俞募配穴埋线法对原发性胆汁返流性胃炎内镜病理的干预研究

发布时间：2018-03-30 04:19

本文选题：俞募配穴　切入点：埋线疗法　出处：《辽宁中医杂志》2017年12期

【摘要】：目的:观察俞募配穴埋线疗法对原发性胆汁返流性胃炎(BRG)内镜下胃黏膜组织的病理变化并探讨部分作用机制。方法:将72例原发性胆汁返流性胃炎(BRG)患者按随机数字表法分为两组,治疗组37例采用俞募配穴埋线法,对照组35例采用俞募配穴针刺法,治疗1个疗程后观察两组前后内镜下疗效差异及病理学积分评定。结果:俞募配穴埋线法总有效率为89.19%,俞募配穴针刺法为80.00%,两组疗效比较差异有统计学意义(P0.05)。两组均可改善患者内镜下黏膜组织水肿、胃小凹增生、黏膜机增生、血管扩张程度、炎症程度;其中,俞募配穴埋线法对黏膜组织水肿、血管扩张程度、炎症程度改善更明显,两组比较有显著性差异;两组疗效相比,以俞募配穴埋线组为优。结论:俞募配穴埋线疗法能有效改善原发性胆汁返流性胃炎患者内镜下病理积分程度,使原发性胆汁返流性胃炎患者的胃黏膜趋于正常化。
[Abstract]:Objective: to observe the pathological changes of gastric mucosa in patients with primary bile reflux gastritis (BRG) and explore the mechanism of partial action. Methods: 72 patients with primary bile reflux gastritis (BRG) were randomly divided into two groups. The digital table method is divided into two groups. In the treatment group, 37 cases were treated with Shu-fu-combined acupoint embedding method, and 35 cases in the control group were treated with Shu-fu-acupuncture method. After one course of treatment, the difference of endoscope curative effect and pathological score were observed between the two groups. Results: the total effective rate was 89.19 for Shufu-mixed point embedding method and 80.00for Yu-fu acupoint acupuncture. The difference between the two groups was statistically significant (P 0.05). Group A could improve the edema of mucosal tissue under endoscope. Gastric concave hyperplasia, mucosal hyperplasia, vascular dilatation degree, inflammation degree, among them, Shu-fu-Pian point embedding method improved mucosal tissue edema, vasodilation degree and inflammation degree more obviously, there was significant difference between the two groups, the curative effect of the two groups was higher than that of the other two groups. Conclusion: the catgut embedding therapy at Shufu can effectively improve the degree of endoscopic pathology in patients with primary bile reflux gastritis and normalize the gastric mucosa of patients with primary bile reflux gastritis.
【作者单位】：广州中医药大学第一附属医院康复中心;广州中医药大学针灸康复临床医学院;
【基金】：国家自然科学基金(81303069) 广州市科技重大专项计划项目(2014Y2-00120) 广东省科学技术项目(2014A020221094)
【分类号】：R259

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