Clinical Study On Acupuncture Treatment Of Peptic Ulcer With Anxiety And Depression

Objective: To observe the clinical efficacy and safety of acupuncture treatment of peptic ulcer with anxiety and depression.To explore a clinically effective physical therapy with obvious curative effect,less invasiveness,high safety and TCM characteristics.Methods: Cases that met the inclusion criteria of peptic ulcer with anxiety and depression were selected.The cases were divided into treatment group and control group by simple random method,36 cases in treatment group and 36 cases in control group,a total of 72 cases.Patients in the control group took oral omeprazole enteric-coated capsules(Losec)20 mg / capsule(Astra Zeneca Pharmaceutical Co.,Ltd.)2 times a day,1 capsule each time,and morning and evening divided into + potassium bismuth citrate tablets(Lavender)Delo)0.3g / tablet(Livzon Group Livzon Pharmaceutical Factory)2 times a day,2 tablets each time,and take it sooner or later;droperidol xanthimelide tablets(Delixin)0.5mg: 10 mg /tablet(Denmark Lingbei Pharmaceutical Factory),1 tablet twice a day,morning and evening.Patients in the treatment group were treated with acupuncture Zhongwan,Zusanli bilateral,Neiguan bilateral,Gongsun bilateral,Taichong bilateral,Yanglingquan bilateral,Baihui,Yintang,once every other day,three times a week.The course of treatment in both groups was 8 weeks.Compare the changes of gastroscopy results,single symptoms and signs scores of TCM,total scores of TCM syndromes,HAMA scale scores,HAMD scale scores,ulcer recurrence rate,etc.before and after treatment,and objectively evaluate the needle Clinical study of acupuncture treatment of peptic ulcer with anxiety and depression.Result:1.In this experimental study,72 cases were included,but there were 7 cases of shedding during the treatment process,and finally 32 cases in the control group,33 cases in the treatment group,and a total of 65 actual cases.The gender,age,course of disease,ulcer site,ulcer diameter,HAMA scale score,HAMD scale score,TCM individual symptom and sign scores,and TCM syndrome total scores were compared between the two groups before treatment,the difference was not statistical Academic significance(P> 0.05),there is a comparison.2.Comparison of total scores of TCM syndromes: within the group,the total scores of TCM syndromes after treatment in both groups were significantly lower than those before treatment,the difference was highly significant(P <0.01);comparison between groups,after treatment group The total score of TCM syndromes was significantly lower than that of the control group,and the difference was significant(P <0.05);The total effective rate of TCM syndromes in the treatment group after treatment was significantly higher than that in the control group,and the difference was significant(P <0.05).3.Comparison of single symptom and sign scores of traditional Chinese medicine: within the group,the single symptom and sign scores of traditional Chinese medicine after treatment in both groups were significantly lower than those before treatment,and the difference was highly significant(P <0.01);comparison between groups,the two groups There was no statistically significant difference in the scores of stomach cavity pain,chest flank fullness,moodiness,and restless symptoms(P> 0.05),but the difference in the scores of anorexia,belching,and pantothenic acid symptoms between the two groups was significant(P <0.05),the treatment group was lower than the control group.4.Comparison of microscopic ulcer healing: the comparison of microscopic ulcer healing after treatment between the two groups was not statistically significant(P> 0.05).5.Comparison of HAMA and HAMD scale scores: within the group,the HAMA and HAMD scale scores after treatment were significantly lower than the pre-treatment scores,the difference was highly significant(P <0.01);comparison between groups,treatment group HAMA after treatment The scores of the HAMD scale were significantly lower than those of the control group,and the difference was significant(P <0.05);After treatment,the total effective rate of HAMA and HAMD was significantly higher than that of the control group,the difference was significant(P <0.05).6.Comparison of total score of TESS scale: Compared with total score of TESS scale of two groups of patients,the proportion of side effects in the treatment group was significantly lower than that in the control group,and the difference was highly significant(P <0.01).7.Comparison of ulcer recurrence rate at 2 months after treatment: Comparison of ulcer recurrence rate at 2 months after treatment in the two groups.The treatment group had lower control of ulcer recurrence rate than the control group,and the difference was significant(P <0.05).Conclusion:1.Acupuncture treatment has significantly improved the single symptoms and signs of traditional Chinese medicine for peptic ulcer with anxiety and depression,and is superior to conventional Western medicine in improving the symptoms of belching,pantothenic acid,and anorexia.2.The effect of acupuncture treatment on ulcer healing under microscope is comparable to conventional western medicine.3.Acupuncture treatment can effectively reduce the anxiety and depression associated with patients with this disease,and the therapeutic effect is better than Dai Lixin.4.Toxic side effects of acupuncture treatment are significantly less than conventional Western medicine treatment.5.The recurrence rate of ulcer 2 months after acupuncture treatment is lower than conventional Western medicine treatment.