毫火针联合脾胃贴疗法治疗肝胃不和型慢性胃炎的临床研究  

Clinical Study on Filiform Fire-needling Combined with Spleen-Stomach Plaster in the Treatment of Chronic Gastritis of Liver-Stomach Disharmony Pattern

作　　者：焦召华[1] 沈姗怡 王雪[2] 时旭平 李岩[1] 

机构地区：[1]天津市公安医院,天津300042 [2]天津市中医药大学,天津300193

出　　处：《针灸临床杂志》2017年第10期9-12,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：天津市公安局科研项目;编号:2015KYSGAY042

摘　　要：目的:观察毫火针联合脾胃贴疗法治疗肝胃不和型慢性胃炎的临床疗效。方法:将符合纳入标准的肝胃不和型慢性患者90例,随机分为毫火针联合脾胃贴组和毫针联合脾胃贴组,观察其治疗前后中医症状积分,血液中PGE2、IL-1β、β-EP含量及FDDQL量表评分变化情况。结果:两组治疗后,中医症状积分均较治疗前明显下降(P均<0.05),且毫火针联合脾胃贴组明显低于毫针联合脾胃贴组,组间比较具有统计学意义(P<0.05)。两组治疗后,血清中PGE2、IL-1β含量较治疗前均有显著性差异(均P<0.05),组间比较具有统计学意义(P<0.05)。两组治疗后,FDDQL量表各维度评分及总分较治疗前均有显著性差异(均P<0.05),量表中日常生活、忧虑、睡眠、不适、健康感觉、疾病控制诸维度评分及总分组间比较具有统计学意义(P<0.05)。结论:毫火针联合脾胃贴治疗肝胃不和型慢性胃炎可以有效改善患者临床症状,改善胃粘膜炎性状态,提高患者生存质量。Objective： To observe the clinical efficacy of the filiform fire-needling combined with Spleen-Stomach plaster in the treatment of chronic gastritis of Liver-Stomach disharmony pattern. Methods： 90 patients were randomized into the group of integrated filiform fire-needling and Spleen-Stomach plaster（ group A,n = 45）,and the group of integrated filiform-needling and Spleen-Stomach plaster（ group B,n = 45）.TCM syndrome integral,levels of PGE2,IL-1β,and β-EP,as well as FDDQL scores were observed before and after the treatment in the two groups. Results： TCM syndrome integral were significantly decreased in both groups after the treatment（ P〈0. 05）,and it was obviously lower in group A than that in group B（ P〈0. 05）.There were significant differences in terms of the levels of PGE2 and IL-1β after the treatment in both groups（ P〈0. 05）,also there was statistical significance between the two groups（ P〈0. 05）. Scores of FDDQL on the aspect of daily life,anxiety,sleep,discomfort,healthy feeling,and disease control,were remarkably different after the treatment compared to those before the treatment（ P〈0. 05）,and they were different in the two groups（ P〈0. 05）. Conclusion： The therapy of filiform fire-needling combined with Spleen-Stomach plaster can effectively relieve the symptoms of chronic gastritis of Liver-Stomach disharmony pattern,it can improve inflammatory state of gastric mucosa and life quality of the patients.

关 键 词：毫火针 脾胃贴 肝胃不和型 慢性胃炎 

分 类 号：R246.1[医药卫生—针灸推拿学]