耳穴压豆联合西药治疗慢性浅表性胃炎肝胃气滞证临床研究  

Clinical Study on Auricular Point Seed-Pressing Combined with Western Medicine for Chronic Superficial Gastritis with Liver-Stomach Qi Stagnation Syndrome

作　　者：余林燕 苏芳[1] 马艳梅 张洪峰 YU Linyan;SU Fang;MA Yanmei;ZHANG Hongfeng

机构地区：[1]浙江中医药大学附属第三医院,浙江杭州310000

出　　处：《新中医》2023年第6期192-195,共4页New Chinese Medicine

摘　　要：目的:观察耳穴压豆联合西药治疗慢性浅表性胃炎肝胃气滞证的临床疗效。方法:选取152例慢性浅表性胃炎肝胃气滞证患者,采用抽签法分成对照组及耳穴组各76例。2组均接受常规护理,在此基础上对照组给予多潘立酮片、奥美拉唑肠溶片联合胃肠功能治疗仪治疗,合并幽门螺杆菌(Hp)感染者给予克拉霉素片、阿莫西林胶囊、胶体果胶铋胶囊和泮托拉唑片治疗,耳穴组在对照组基础上给予耳穴压豆治疗,2组均治疗4周。比较2组临床疗效,治疗前后中医证候积分、视觉模拟评分法(VAS)评分、Hp感染率。结果:治疗4周,耳穴组临床疗效总有效率89.47%,高于对照组77.63%(P<0.05)。治疗后,2组胃脘胀痛、胸胁胀满、嗳气积分均较治疗前降低(P<0.05),耳穴组胃脘胀痛、胸胁胀满、嗳气积分均低于对照组(P<0.05)。治疗2周、4周,2组VAS评分均较治疗前降低(P<0.05),耳穴组VAS评分均低于同期对照组(P<0.05)。治疗后,耳穴组Hp感染率(5.26%)低于对照组(9.21%),但2组比较,差异无统计学意义(P>0.05)。结论:耳穴压豆联合西药治疗慢性浅表性胃炎肝胃气滞证疗效较好,能有效改善临床症状,缓解胃痛。Objective: To observe the clinical effect of auricular point seed-pressing combined with western medicine for chronic superficial gastritis with liver-stomach qi stagnation syndrome. Methods:A total of 152 cases of patients with chronic superficial gastritis with liver-stomach qi stagnation syndrome were divided into the control group and the auricular point group according to the method of sampling, with76 cases in each group. Both groups received routine nursing;the control group was additionally treated with Domperidone Tablets,Omeprazole Enteric-Coated Tablets combined with therapeutic apparatus for gastrointestinal function, and those infected patients with helicobacter pylori(Hp) were treated with Clarithromycin Tablets,Amoxicillin Capsules,Colloidal Bismuth Capsules and Pantoprazole Tablets;the auricular point group was additionally treated with auricular point seed-pressing based on the treatment of the control group. Both groups were treated for 4 weeks. The traditional Chinese medicine(TCM) syndrome scores and scores of Visual Analogue Scale(VAS) before and after treatment,the clinical effects,and the infection rate of Hp were compared between the two groups. Results:After a 4-week treatment, the total effective rate of clinical effect was 89.47% in the auricular point group, higher than that of 77.63% in the control group(P<0.05). After treatment,the scores of distending and pain in gastric cavity,fullness in chest and hypochondrium, and belching in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of distending and pain in gastric cavity,fullness in chest and hypochondrium,and belching in the auricular point group were lower than those in the control group(P<0.05). After treatment for 2 and 4 weeks,the VAS scores in the two groups were significantly decreased when compared with those before treatment(P<0.05),and the VAS score in the auricular point group was lower than that in the control group at the same period(P<0.05). The infection rate of Hp in the aur

关 键 词：慢性浅表性胃炎 肝胃气滞证 耳穴压豆 中医证候 幽门螺杆菌 

分 类 号：R573.31[医药卫生—消化系统]