] 谢胜, 张越, 周晓玲, 等.周易象数切脉疗法对功能性消化不良患者胃促生长素的影响[J].江西中医药杂志, 2011, 42(5):17-18.
[8] 贺娟.从《周易》到《内经》的阴阳观念流变[J].北京中医药大学学报, 2008, 31(12):811-814.
[9] Bonfanti N, Fernández JM, Gomez-Delgado F, et al.Effect of two hypocaloric diets and their combination with physical exercise on basal metabolic rate and body composition[J].Nutr Hosp, 2014, 29(3):635-643.
[10] 中华中医药学会脾胃病分会.消化不良中医诊疗共识意见(2009)[J].中国中西医结合杂志, 2010, 30(5):533-537.
[11] 黄小娟.莫沙必利与多潘立酮治疗功能性消化不良的临床疗效比较[J].医学理论与实践, 2015, 28(10):1325-1326.
[12] 李德科, 唐荣伟, 赵淑芹.半夏泻心汤加味配伍吗丁啉辅助治疗功能性消化不良[J].中国实验方剂学杂志, 2014, 20(22):203-206.
[13] 张声生, 李晓玲.功能性消化不良的中西医研究进展[J].首都医科大学学报, 2015, 36(4):649-653.
[14] 谢胜, 侯秋科, 张越.中医外治法治疗功能性消化不良研究进展[J].河南中医, 2011, 9(3):592-593.
[15] 谢胜, 张越.周易象数指针疗法治疗胃脘痛的临床疗效观察[J].辽宁中医杂志, 2010, (9):1797-1799.
[16] 王鹏, 欧阳兵.浅论《周易》对中医学"天人相应"理论形成的影响[J].天津中医药, 2003, 20(1):41-42.
[17] Miwa H, Kusano M, Arisawa T, et al.Evidence-based clinical practice guidelines for functional dyspepsia[J].J Gastroenterol, 2015, 50(2):125-139.
[18] 朱琳, 陈佩杰.能量消耗测量方法及其应用[J].中国运动医学杂志, 2011, 30(6):577-582.
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