越鞠丸联合子午流注开穴疗法对功能性消化不良伴焦虑抑郁患者血清胃泌素、胃蛋白酶原的影响

摘要 目的：探讨越鞠丸联合子午流注开穴疗法治疗功能性消化不良（FD）伴焦虑抑郁的疗效及对血清胃泌素、胃蛋白酶原的影响。方法：选取2017年7月~2020年7月期间南京市第一医院和首都医科大学附属北京中医医院收治的150例FD伴焦虑抑郁患者,以随机数字表法分为对照组（n=75,常规西医治疗）和研究组（n=75,对照组基础上给予越鞠丸联合子午流注开穴疗法治疗）。疗程均为4周。对比两组治疗4周后的临床疗效,对比两组治疗前、治疗4周后的中医证候积分、焦虑抑郁情况、血清胃泌素和胃蛋白酶原水平。结果：对照组的临床总有效率为76.00%（57/75）,低于研究组的92.00%（69/75）（P<0.05）。治疗4周后,两组主证（脘腹胀满、胃痛、食欲不振）、次证（胁肋胀痛、嗳气泛酸、恶心呕吐、烦躁太息、神疲乏力、口苔黏腻、大便稀溏）积分均降低,且研究组较对照组低（P<0.05）。治疗4周后,两组Zung抑郁自评量表（SDS）、Zung焦虑自评量表（SAS）评分均降低,且研究组较对照组低（P<0.05）。治疗4周后,两组血清胃泌素、胃蛋白酶原1、胃蛋白酶原2水平均升高,且研究组较对照组高（P<0.05）。结论：采用子午流注开穴疗法联合越鞠丸治疗FD伴焦虑抑郁患者,可有效改善患者焦虑抑郁状态和临床症状,提高血清胃泌素和胃蛋白酶原水平,明显提升临床疗效。     

Validity and Reliability of the CorTempTM Telemetric Pill during 50 h of Reuse in a Circulating Water Bath

It has been shown that CorTemp^TM telemetric pills (CTTPs) provide valid measures of rectal temperature when used as suppositories. While encapsulated into a condom linked to a thread, CTTPs can be inserted in and extracted from the rectum and be reused. The validity and reliability of the CTTP throughout repeated use remains to be demonstrated. Three CTTPs were compared to a YSI 401 wired rectal probe inside a circulating water bath (temperatures varying from 36.5 to 39.4 °C) during 50 h of intermittent use. Each CTTP underwent 20 trials comprising 6 protocols of varying duration: 6 · 1 h, 5 · 2 h, 4 · 3 h, 3 · 4 h and 2 · 5 h. All CTTPs were washed, switched off and disinfected after each trial to reproduce real-life use. Acceptable agreement between sensors was taken as a mean bias within ±0.27 °C. None of the pills showed signs of deterioration following 50 h of reuse. As for relative validity, where all CTTPs showed robust coefficients of determination ranging from 0.98 to 0.99, absolute validity was excellent with each CTTP showing mean biases and typical errors of the estimate (TEE) within ±0.27 °C. Comparisons between the first and last trial each CTTP underwent resulted in means biases and TEEs within ±0.27 °C and coefficients of determination ranging from 0.97 to 0.99, which indicates strong absolute and relative reliability. The present results show that CTTPs can provide valid and reliable measurements of temperature when reused up to 50 h.