三伏灸、三伏贴联合黄芪建中汤对脾胃虚寒型慢性胃炎临床结局质量研究  

A Study on Quality of Clinical Outcome of Sanfu Moxibustion,Sanfu Paste and Huangqi Jianzhong Decoction for Chronic Gastritis of Spleen and Stomach Deficiency Cold Type

作　　者：沙志惠 王捷虹 王倩 尤金枝 李力 龚珊珊 于勇 SHA Zhihui;WANG Jiehong;WANG Qian;YOU Jinzhi;LI Li;GONG Shanshan;YU Yong(Affiliated Hospital of Shaanxi University of Chinese Medicine,Shaanxi Xianyang 712000,China;Xi'an Hospital of Chinese Medicine,Xi'an 710000,China)

机构地区：[1]陕西中医药大学附属医院,陕西咸阳712000 [2]西安市中医医院,陕西西安710000

出　　处：《现代中医药》2023年第1期78-82,共5页Modern Chinese Medicine

基　　金：十三五重点研发计划“中医药现代化研究”专项课题(2017YFC1703703);陕西中医药大学附属医院科研课题(2020XZ001)。

摘　　要：目的探讨三伏灸、三伏贴联合黄芪建中汤对脾胃虚寒型慢性胃炎临床结局情况,为此病冬病夏治规范化治疗提供可靠依据。方法随机选择2019年7月12日—2021年8月19日门诊脾胃虚寒型慢性胃炎66例,随机分两组,对照组30例,治疗组30例,脱落6例。对照组给予三伏贴联合黄芪建中汤加减口服,连续3年,治疗组在此基础上给予三伏灸治疗。比较两组治疗第1、2、3年的临床有效率、睡眠指标以及临床结局质量。结果治疗组治疗第1、2、3年临床总有效率显著高于对照组,有统计学意义(P<0.05);治疗组与对照组睡眠指标、临床结局质量评分治疗第1、2、3年均降低,但治疗组降低更加显著,与同期对照组比较,有统计学意义(P<0.05)。结论三伏灸、三伏贴联合黄芪建中汤通过调节脾胃虚寒型慢性胃炎患者大脑内部氨基酸水平,达到激素平衡,调畅脾胃升降气机,改善睡眠质量,对疾病远期疗效有一定推导作用,为此病冬病夏治规范化治疗提供可靠依据。Objective To explore the clinical outcome of Sanfu Moxibustion,Sanfu Paste and Huangqi Jianzhong Decoction on chronic gastritis of spleen stomach deficiency cold type,and provide reliable basis for standardized treatment of winter disease in summer.Methods From July 12,2019 to August 19,2021,66 outpatients with chronic gastritis of spleen stomach deficiency cold type were randomly selected and divided into two groups:the control group(30 cases),the treatment group(30 cases)and the exfoliation group(6 cases).The control group was given Sanfu Paste combined with Huangqi Jianzhong Decoction for 3 consecutive years,and the treatment group was given Sanfu Moxibustion on this basis.The clinical effective rate,sleep index and quality of clinical outcome were compared between the two groups in the first,second and third years of treatment.Results The total clinical effective rate of the treatment group was significantly higher than that of the control group in the first,second and third years of treatment(P<0.05);The sleep index and clinical outcome quality score of the treatment group and the control group decreased in the first,second and third years of treatment,but the decrease of the treatment group was more significant than that of the control group in the same period,with statistical significance(P<0.05).Conclusion Sanfu Moxibustion,Sanfu Paste and Huangqi Jianzhong Decoction can regulate the level of amino acids in the brain of patients with chronic gastritis of spleen stomach deficiency cold type,achieve hormone balance,regulate the spleen stomach Qi raising and lowering mechanism,and improve the quality of sleep,which has a certain deductive effect on the long-term effect of the disease,and provide a reliable basis for the standardized treatment of winter disease in summer.

关 键 词：三伏贴 三伏灸 黄芪建中汤 脾胃虚寒 慢性胃炎 冬病夏治 临床结局质量 

分 类 号：R256.33[医药卫生—中医内科学]