埋线对肝胃不和型慢性萎缩性胃炎主要症状及SF-36评分的影响

Effect of embedding thread on main symptoms and SF-36 score of chronic atrophic gastritis with liver and stomach disharmony

目的:观察埋线对改善肝胃不和型慢性萎缩性胃炎患者主要症状和生存质量的影响。方法:收集中山市陈星海医院收治的符合标准的60例肝胃不和型慢性萎缩性胃炎患者,分成对照组和治疗组各30例,对照组采用针刺治疗,选取三足里、中脘、脾俞;治疗组采用穴位埋线治疗,穴位同对照组。治疗干预前后,通过中医症状分级量化表、SF-36生存质量表对相应指标评分、进行统计学分析,评判治疗效果。结果:治疗前,两组4大主要症状和8个维度的组间差异两两比较无统计学意义(P>0.05);治疗后,治疗组4大主要症状和8个维度前后积分差值比较有统计学意义(P<0.05);对照组胃脘痛、胁肋胀痛、嗳气3大主要症状和8个维度前后积分差值比较有统计学意义(P<0.05),泛酸症状前后积分比较无统计学意义(P>0.05);治疗后,两组4大主要症状和8个维度前后差值比较有统计学意义(P<0.05)。结论:穴位埋线可以改善肝胃不和型慢性萎缩性胃炎患者的主要症状并提高生存质量,值得临床推广。

Objective To analyze the effect of embedding on the improvement of main symptoms and quality of life in patients with chronic atrophic gastritis.Methods Collecting 60 patients with chronic atrophic gastritis of liver and stomach disharmony admitted to Chen Xinghai Hospital of Zhongshan City,The cases were divided into the reatment group and the control group,and each group had 30 patients.The control group was treated with acupuncture.Zusanli,Zhongwan and Spleen were selected for acupuncture.The treatment group was treated with catgut embedding at the acupoints.Acupoints and control group.Before and after the treatment intervention,the corresponding indicators were scored by the TCM Symptoms Quantification Table and the SF-36 Quality of Life Table,and statistical analysis was performed to judge the treatment effect.Results Before treatment,there were no significant differences between the two groups in the four main symptoms and the eight dimensions(P>0.05).After treatment,the difference between the 4 major symptoms and the 8 dimensions of the treatment group was statistically significant(P<0.05).In the control group,the main symptoms of gastroparesis,flank pain,and sputum were statistically significant(P<0.05),while the scores before and after pantothenic acid were not statistically significant(P>0.05).After treatment,the difference between the four major symptoms and the eight dimensions of the two groups was statistically significant(P<0.05).Conclusion Acupoint embedding can improve the main symptoms of patients with chronic atrophic gastritis and improve the quality of life,which is worthy of clinical promotion.