温和灸治疗脾胃虚寒型慢性胃炎临床研究

Clinical Observation of Mild Moxibustion in Treating Chronic Gastritis Patients with Spleen-Stomach Deficiency-Cold Pattern

目的:观察温和灸治疗脾胃虚寒型慢性胃炎的临床疗效。方法:将56例脾胃虚寒型慢性胃炎患者随机分为温和灸组和西药组。温和灸组选用中脘、足三里(双侧)、气海穴进行温和灸治疗,西药组给予雷尼替丁口服。对两组患者治疗前后的临床症状评分进行比较。结果:治疗后西药组有效率为85.7%,温和灸组有效率为89.3%,两组比较,差异无统计学意义(P>0.05);温和灸组和西药组比较,温和灸组胃脘痞满和大便稀溏症状积分分别为(0.48±0.13)分、(0.24±0.11)分,西药组胃脘痞满和大便稀溏症状积分分别为(0.71±0.32)分、(0.32±0.16)分,两组比较,差异有统计学意义(P<0.05)。结论:温和灸与西药治疗脾胃虚寒型慢性胃炎均具有较好疗效,但温和灸在改善患者症状方面优于西药。

Ob jective： To analyze the clinical effect of mild moxibustion in treating Chronic Gastritis Patients with Spleen-Stomach Deficiency-Cold Pattern. Methods： A total of 56 chronic gastritis patients were randomly divided into mild moxibustion group and western medicine group. Mild moxibustion was applied to Zhongwan,bilateral Zusanli and Qihai. Ranitidine was applied to western medicine group. The symptom integrative score of two groups was compared. Results： The effect rate was 85. 7% in western medicine group and89. 3% in mild moxibustion group（ P〈0. 05）. No significant differences were found among the two groups in the total effective rates.The therapeutic effect of mild moxibustion was significantly superior to that of the western medicine group in improving the symptoms of fullness in the stomach and loose stools（ the mild moxibustion group： 0. 48 ± 0. 13,0. 24 ± 0. 11; the western medicine group： 0. 71 ±0. 32,0. 32 ± 0. 16）（ P〈0. 05）. Conclusion： Both the two treatment have curative effect,and the mild moxibustion group is superior to the western medicine group in the therapeutic effect.