温针结合脐疗贴治疗脾胃虚弱型慢性萎缩性胃炎的临床研究

Clinical Study on the Treatment of Spleen and Stomach Deficiency Type Chronic Atrophic Gastritis with Warm Needling Combined with Navel Therapy Patch

目的:观察温针结合脐疗贴治疗脾胃虚弱型慢性萎缩性胃炎的临床疗效。方法:选择襄阳市中医医院治未病科、肿瘤科、脾胃科收治的慢性萎缩性胃炎患者60例,依据随机数字表随机分为对照组和治疗组。对照组30例采用克拉霉素和温胃舒胶囊治疗,治疗组30例采用脐疗贴与温针灸结合治疗,均连续治疗12周。观察两组患者治疗前后脾胃虚弱型慢性萎缩性胃炎中医症状(胃痛、纳差、痞闷、嗳气、乏力)积分、组织病理学积分(胃黏膜炎症积分、腺体萎缩积分、肠上皮化生积分)的变化情况,并比较临床疗效。结果:中医症状积分方面,治疗组治疗后胃痛积分、纳差积分、痞闷积分、嗳气积分、乏力积分均明显下降,差异具有统计学意义(P<0.05)。组织病理学方面,两组患者治疗后胃黏膜炎症积分、腺体萎缩积分、肠上皮化生积分均明显降低(P<0.05)。临床疗效方面,治疗组总有效率100%(30/30),对照组总有效率96.6%(26/30),差异无统计学意义(P>0.05)。治疗组治疗后组织病理学积分和临床疗效无明显差异,但中医症状积分均低于对照组(P<0.05)。结论:温针结合脐疗贴对脾胃虚弱型慢性萎缩性胃炎临床疗效佳,可为临床非药物治疗方法提供参考。

Objective:To observe the clinical efficacy of warm needling combined with navel therapy patch in the treatment of spleen and stomach deficiency type chronic atrophic gastritis(CAG).Methods:Sixty patients with CAG were selected from the Departments of Preventive Treatment,Oncology,and Gastroenterology at Xiangyang Hospital of Traditional Chinese Medicine.They were randomly divided into control and treatment groups using a random number table,with 30 patients in each group.The control group was treated with clarithromycin and Wenweishu capsules,while the treatment group was treated with a navel therapy patch combined with warm needling acupuncture,both for a continuous duration of 12 weeks.Changes in Traditional Chinese Medicine(TCM)symptom scores(including stomach pain,poor appetite,epigastric fullness,belching,fatigue),histopathological scores(including gastric mucosal inflammation score,glandular atrophy score,and intestinal metaplasia score)were observed before and after treatment in both groups,and clinical efficacy was compared.Results:In terms of TCM symptom scores,the treatment group showed significant reductions in scores for stomach pain,poor appetite,epigastric fullness,belching,and fatigue after treatment,with statistically significant differences(P<0.05).In terms of histopathological scores,both groups showed significant reductions in gastric mucosal inflammation scores,glandular atrophy scores,and intestinal metaplasia scores after treatment(P<0.05).In terms of clinical efficacy,the total effective rate was 100%(30/30)in the treatment group and 96.6%(26/30)in the control group,with no statistically significant difference(P>0.05).However,the TCM symptom scores were significantly lower in the treatment group compared to the control group(P<0.05).Conclusion:Warm needling combined with a navel therapy patch has a good clinical effect on spleen and stomach deficiency type chronic atrophic gastritis and can provide a reference for non-drug treatment methods in clinical practice.