CAJ | 학술논문

目的：比较针刺足阳明胃经特定穴与非特定穴对功能性消化不良(FD)患者情感障碍和生活质量影响的差异,探讨经穴效应差异性。方法70例FD患者随机分为足阳明胃经特定穴组(A组)35例和足阳明胃经非特定穴组(B组)35例。A组针刺冲阳、丰隆、足三里、梁丘,B组针刺条口、阴市、伏兔、犊鼻,并均沿穴位所在经络近心端约2 mm位置设置辅助针刺点进行浅刺。各组针刺点及其旁开的辅助针刺点均接韩氏穴位神经刺激仪,均每日1次,9次为1个疗程,共治疗3个疗程。观察并比较两组患者治疗前后焦虑、抑郁等情感障碍和生活质量评分的变化。结果治疗3个疗程后,两组患者抑郁自评量表(SDS)和焦虑自评量表(SAS)评分较治疗前均有明显下降(P＜0.05,P＜0.01),且A组明显低于B组(P＜0.05)。同时两组患者心理、躯体、物质和社会各项目评分较治疗前均有明显上升(P＜0.05,P＜0.01),且A组明显高于B组(P＜0.05)。结论针刺足阳明胃经特定穴与非特定穴对 FD 患者情感障碍和生活质量均具有改善作用,但针刺足阳明胃经特定穴在减轻或缓解患者的抑郁、焦虑等负性情绪,提高患者的生活质量,改善其预后方面具有更好的疗效,证实了经穴特异性效应的存在。
목적：비교침자족양명위경특정혈여비특정혈대공능성소화불량(FD)환자정감장애화생활질량영향적차이,탐토경혈효응차이성。방법70례FD환자수궤분위족양명위경특정혈조(A조)35례화족양명위경비특정혈조(B조)35례。A조침자충양、봉륭、족삼리、량구,B조침자조구、음시、복토、독비,병균연혈위소재경락근심단약2 mm위치설치보조침자점진행천자。각조침자점급기방개적보조침자점균접한씨혈위신경자격의,균매일1차,9차위1개료정,공치료3개료정。관찰병비교량조환자치료전후초필、억욱등정감장애화생활질량평분적변화。결과치료3개료정후,량조환자억욱자평량표(SDS)화초필자평량표(SAS)평분교치료전균유명현하강(P＜0.05,P＜0.01),차A조명현저우B조(P＜0.05)。동시량조환자심리、구체、물질화사회각항목평분교치료전균유명현상승(P＜0.05,P＜0.01),차A조명현고우B조(P＜0.05)。결론침자족양명위경특정혈여비특정혈대 FD 환자정감장애화생활질량균구유개선작용,단침자족양명위경특정혈재감경혹완해환자적억욱、초필등부성정서,제고환자적생활질량,개선기예후방면구유경호적료효,증실료경혈특이성효응적존재。
ObjectiveTo compare the effect of acupuncture at specific acupoints of Stomach Meridian to that of non-specific points of the same meridian on emotional disorders and quality of life in patients with functional dyspepsia (FD), and to explore the difference of acupoint action.MethodSeventy FD patients were randomized into group A (group of specific acupoints of Stomach Meridian) of 35 cases and group B(group of non-specific acupoints of Stomach Meridian) of 35 cases. Group A was intervened by acupuncture at Chongyang (ST42), Fenglong (ST40), Zusanli (ST36) and Liangqiu (ST34); group B was by acupuncture at Tiaokou (ST38), Yinshi (ST33), Futu (ST32) andDubi (ST35). For both groups, the assistant points (2 mm away from the punctured acupoints on the proximal side) were also punctured. Each acupoint and its assistant point were stimulated by Han’s acupointnerve stimulator. The treatment was given once daily, 9 sessions as a treatment course, and 3 courses were given in total. Emotional disorders such as anxiety and depression, and the quality of life were observed and compared.ResultAfter 3 treatment courses, the Self-rating Depression Scale (SDS) andSelf-rating Anxiety Scale (SAS) scores decreased significantly in both groups(P<0.05,P<0.01), and the scores in group A were markedly lower than that in group B(P<0.05). Meanwhile, the psychological, somatic, material and social scores were elevated in both groups(P<0.05,P<0.01), and the scores in group A were significantly higher than that in group B(P<0.05).ConclusionAcupuncture at the specific acupoints and non-specific acupoints of the Stomach Meridian both can improve the emotional disorders andthe quality of life of FD patients; while acupuncture at the specific acupoints can produce a more significant effect in reducing or releasing the negative emotions such as depression and anxiety, and in enhancing the quality of life, which has proven theexistence of the specificity of acupoints.