腹穴按摩法结合针刺治疗慢性胃炎的临床观察

目的:研究腹穴按摩法结合针刺治疗慢性胃炎的理论与临床价值。方法:将符合诊断标准的50例慢性胃炎患者随机分为治疗组、对照组各25例。对照组予以常规针刺治疗,治疗组予以腹穴按摩法结合常规针刺治疗。每日1次,10次为一个疗程,疗程间休息2天,连续观察3个疗程。治疗结束后,分别对两组患者临床症状、体征及理化检查作出计量评分和疗效评定。结果:综合疗效评定治疗组总有效率为98.0%,对照组总有效率为80.0%,两组间差异有统计学意义(P<0.05);治疗组在Hp根除率上优于对照组,两组间差异有显著的统计学意义(P<0.05)。结论:腹穴按摩法结合针刺治疗慢性胃炎具有显著疗效,能显著改善慢性胃炎患者胃胀、胃痛、嗳气、纳差等症状,并在抗Hp感染上有一定疗效,且未见明显不良反应,值得临床推广应用。

Observation on therapeutic effect of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation

Objective: To observe the clinical efficacy of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation (LIDH). Methods: A total of 70 patients with LIDH were randomized into an observation group and a control group, with 35 cases in each group. The observation group was treated with acupuncture at abdomen acupoints plus tuina, while the control group was treated only with tuina treatment. The clinical efficacy was observed after one course of treatment. Results: The cure rate and the total effective rate of the observation group were 83.3% and 96.7%, respectively. The cure rate and the total effective rate of the control group were 39.4% and 78.8%, respectively. There were significant differences in the cured rate and the total effective rate between the two groups (both P<0.05). There was no significant differenee in Japanese Orthopedic Association (JOA) score between the two groups before treatment (P>0.05). After treatment, the JOA scores of both groups in creased sign ifica ntly, and the in tra-group differe nces were statistically sign ifica nt (both P<0.05);the JOA score of the observation group was significantly higher than that of the control group (P<0.05). Conclusion: Acupuncture at abdomen acupoints plus tuina has a better therapeutic effect than tuina alone in the treatment of LIDH.