艾灸联合西药治疗脾胃虚寒性胃脘痛临床观察

Clinical Observation of Moxibustion Combined with Western Medicine in the Treatment of Epigastric Pain Caused by Spleen and Stomach Deficiency and Cold

目的探讨艾灸联合西药治疗脾胃虚寒性胃脘痛患者的临床疗效.方法选取2020年1—12月本院收治的脾胃虚寒性胃脘痛患者140例为研究对象,按照患者是否自愿接受艾灸辅助治疗将其分为两组,每组70例.对照组采用硫糖铝凝胶联合替普瑞酮胶囊口服治疗,观察组在此基础上联合艾灸治疗.治疗14 d后,比较两组患者的中医症候积分及临床疗效,并采用视觉模拟评分法(VAS)评价其胃脘痛程度.结果治疗14 d后,观察组的中医症候积分为(6.75±1.28)分,明显低于对照组的(9.46±1.53)分,组间差异有统计学意义(P<0.05).治疗14 d后,观察组的胃脘痛VAS评分为(3.15±0.42)分,明显低于对照组的(4.83±0.57)分,组间差异有统计学意义(P<0.05).观察组的治疗总有效率为90.75%,高于对照组的70.37%,组间差异有统计学意义(P<0.05).结论艾灸联合西药治疗有助于减轻脾胃虚寒性胃脘痛患者的临床症状,有效缓解胃痛,提高临床疗效.

Objective To explore the clinical efficacy of moxibustion combined with Western medicine in the treatment of epigastric pain caused by spleen and stomach deficiency and cold.Methods A total of 140 patients with epigastric pain caused by spleen and stomach deficiency and cold admitted to this hospital from January to December 2020 were selected as the research objects.According to whether the patients voluntarily accepted moxibustion assisted therapy,they were divided into two groups,with 70 patients in each group.The control group was treated with mercoaluminum gel combined with tipreidone capsule,and the observation group was treated with moxibustion on this basis.After 14 days of treatment,the TCM symptom scores and clinical efficacy were compared between the two groups,and the degree of epigastric pain was evaluated by visual analog scale(VAS).Results After 14 days of treatment,the TCM symptom score of the observation group was(6.75±1.28)points,significantly lower than(9.46±1.53)points of the control group,the difference was statistically significant(P<0.05).After 14 days of treatment,the VAS score of epigastric pain in the observation group was(3.15±0.42)points,significantly lower than(4.83±0.57)points in the control group,the difference was statistically significant(P<0.05).The total effective rate of the observation group was 90.75%,which was higher than 70.37%of control group,and the difference was statistically significant(P<0.05).Conclusion Moxibustion combined with Western medicine can alleviate the clinical symptoms of patients with epigastric pain caused by spleen and stomach deficiency and cold,effectively relieve stomachache and improve the clinical efficacy.