调中汤联合针灸治疗胆汁反流性胃炎的效果分析

Analysis of Effect of Tiaozhong Decoction and Acupuncture on Bile Reflux Gastritis

目的分析调中汤联合针灸治疗胆汁反流性胃炎的临床疗效。方法选取2015年1月—2016年12月100例肝郁脾虚型胆汁反流性胃炎患者作为观察对象,随机分为观察组与对照组。对照组采用调中汤治疗,观察组则在对照组的基础上加入针灸治疗,研究期间不使用其他促胃动力药,确保健康饮食。观察两组患者的临床疗效,同时观察两组患者治疗前后中医症状积分的变化,并记录两组患者临床治疗过程中出现的不良反应。结果观察组与对照组的治疗有效率为90.0%和80.0%,观察组的治疗有效率明显高于对照组(χ~2=10.635,P=0.000);观察组治疗前后上腹疼痛积分为(4.3±1.1)分和(1.3±1.4)分、胁肋胀痛为(2.5±1.6)分和(0.9±1.0)分、善太息为(3.3±1.0)分和(1.1±0.8)分;对照组治疗前后上腹疼痛积分为(4.2±1.0)分和(2.7±1.1)分、胁肋胀痛为(2.4±1.5)分和(1.4±1.4)分、善太息为(3.4±1.1)分和(2.4±1.2)分,观察组治疗前后中医症状积分改善幅度明显大于对照组(P<0.05);两组患者治疗期间均无血、尿常规、肝功,肾功,心电图异常反应出现,证实中医汤药联合针灸在该病的临床治疗中具有较高的安全性。结论调中汤联合针灸治疗胆汁反流性胃炎具有较高的临床疗效,能够有效改善患者的临床症状,并且具有较高的安全性,值得在临床中推广使用。

Objective To analyze the clinical efficacy of Tiaozhong Decoction combined with acupuncture and moxibustion in the treatment of bile reflux gastritis. Methods From January 2015 to December 2016, 100 patients with bile reflux gastritis with liver depression and spleen deficiency were selected as observation objects and randomly divided into observation group and control group. The control group was treated with Tiaozhong Decoction. In the observation group,acupuncture treatment was added on the basis of the control group. During the study period, other gastric promoting drugs were not used to ensure a healthy diet. Observe the clinical efficacy of the two groups of patients, observe the changes of TCM symptom scores before and after treatment in the two groups of patients, and record the adverse reactions during clinical treatment of the two groups of patients. Results The effective rate of observation group and control group was 90.0% and 80.0%. The treatment efficiency of observation group was significantly higher than that of control group（χ^2=10.523, 10.635, P=0.000）; Upper and lower abdominal pain scores before and after treatment in the observation group were（4.3 ±1.1）points and（1.3 ±1.4）points, and rib pain was（2.5 ±1.6）points and（0.9 ±1.0）points.（3.3 ±1.0）points and（1.1±0.8） points; before and after treatment, the upper abdominal pain scores were（4.2±1.0）points and（2.7±1.1）points, and rib pain was（2.4±1.5）points and（1.4±1.4）points and good rest were（3.4±1.1）points and（2.4±1.2）points.The improvement score of TCM symptom scores before and after treatment in the observation group was significantly greater than that of the control group（P〈0.05）; both groups had no blood during treatment. Urine routine, liver function,renal function, abnormal electrocardiogram response, confirmed that Chinese medicine decoction combined with acupuncture has a higher safety in the clinical treatment of the disease. Conclusion Tiaozhong Decoction combined with acupuncture and moxibustion has a high clinical curative effect in the treatment of bile reflux gastritis. It can effectively improve the clinical symptoms of patients and has a high safety. It is worthy of promotion in clinical practice.