针灸对脾胃虚寒胃脘痛患者的影响研究

Study on the Effect of Acupuncture and Moxibustion on Patients with Spleen Stomach Deficiency Cold and Epigastralgia

目的:探讨针灸对脾胃虚寒胃脘痛患者的疗效及治疗前后的胃炎症状积分、胃肠激素指标和生活质量的影响。方法:回顾性分析永春县中医院2019年12月-2021年12月收治的122例脾胃虚寒胃脘痛患者。根据临床治疗方法不同,将其分成研究组和对照组,各61例。对照组给予口服西药治疗,研究组给予温针灸法治疗。观察和比较两组临床综合疗效及治疗前后的胃炎症状积分、胃肠激素指标和生活质量评分。结果:治疗后,研究组的临床疗效优于对照组,差异有统计学意义(P<0.01)。治疗后,研究组的胃炎症状积分低于对照组,差异有统计学意义(P<0.01)。治疗后,两组的前列腺素E2(PGE2)、生长抑素(SS)和表皮生长因子(EGF)指标均优于治疗前,且研究组优于对照组,差异有统计学意义(P<0.01)。治疗后,两组的躯体功能、情绪功能、精神健康、总体健康评分均高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0.01)。结论:采用温针灸法治疗脾胃虚寒胃脘痛患者的临床综合效果显著,能够有效改善患者血清胃肠激素表达,提高患者生活质量,是临床治疗脾胃虚寒胃脘痛的可靠方案之一。

Objective:To explore the effect of acupuncture and moxibustion on the patients with spleen stomach deficiency cold and epigastralgia,and the influence of the score of gastritis symptoms,gastrointestinal hormone indexes and quality of life before and after treatment.Method:Retrospective analysis was made on 122 patients with spleen and stomach deficiency cold and epigastralgia admitted to Yongchun County Hospital of Traditional Chinese Medicine from December 2019 to December 2021.According to different clinical treatment methods,they were divided into study group and control group,with 61 cases in each group.The control group was treated with oral western medicine,while the study group was treated with warm needle moxibustion.The comprehensive clinical efficacy,gastritis symptom score,gastrointestinal hormone index and life quality score before and after treatment were observed and compared between two groups.Result:After treatment,the clinical efficacy of the study group was better than that of the control group,the difference was statistically significant(P<0.01).After treatment,the score of gastritis symptoms in the study group was lower than that in the control group,the difference was statistically significant(P<0.01).After treatment,the prostaglandin E2(PGE2),somatostatin(SS)and epidermal growth factor(EGF)indexes of the two groups were better than those before treatment,and the study group were better than those in the control group,the differences were statistically significant(P<0.01).After treatment,the scores of physical function,emotional function,mental health and overall health in the two groups were higher than those before treatment,and the scores in the study group were higher than those in the control group,the differences were statistically significant(P<0.01).Conclusion:The clinical comprehensive effect of warm needle moxibustion on epigastralgia due to spleen and stomach deficiency is significant,which can effectively improve the expression of gastrointestinal hormones in patients’serum and improve the quality of life of patients.It is one of the reliable schemes for clinical treatment of epigastralgia due to spleen and stomach deficiency..