Objectives: To observe the effect of elongated needle, filiform needle and medication for attenuating belching, nausea and vomiting in patients with dyspepsia after ischemic stroke.
Methods: A total of 102 patients with dyspepsia after ischemic stroke were randomly divided into an elongated needle group (34 cases, 1 case dropped out), a filiform needle group (34 cases), and a medication group (34 cases, 2 cases dropped out). In the elongated needle group, the elongated needle with the length of 125 mm was inserted perpendicularly at Zhongwan (CV12), Qihai (CV6), Liangmen (ST21, bilateral) and Tianshu (ST25, bilateral). After inserted with the depth of 70 mm to 90 mm, the needle was lifted beneath the skin, with the depth of 45 mm to 75 mm. In the filiform needle group, the filiform needle, with the length of 40 mm was used and inserted perpendicularly at CV12, CV6, ST21 (bilateral) and ST25 (bilateral), with the depth of 20 mm to 30 mm. Acupuncture therapy was delivered once daily, 6 times a week for 2 weeks in these two groups. In the medication group, domperidone was prescribed orally, 10 mg each time, 3 times a day, for 2 weeks. The scores of Leeds dyspepsia questionnaire (LDQ), Nepean dyspepsia life quality index (NDLQI) and the dyspepsia symptom of TCM were evaluated before and after treatments. The clinical efficacy was compared among the 3 groups and the safety was evaluated.
Results: After treatment, the scores of LDQ and TCM dyspepsia symptom decreased markedly compared with the baseline (P<0.05), and NDLQI score increased (P<0.05) in the 3 groups. After treatment, when compared with the filiform needle group and the medication group, the scores of LDQ and TCM dyspepsia symptom were decreased in the elongated needle group (P<0.05) and the NDLQI score was increased (P<0.05). The total effective rate was 93.94% (31/33), 76.47% (26/34) and 71.88% (23/32) in the elongated needle group, the filiform needle group and the medication group, respectively. The total effective rate in the elongated needle group was superior to either the filiform needle group or the medication group (P<0.05). The serious adverse reaction was not found and the safety was high in the 3 groups.
Conclusions: Elongated needling therapy with deep insertion can significantly relieve the symptoms of dyspepsia after ischemic stroke and promote the recovery in the patients. The effect of this therapy is superior to the treatment with either filiform needle or medication.
目的: 观察芒针改善缺血性中风后消化不良患者嗳气、恶心、呕吐等症状的疗效。方法: 将102例缺血性中风后消化不良患者随机分为芒针组（34例，退出1例）、毫针组（34例）及药物组（34例，退出2例）。芒针组采用125 mm长芒针深刺中脘、气海、梁门（双）、天枢（双），直刺刺入70~90 mm后提至皮下45~75 mm；毫针组采用40 mm毫针直刺中脘、气海、梁门（双）、天枢（双）20~30 mm；两组均每日1次，每周针刺6次，共2周。药物组口服多潘立酮，10 mg/次，每日3次，共2周。治疗前后使用利兹消化不良问卷（LDQ）、尼平消化不良生活质量指数（NDLQI）、消化不良中医症状积分进行评价，比较3组临床疗效，并进行安全性评价。结果: 与治疗前比较，3组患者治疗后LDQ评分、消化不良中医症状积分均显著降低（P<0.05），NDLQI评分显著升高（P<0.05）；治疗后与毫针组和药物组比较，芒针组LDQ评分、消化不良中医症状积分显著降低（P<0.05），NDLQI评分显著升高（P<0.05）。芒针组的总有效率为93.94%（31/33），毫针组与药物组分别为76.47%（26/34）和71.88%（23/32），芒针组总有效率优于毫针组与药物组（P<0.05）。3组均未出现严重不良反应，安全性较高。结论: 芒针深刺能够显著改善缺血性中风后消化不良患者症状，促进患者恢复，且其临床疗效优于毫针和西药。.
Keywords: Dyspepsia; Elongated needle; Ischemic stroke.