通督提胃针刺法联合隔姜灸治疗脾虚气陷型胃下垂的临床效果

Clinical Effect of Dredging Du Meridian and Ascending Stomach Acupuncture and Combined with Ginger-Partitioned Moxibustion in Treatment of Gastroptosis Due to Spleen Deficiency and Qi Trapping

目的探讨采用通督调神、健脾提胃针刺法联合隔姜灸治疗胃下垂的临床效果,观察针灸并用治疗胃下垂的临床疗效。方法采用信封法筛选2021年3月—2022年3月期间在该院住院及在脾胃病门诊、中医科门诊、消化科门诊就诊中符合胃下垂诊断,且为脾虚气陷型的90例患者,按照随机数字表法分为隔姜灸组和联合组,每组45例。联合组给予通督提胃针刺法联合隔姜灸进行治疗,隔姜灸组给予单纯隔姜灸治疗,治疗12周后,比较两组的临床症状、治疗前后症状积分、胃角切迹低于两侧髂嵴的距离、数字胃肠钡餐造影检查的结果。结果(1)联合组治疗总有效率为88.89%(40/45),高于隔姜灸组的77.78%(35/45),差异有统计学意义(P<0.05);(2)两组患者治疗后,症状总积分相比呈现下降趋势,且联合组症状积分较隔姜灸组低,差异有统计学意义(P<0.05);(3)治疗后两组患者的胃角切迹低于两侧髂嵴的距离均呈现下降趋势,且联合组数值较隔姜灸组的低,差异有统计学意义(P<0.05);(4)两组患者治疗后,数字胃肠钡餐造影检查联合组正常例数占比(48.89%,22/45)最多,高于隔姜灸组正常人数占比的31.11%(14/45),差异有统计学意义(P<0.05);(5)联合组治疗后未出现明显不良反应,隔姜灸组出现胃潴留、恶心症状,其不良反应发生率为4.44%(2/45)(P>0.05)。结论相比于单纯隔姜灸治疗,通督提胃针刺法联合隔姜灸进行治疗临床效果较好,可有效改善患者临床症状和腹肌松弛、韧带松弛,对脾虚气陷型胃下垂的状况起到调节作用。

Objective To investigate the clinical effect of dredging Du and regulating spirit and strengthening spleen and ascending stomach acupuncture combined with ginger-partitioned moxibustion on gastroptosis and observe the clinical effect of acupuncture combined with moxibustion on gastroptosis.Methods The envelope method was used to screen 90 patients who met the diagnosis of gastroptosis with spleen deficiency and Qi trapping in traditional Chinese medicine clinic and gastroenterology clinic in the hospital from March 2021 to March 2022.According to the random number table,the patients were divided into ginger-partitioned moxibustion group and combined group,with 45 cases in each group.The combined group was treated with dredging Du and regulating spirit and strengthening spleen and ascending stomach acupuncture combined with ginger-partitioned moxibustion,and the ginger-partitioned moxibustion group was treated with ginger-partitioned moxibustion alone.After 12 weeks of treatment,the clinical symptoms,symptom scores before and after treatment,the distance of gastric angle notch lower than both iliac ridges and the results of digital gastrointestinal barium meal examination were compared between the two groups.Results(1)The total effective rate in the combined group was 88.89%(40/45),which was significantly higher than 77.78%(35/45)in the ginger-partitioned moxibustion group,with a statistically significant difference(P<0.05).(2)After treatment,the total symptom score of the two groups showed a decreasing trend,and the symptom score of the combined group was lower than that of the ginger-partitioned moxibustion group,with a statistically significant difference(P<0.05).(3)After treatment,the distance between the gastric angle incisions of the two groups and the iliac crest on both sides showed a downward trend,and the value of the combined group was lower than that of the ginger-partitioned moxibustion group,with a statistically significant difference(P<0.05).(4)After treatment in the combined group,the digital gastrointestinal barium meal examination had the highest proportion of normal people(48.89%,22/45),which was higher than 31.11%(14/45)of normal people in the ginger-partitioned moxibustion group.The numerical difference was statistically significant(P<0.05).(5)After treatment,there was no obvious adverse reaction in the combined group,but the symptoms of stomach retention and nausea were found in the ginger-partitioned moxibustion group,with an adverse reaction rate of 4.44%(2/45)(P>0.05).Conclusion Compared with ginger-partitioned moxibustion alone,dredging Du and regulating spirit and strengthening spleen and ascending stomach acupuncture combined with ginger-partitioned has better clinical effect and can effectively improve the clinical symptoms,abdominal muscle relaxation and ligament relaxation,and play a regulatory role in the status of gastroptosis of spleen deficiency and Qi stagnation type.