摘要
目的:研究参苓山蛸汤联合腹部隔姜灸对脾胃虚弱证浅表性胃炎患者的临床效果。方法:选取三明市中西医结合医院2020年5月至2021年5月期间收治的70例脾胃虚弱证浅表性胃炎患者,随机分为对照组与观察组,各35例。对照组患者采用腹部隔姜灸治疗,观察组患者采用参苓山蛸汤联合腹部隔姜灸治疗。比较两组患者的临床疗效。结果:观察组患者治疗总有效率为94.29%,高于对照组的77.14%,差异具有统计学意义(P<0.05)。观察组患者的泛酸、胃脘隐痛、腹胀、嗳气症状改善时间均短于对照组,差异具有统计学意义(P<0.05)。治疗后两组患者的主症积分、次症积分及胃镜积分均较治疗前降低,且治疗后观察组患者的主症积分、次症积分及胃镜积分均低于对照组,差异具有统计学意义(P<0.05)。治疗后两组患者的血清P物质(SP)、胃泌素(GAS)水平均较治疗前降低,血清胃动素(MTL)、生长抑素(SS)水平较治疗前升高,且治疗后观察组患者的血清SP、GAS水平均低于对照组,血清MTL、SS水平高于对照组,差异具有统计学意义(P<0.05)。两组患者的复发率比较,差异无统计学意义(P>0.05)。结论:参苓山蛸汤联合腹部隔姜灸治疗脾胃虚弱证浅表性胃炎患者疗效显著,可调节胃肠激素水平,改善临床症状,促进病情恢复。
Objective To study the clinical effect of Shenlingshanxiao decoction combined with abdominal ginger moxibustion on superficial gastritis with spleen and stomach weakness.Methods A total of 70 patients with superficial gastritis with spleen and stomach weakness admitted to Sanming Hospital of Integrated Traditional Chinese and Western Medicine from May 2020 to May 2021were selected and randomly divided into a control group and an observation group,with 35 cases in each group.Patients in the control group were treated with abdominal ginger moxibustion,while patients in the observation group were treated with Shenlingshanxiao decoction combined with abdominal ginger moxibustion.The clinical efficacy of the two groups was compared.Results The total effective rate of the observation group was 94.29%,higher than 77.14%of the control group,and the difference was statistically significant(P<0.05).The improvement times of pantothenic acid,epigastric pain,abdominal distension and belching in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the main symptom score,secondary symptom score and gastroscopy score of the two groups were lower than those before treatment,and the main symptom score,secondary symptom score and gastroscopy score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the serum levels of substance P(SP)and gastrin(GAS)in the two groups were lower than those before treatment,while the serum levels of motilin(MTL)and somatostatin(SS)were higher than those before treatment.After treatment,the serum levels of SP and GAS in the observation group were lower than those in the control group,while the serum levels of MTL and SS were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the recurrence rate between the two groups(P>0.05).Conclusion Shenl
作者
王瑞芳
邓高振
邓建梅
WANG Rui-fang;DENG Gao-zhen;DENG Jian-mei(Sanming Hospital of Integrated Traditional Chinese and Western Medicine,Fujian Sanming 365000)
出处
《深圳中西医结合杂志》
2022年第15期44-47,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
浅表性胃炎
脾胃虚弱证
参苓山蛸汤
隔姜灸
Superficial gastritis
Spleen and stomach weakness
Shenlingshanxiao decoction
Ginger moxibustion
