摘要
目的:探讨火针速刺联合温针灸治疗慢性萎缩性胃炎(CAG)的疗效及对血清G17、PGI及PGR水平影响。方法:选取北京中医医院针灸科、北京中医医院顺义中医院消化科门诊及病房收治的脾胃虚寒型CAG患者116例,随机分为对照组(60例,温针灸疗法)和治疗组(56例,火针速刺联合温针灸疗法),对比治疗后的临床疗效、GSRS评分、QOL-100评分和胃黏膜组织病理评分、中医症候评分及血清G17、PGI、PGR水平变化。结果:治疗后对照组总有效率为83.33%(50/60),治疗组总有效率为96.43%(54/56),治疗组总有效率明显高于对照组(P<0.05);治疗前两组中医症候评分差异无统计学意义(P>0.05),治疗后两组胃脘灼痛、嗳气反酸和食欲不振评分显著降低(P<0.05),并且治疗组降低更明显(P<0.05);治疗前两组GSRS评分、QOL-100评分和胃黏膜组织病理评分差异无统计学意义(P>0.05),治疗后两组胃黏膜组织病理评分、GSRS评分和QOL-100评分显著改善(P<0.05),并且治疗组改善程度较明显(P<0.05);治疗前两组血清G17、PGI及PGR水平差异无统计学意义(P>0.05),治疗后两组血清G17、PGI及PGR水平显著升高(P<0.05),并且治疗组升高较多(P<0.05)。结论:脾胃虚寒型CAG采用火针速刺联合温针灸治疗具有较好的临床疗效,可升高血清G17、PGI及PGR水平,值得在临床上推广应用。
Objective:To investigate the therapeutic effect of fast needling of fire acupuncture combined with needle-warming moxibustion in the treatment of chronic atrophic gastritis(CAG)and its influence to serum levels of G17,PGI and PGR.Methods:116 CAG cases of cold-deficiency of Spleen and Stomach were randomly divided into the control group(n=60)and the treatment group(n=56).The control group was treated with needle-warming moxibustion;on which basis,the treatment group was also treated with fast needling of fire acupuncture.Clinical efficacy,GSRS score,QOL-100 score,gastric mucosa histological score,TCM syndrome score and the serum levels of G17,PGI and PGR were compared between the two groups after the treatment.Results:The total effective rate was 83.33%(50/60)in the control group;The total effective rate was 96.43%(54/56)in the treatment group;the total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).There was no statistical difference in TCM syndrome score between the two groups before the treatment(P>0.05);the scores of epigastric burning pain,belching acid regurgitation and loss of appetite were significantly decreased in the two groups after the treatment(P<0.05),and the decreases in the treatment group were more significant(P<0.05).There were no statistical differences in GSRS score,QOL-100 score and pathological score of gastric mucosa between the two groups before the treatment(P>0.05);which were significantly improved in the two groups after the treatment(P<0.05),and the improvements in the treatment group were more significant(P<0.05).There were no statistical differences in the serum levels of G17,PGI and PGR between the two groups before the treatment(P>0.05);which were significantly increased in the two groups after the treatment(P<0.05),and the increases were more significant in the treatment group(P<0.05).Conclusion:Fast needling of fire acupuncture combined with needle-warming moxibustion has a better clinical effect in the treatment of CAG of co
作者
姬旭
刘璐
杜鑫
袁芳
武琛
JI Xu;LIU Lu;DU Xin;YUAN Fang;WU Chen(Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing 100010, China;Shunyi Hospital of Beijing Hospital of Traditional Chinese Medicine, Bejing 101300, China)
出处
《针灸临床杂志》
2022年第4期32-36,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
国家中医药管理局项目,编号:2019XZZX-ZJ002。
关键词
火针速刺
温针灸疗法
脾胃虚寒型慢性
萎缩性胃炎
Quick needling of fire acupuncture
Needle-warming moxibustion therapy
Cold-deficiency of Spleen and Stomach
Chronic atrophic gastritis
