不同施灸时间对脾胃虚寒型浅表性胃炎临床疗效的观察  

Clinical Observation on Therapeutic Effects of Mild Moxibustion in Superficial Gastritis Patients with Spleen-Stomach Deficiency-cold Pattern

作　　者：谢华[1,2] 刘密[1] 常小荣[1] 严洁 易展[1] 易受乡 岳增辉[4] 林亚平 宋炯[1] 

机构地区：[1]湖南中医药大学针灸推拿学院,长沙410007 [2]湖北省荆州市中医医院,荆州434000 [3]国家中医药管理局经穴-脏腑相关重点研究室,长沙410007 [4]湖南省教育厅针灸生物信息分析重点实验室,长沙410007

出　　处：《针刺研究》2012年第4期318-323,共6页Acupuncture Research

基　　金：国家重点基础研究发展"973"计划(No.2009CB 522904);国家自然科学基金项目(No.81173326)

摘　　要：目的:观察不同艾灸时间温和灸治疗浅表性胃炎(脾胃虚寒型)患者的临床疗效。方法:将84例脾胃虚寒型浅表性胃炎患者随机分为温和灸20min组、温和灸40min组和药物组,每组28例,温和灸组选择足三里、中脘、脾俞、胃俞温和灸20、40min,对各组治疗前后、随访的临床症状评分进行比较。结果:治疗后3组均有疗效,组间比较差异无统计学意义(P>0.05),治疗结束后1个月,温和灸20min、40min组与药物组疗效比较差异均有统计学意义(P<0.01,P<0.05);治疗后及治疗结束后1个月,3组浅表性胃炎症状积分与治疗前比较差异有统计学意义(P<0.01);治疗后与药物组比较,温和灸40min组上腹部胀满症状差异有统计学意义(P<0.05),温和灸20min组纳呆症状差异有统计学意义(P<0.05);治疗结束后1个月与药物组比较,温和灸20min组胃脘疼痛、纳呆症状差异有统计学意义(P<0.01,P<0.05),温和灸40min组上腹部胀满、纳呆症状差异有统计学意义(P<0.05,P<0.01)。结论:在远期疗效上,灸法组明显优于雷尼替丁组;改善患者症状方面,灸法组在近期疗效和远期疗效方面都明显高于雷尼替丁组。Objective To observe the curative effect of different duration of mild moxibustion in superficial gastritis patients with deficiency cold pattern of spleen and stomach. Methods A total of 84 superficial gastritis patients were randomly divided into moxibustion-20 min group, moxibustion-40 min group and medication （Ranitidine） group, with 28 cases in each group. Mild moxibustion was applied to bilateral Zusanli （ST 36） and Zhongwan （CV 12, odd days）, Pishu （BL 20） and Weishu （BL 21, even-numbered days） for 20 min and 40 min respectively, once daily for 20 days. The symptom integrative score of superficial gastritis patients and the therapeutic effects were assessed according to ＂The Scoring Table for Symptoms and Signs of Gastrointestinal Disorders of Chinese Medicine＂, etc. Results Following 20 days＇ treatment, of the three 28 gastrititis patients in the medication, moxibustion-20 min and moxibustion-40 min groups, 0, 1, and 0 cases were cured, 5, 7 and 12 experienced marked improvement in their symptoms, 15, 16 and 12 had an improvement, and 8, 4 and 4 were invalid, with the effective rates being 71.4%, 85.7% and 85.7%, respectively. After one month＇s follow up, of the three 28 cases in the medication, moxibustion-20 min and moxibustion-40 min groups, 0, 4 and 0 cases were cured, 4, 8, and 13 experienced marked improvement, 15, 16 and 13 had an improvement, 9, 0 and 2 were ineffective, with the effective rates being 67.9%, 100% and 92.9 %, respectively. Selfcomparison of each group showed that the integrative scores of symptoms were all decreased significantly after the treatment andone-month＇s follow up in the three groups （P〈0.01 ）. The effective rates of both moxibustion-20 min and -40 min were significantly higher than that of the medication group after one month＇s follow up （P〈0.01, P〈0.05）. The therapeutic effect of moxibustion-20 min group was significantly superior to that of the medication group in lowering the integrative score of symptoms after one month�

关 键 词：浅表性胃炎 脾胃虚寒型 温和灸 临床疗效 症状积分 

分 类 号：R245.6[医药卫生—针灸推拿学]