火针治疗脾胃虚寒型慢性浅表性胃炎的临床观察

发布时间：2018-06-01 10:28

本文选题：慢性浅表性胃炎 + 脾胃虚寒型　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的：通过对脾胃虚寒型慢性浅表性胃炎患者行火针治疗的临床观察及症状量表评估,明确火针治疗脾胃虚寒型慢性浅表性胃炎的安全性和有效性。方法：将2015年1月-2016年1月就诊于南京中医药大学第三附属医院南京市中医院针灸科门诊、脾胃科病房和门诊60例慢性浅表性胃炎患者按照随机数字法分为火针治疗组和药物对照组。治疗组采用细火针针刺法,患者采用卧位,对穴位严格消毒,然后将贺氏细火针在酒精灯上烧红至白亮,随即针尖迅速刺入中脘、建里、气海、梁丘、足三里、三阴交穴后立即出针(约0.05s),然后用消毒干棉球按压针孔。每周两次,4周为一疗程,共治疗1个疗程。对照组患者口服小建中胶囊,每次20mg,每天2次。4周为一疗程,共治疗1个疗程。分别在治疗前及治疗结束时分别让患者填写慢性浅表性胃炎症状分级表。结果：(1)火针治疗组及药物对照组所有入组患者在入组前对其一般情况(年龄、性别)进行统计分析,结果提示两组入组患者一般情况无统计学意义(P0.05)。(2)组内比较：分别对两组治疗前和治疗结束时临床症状进行总积分比较,经配对t检验,治疗组与对照组均P0.05,差异具有统计学意义。组间比较：对两组治疗前症候积分进行比较,各项症候积分统计,经两样本t检验,P0.05,差异无统计学意义。两组治疗结束时症候积分进行比较,两组各项症候积分经统计,经两样本t检验,P0.05,差异有统计学意义。(3)总有效率：火针治疗组为93.33%,口服药物组为70%,两组疗效经二项分布检验,P0.05,差异有统计学意义。结论：采用火针治疗期间未发生不良反应,表明火针治疗具有安全性：慢性浅表性胃炎患者在患病后有较明显的腹胀、腹痛、纳食减少症状,同时会伴有不同程度的纳差、恶心、嗳气、反酸/烧心、便溏、疲乏等症状加重。经火针治疗后和药物治疗后患者各项症状均有所改善,同时火针治疗的疗效明显优于药物治疗。
[Abstract]:Objective: to evaluate the efficacy and safety of fire acupuncture in the treatment of chronic superficial gastritis with deficiency of spleen and stomach. Methods: from January 2015 to January 2016, the Department of Acupuncture and moxibustion of Nanjing traditional Chinese Medicine Hospital, the third affiliated Hospital of Nanjing University of traditional Chinese Medicine, were treated. Sixty patients with chronic superficial gastritis in spleen and stomach ward and outpatient department were randomly divided into fire acupuncture treatment group and drug control group. In the treatment group, the fine fire needle acupuncture was used, and the patient used the supine position to sterilize strictly the acupoints. Then he's fine fire needle was burned to the white light on the wine concentrate lamp, and then the tip of the needle was rapidly punctured into the central epigastric, Jianli, Qihai, Liang Qiu, Zusanli, Sanyinjiao point immediately after the needle (about 0.05 sou, then sterilize dry cotton ball press pinhole. Two times a week for 4 weeks as a course of treatment, a total of one course of treatment. Patients in the control group were treated with Xiaojianzhong capsule 20 mg twice a day for 4 weeks. Before and at the end of treatment, patients were asked to fill out the symptom scale of chronic superficial gastritis. Results (1) the general situation (age, sex) of all the patients in the fire acupuncture treatment group and the drug control group were statistically analyzed before entering the group. The results showed that there was no significant difference in general conditions between the two groups (P0.05. 2). The total scores of clinical symptoms before and at the end of treatment were compared between the two groups respectively, and the results were compared by paired t test, and the clinical symptoms of the two groups were compared before and at the end of the treatment. The treatment group and the control group were P 0.05, the difference was statistically significant. Comparison between groups: the symptom score of two groups before treatment were compared. There was no significant difference between the two groups after t-test (P0.05). The symptom scores of the two groups were compared at the end of treatment. The total effective rate was 93.33 in the fire needle treatment group and 70 in the oral drug group. The difference was statistically significant by binomial distribution test (P0.05). Conclusion: there is no adverse reaction during the treatment of fire acupuncture, which indicates that fire acupuncture therapy is safe: patients with chronic superficial gastritis have obvious abdominal distension, abdominal pain, reduced appetite and different degrees of anorexia. Nausea, belching, acid regurgitation / heartburn, loose stools, fatigue and other symptoms aggravated. The symptoms were improved after fire acupuncture treatment and drug therapy, and the curative effect of fire needle therapy was better than that of drug therapy.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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