目的

观察偶刺法结合常规针刺治疗胃下垂的疗效。

方法

收集2013 年9 月至2014 年12 月天津中医药大学第一附属医院针灸科门诊胃下垂病例60 例，随机分为治疗组和对照组，治疗组采用偶刺结合常规针刺治疗，主穴：中脘、胃俞，配穴：梁门、天枢；脾俞、肝俞、胆俞；内关、合谷、风池、百会、上星；阴陵泉、阳陵泉、足三里、三阴交。操作：中脘、胃俞前后对应斜刺0.5～1.0 寸，阴陵泉、阳陵泉、足三里、三阴交，采用捻转补法，余穴平补平泻。对照组采用常规针刺，选取脾俞、胃俞、中脘、足三里、百会，两组患者均每日行针刺1 次，7 次为1 个疗程，共治疗4 个疗程。所有数据采用SPSS17.0 统计软件进行分析,两组疗效比较采用秩和检验，以P＜0.05 为有统计学意义。

结果

治疗组痊愈16 例，显效9 例，有效3 例，无效2 例，有效率93.33%（28/30），对照组痊愈10 例，显效7 例，有效6 例，无效7 例，有效率76.67%（23/30），经Ridit 分析，两组临床疗效比较差异有统计学意义（P＜0.05）。

结论

治疗组疗效优于对照组，偶刺法结合常规针刺治疗胃下垂疗效显著，值得临床推广。

Objective

To observe the curative effects of even needling acupuncture combined with routine acupuncture treatment for stomach sagging.

Methods

Sixty patients with stomach sagging were collected from September 2013 to December 2014 in the first affiliated hospital of Tianjin university of traditional Chinese medicine. Patients were randomly divided into treatment group and control group. The treatment group were treated with even needling acupuncture combined with routine acupuncture, and the mainpoints including Zhongwan(RN 12), Weishu(BL 21), coordination of acupoints:Liangmen(ST 21), Tianshu(ST 25); Pishu(BL 20),Ganshu(BL 18), Danshu(BL 19); Neiguan,(PC 6),Hegu(LI 4), Fengchi(GB 20), Baihui(DU 20),Shangxing(DU 23); Yinlingquan(SP 9), Yanglingquan(GB 34), Sanyinjiao(SP 6)and Zusanli(ST 36);The operation methods were the corresponding inclined 0.5～1.0 inches at the front and backof Zhongwan(RN 12), Weishu(BL 21),the twisting reinforcing method at Yinlingquan(SP 9), Yanglingquan(GB 34), Sanyinjiao(SP 6), Zusanli(ST 36)and other acupoints used reinforcing-reducing method.For the control group, routine acupuncture was used at Pishu(BL 20), Weishu(BL 21), select Zhongwan(RN 12), Zusanli(ST 36) and Baihui(DU 20).The treatment was1 time a day, 7 times were for the 1 course and 4 courses of treatment were given to both two group. Data were analyzed by SPSS statistical software (SPSS17.0), and the efficacy of the two groups was compared by rank sum test.The differences were considered significant when P＜0.05.

Results

In the treatment group,16 cases were cured, 9 cases markedly effective, 3 cases effective and 2 cases invalid. The efficient rate was 93.33% (28/30). For control group, 10 cases were cured, 7 cases markedly effective, 6 cases effective and invalid 7 cases. The efficient rate was 76.67% (23/30). There was significant difference in the clinical efficacy between two groups analysed by Ridit analysis (P＜0.05).

Conclusion

The efficient rate is significantly higher in the treatment group than that of the control group. The even needling combined with routine acupuncture treatment shows remarkable efficiency in treatment of stomach sagging, which worthy of clinical promotion.