中药拔罐联合恒温雷火灸在胃脘痛护理中的疗效观察

Observation of the Curative Effect of Chinese Medicine Cupping Combined with Constant Temperature Fire-Moxibustion in the Nursing of Epigastric Pain

目的:观察中药拔罐联合恒温雷火灸对胃脘痛(慢性胃炎)患者临床症状、镜下胃黏膜及HP等情况转变的临床疗效。方法:将300例胃脘痛患者采用查随机数字表的方法分为观察组和对照组各150例。观察组在常规西药治疗的基础上采用中药拔罐联合恒温雷火灸治疗;对照组采用常规西药治疗。4周后观察两组患者胃脘疼痛、嗳气反酸、纳差、乏力等症状;镜下慢性胃炎及消化性溃疡胃黏膜的改变及HP转阴的情况。结果:两组治疗前后胃脘疼痛、嗳气反酸、纳差、乏力等症状,以及镜下胃黏膜的改变比较差异有统计学意义(P<0.05)。结论:中药拔罐联合恒温雷火灸能提高胃脘痛患者的临床疗效,显著改善胃脘疼痛、嗳气反酸、纳差、乏力等临床症状及镜下胃黏膜的改变。该方法操作简单,发挥中医治疗与护理的优势,值得临床推广应用。

Objective: To observe the clinical effects of Chinese medicine cupping combined with constant temperature fire-moxibustion on the clinical symptoms, microscopic changes of gastric mucosa and HP changes in patients of epigastric pain(chronic gastritis). Methods: 300 patients with epigastric pain were divided into treatment group and control group by random number table. The observation group was treated with Chinese medicine cupping combined with constant temperature fire-moxibustion on the basis of conventional western medicine treatment, while the control group was treated with conventional Western medicine. Four weeks later, the symptoms of epigastric pain, belching, acid regurgitation, poor appetite, changes of gastric mucosa in chronic gastritis and peptic ulcer and negative HP were observed. Results: There were significant differences in symptoms such as epigastric pain, belching, acid regurgitation, poor appetite, fatigue and changes of gastric mucosa under endoscopy between the two groups before and after treatment(P<0.05) Conclusion: Cupping of Chinese medicine combined with constant temperature fire-moxibustion can improve the clinical efficacy of patients with epigastric pain, and significantly improve the clinical symptoms of epigastric pain, belching, acid regurgitation,poor appetite and asthenia, as well as changes in gastric mucosa under the microscope. This method is simple to operate, exploit the advantages of nursing with traditional Chinese medicine, and is worthy of clinical application.