文章摘要
温针结合脐疗贴治疗脾胃虚弱型慢性萎缩性胃炎的临床研究
Clinical study of warm acupuncture combined with umbilical patch in the treatment of chronic atrophic gastritis with spleen and stomach weakness
投稿时间:2023-12-23  录用日期:2024-03-05
DOI:
中文关键词: 温针灸  脐疗贴  慢性萎缩性胃炎
英文关键词: warm acupuncture  Umbilical therapy patch  Chronic atrophic gastritis
基金项目:湖北省自然科学基金面上项目 ( 2022CFB367)
作者单位邮编
阳国彬* 襄阳市中医医院(襄阳市中医药研究所) 441000
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中文摘要:
      目的:观察温针结合脐疗贴对脾胃虚弱型慢性萎缩性胃炎的可行性及疗效。方法:收集襄阳市中医医院2022年5月至2023年9月治未病科、肿瘤科、脾胃科慢性萎缩性胃炎患者,将符合纳入诊断和中医辩证标准的60按照随机分配为2组,对照组30例通过克拉霉素和温胃舒胶囊治疗,治疗组30例通过脐疗贴与温针灸相结合治疗,在两组均连续治疗12周后,观察两组治疗方法对脾胃虚弱型慢性萎缩性胃炎症状积分、病理学积分、临床疗效的影响。结果:治疗后,治疗组在胃痛积分(p=0.00%)、纳差积分(p=0.00%)、痞闷积分(p=0.01%)、嗳气积分(p=0.01%)、乏力积分(p=0.02%)积分下降明显,差异具有统计学意义(P<0.05)。对于组织病理学改变,治疗后,两组患者在治疗后胃粘膜炎症积分、腺体萎缩积分、肠化积分均有明显减少。在临床疗效上,治疗组总有效率100%(30/30),对照组总有效率96.6%(26/30),差异不显著(p>0.05)。结论:温针结合脐疗贴对脾胃虚弱型慢性萎缩性胃炎临床疗效佳,可供临床非药物治疗参考。
英文摘要:
      Objective: To observe the feasibility and curative effect of warm acupuncture combined with umbilical patch on chronic atrophic gastritis with spleen and stomach weakness.Method:Patients with chronic atrophic gastritis treated by Xiangyang Hospital of Traditional Chinese Medicine from May 2022 to September 2023 in the departments of disease, oncology and spleen and stomach were collected.The 60 patients who met the criteria for inclusion in diagnosis and TCM dialectic were randomly assigned to 2 groups.Control group 30 cases were treated with clarithromycin and Wenweishu capsule, treatment group 30 cases were treated with umbilical therapy patch combined with warm acupuncture and moxibustion.After 12 weeks of continuous treatment in both groups, the effects of the two groups of treatment methods on symptom score, pathological score and clinical efficacy of chronic atrophic gastritis with spleen and stomach weakness were observed.Results: After treatment, the scores of stomachache (p=0.00%), tolerance difference (p=0.00%), choking (p=0.01%), belching (p=0.01%) and fatigue (p=0.02%) in the treatment group decreased significantly, and the differences were statistically significant (p < 0.05).For histopathological changes, after treatment, the scores of gastric mucosal inflammation, glandular atrophy and enterification were significantly reduced in both groups. In terms of clinical efficacy, the total effective rate of the treatment group was 100% (30/30), and the total effective rate of the control group was 96.6% (26/30), with no significant difference (p>0.05).Conclusion: Warm acupuncture combined with umbilical patch has good clinical effect on chronic atrophic gastritis with spleen and stomach weakness, which can be used as a reference for clinical non-drug treatment.
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