香砂养胃汤联合温针治疗慢性浅表性胃炎66例

XiangSha YangWei Decoction and Warming Needles in the Treatment for 66 Cases of Chronic Superficial Gastritis

目的:观察香砂养胃汤联合温针治疗慢性浅表性胃炎(CSG)的临床疗效。方法:将132例患者按就诊先后顺序随机分为观察组、对照组,每组66例。对照组给予香砂养胃汤治疗,观察组在对照组治疗的基础上给予温针治疗,2组均连续治疗1个月。比较2组治疗前后中医证候积分及胃黏膜病变等级分布情况及临床疗效和复发率。结果:总有效率观察组为84.85%,对照组为71.21%,2组比较差异有统计学意义(P<0.05)。中医证候评分治疗前后2组比较,差异均有统计学意义(P<0.05);治疗后2组组间比较,差异也有统计学意义(P<0.05)。胃黏膜病变等级分布情况治疗后2组均较治疗前显著改善(P<0.05);且观察组改善较对照组明显(P<0.05)。复发率观察组为4.55%,对照组为13.64%,2组比较差异有统计学意义(P<0.05)。结论:香砂养胃汤联合温针治疗脾胃虚寒型CSG临床疗效显著,可有效改善临床症状和胃黏膜病变情况,同时还可控制复发。

Objective: To observe clinical effects of Xiang Sha Yang Wei decoction and warming needles in treating chronic superficial gastritis(CSG). Methods: All 132 patients were randomized into the observation group and the control group according to the visiting order, 66 cases each group. The control group were given Xiang Sha Yang Wei decoction, and the observation group were treated by warming needles on the foundation of Xiang Sha Yang Wei decoction, both groups were treated for one month consecutively. The relapse rate, clinical effects, TCM symptom scales and the grade distribution of gastric mucosal lesions of both groups were compared before and after treating. Results: Total effective rate of the observation group was 84.85%, higher than 71.21% of the control group,and the difference had statistical meaning(P <0.05). The difference had statistical meaning in the comparisons of TCM symptom scales before and after treating(P <0.05), and the difference was statistically significant in the comparison between both groups after treating(P<0.05). The grade distribution of gastric mucosal lesions in both groups after treating improved notably compared with before treating(P<0.05); and the observation group was more notable than the control group in the improvements(P<0.05). The relapse rate of the observation group was 4.55%,lower than 13.64% of the control group, and the difference was statistically significant(P <0.05). Conclusion:Xiang Sha Yang Wei decoction and warming needles are effective in treating CSG of spleen and stomach deficient cold pattern, which could effectively improve clinical symptoms and gastric mucosal lesions, at the same time control the relapse.