温胃汤联合温针灸治疗慢性萎缩性胃炎临床研究

Clinical Study on Wenwei Tang Combined with Warming Acupuncture and Moxibustion for Chronic Atrophic Gastritis

目的:观察温胃汤联合温针灸治疗慢性萎缩性胃炎的疗效。方法:选择96例脾胃虚寒型慢性萎缩性胃炎患者为研究对象,按抽签方式分为对照组和观察组各48例。对照组采用温胃汤治疗,观察组采用温胃汤联合温针灸治疗。观察并比较2组的临床疗效、幽门螺杆菌(Hp)阳性率、胃痛视觉模拟评分法(VAS)评分以及不良反应情况。结果:治疗后,临床疗效总有效率观察组97.92%,对照组79.17%,2组比较,差异有统计学意义(P <0.05)。2组Hp阳性率均较治疗前下降(P <0.01),观察组Hp阳性率低于对照组(P <0.05)。2组VAS评分均较治疗前降低,观察组VAS评分低于对照组,差异均有统计学意义(P <0.01)。结论:采用温胃汤联合温针灸治疗脾胃虚寒型慢性萎缩性胃炎患者可提高临床疗效,降低Hp阳性率,有效减轻胃痛,安全性较高。

Objective:To observe the clinical effect of self-made Wenwei tang combined with warming acupuncture and moxibustion for chronic atrophic gastritis.Methods:Selected 96 cases of patients with chronic atrophic gastritis of spleen-stomach deficiency and cold type as study subjects,and divided them into the control group and the observation group by drawing lots,48 cases in each group.The control group received Wenwei tang,while the observation group received Wenwei tang combined with warming acupuncture and moxibustion.Observed and compared the clinical effect,the positive rate of Helicobacter pylori(Hp),scores of visual analogue scale(VAS)of stomachache and adverse reactions in both groups.Results:The total effective rate was 97.92%in the observation group and 79.17%in the control group,difference being significant(P<0.05).The positive rate of Hp in both groups was lower than that before treatment(P<0.01),the positive rate of Hp in the observation group was lower than that in the control group(P<0.05).The scores of VAS in both groups were lower than those before treatment(P<0.05),and the scores of VAS in the observation group were lower than those in the control group,differences being significant(P<0.01).Conclusion:Wenwei tang combined with warming acupuncture and moxibustion for patients with chronic atrophic gastritis can promote the clinical effect,decrease the positive rate of Hp and effectively alleviate stomachache with high safety.