改良无痛麦粒化脓灸配合中药治疗脾胃虚寒型慢性非萎缩性胃炎疗效观察  

Therapeutic observation of modified painless wheat-grain sized suppurative moxibustion plus Chinese medication for chronic non-atrophic gastritis of deficiency cold of the spleen and stomach pattern

作　　者：刘晓峰[1,2] 苏秀贞 赵冬雪[1,2] 赵丽娜 LIU Xiaofeng;SU Xiuzhen;ZHAO Dongxue;ZHAO Lina(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Weifang Hospital of Traditional Chinese Medicine,Weifang 261000,China)

机构地区：[1]山东中医药大学,济南250355 [2]潍坊市中医院,潍坊261000

出　　处：《上海针灸杂志》2023年第10期1064-1069,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：潍坊市卫生健康委员会科研项目(WFZYY2022-4-015)。

摘　　要：目的观察改良无痛麦粒化脓灸配合中药治疗脾胃虚寒型慢性非萎缩性胃炎(chronic non-atrophic gastritis,CNAG)的临床疗效。方法将60例脾胃虚寒型CNAG患者随机分为治疗组和对照组,每组30例。对照组服用黄芪建中汤治疗;治疗组在对照组基础上加用改良无痛麦粒化脓灸治疗。治疗1个月后,分别于治疗前后及治疗后1个月随访时记录并比较两组中医症状体征积分、生活质量评价量表(short form 36 health survey,SF-36)中生理总评分(physical component score,PCS)和心理总评分(mental component score,MCS),并于治疗后及随访时比较两组患者的临床疗效。结果治疗后及治疗后1个月,两组中医症状体征积分均较同组治疗前降低,其组间效应、时间效应及交互效应均具有统计学意义(P<0.05),治疗组积分比对照组低(P<0.05);两组PCS及MCS均较同组治疗前升高,其组间效应、时间效应及交互效应均具有统计学意义(P<0.05),治疗组PCS及MCS均高于对照组(P<0.05)。治疗组治疗后及治疗后1个月总有效率分别为90.0%和93.3%,分别高于对照组的80.0%和86.7%(P<0.05)。结论改良无痛麦粒化脓灸配合中药不仅可有效改善脾胃虚寒型CNAG患者的临床症状,还能明显提高其生活质量,且远期疗效优于单纯中药治疗。Objective To observe the clinical efficacy of the modified painless wheat-grain sized suppurative moxibustion plus Chinese medication in treating chronic non-atrophic gastritis(CNAG)of deficiency cold of the spleen and stomach pattern.Method Sixty patients with CNAG of cold deficiency of the spleen and stomach pattern were randomized into a treatment group and a control group,with 30 cases in each group.The control group took Huang Qi Jian Zhong Tang for treatment,and the treatment group received additional modified painless wheat-grain sized suppurative moxibustion.The intervention lasted for 1 month.Before and after the treatment and at the 1-month follow-up,the symptom-sign score of traditional Chinese medicine(TCM)and the physical component score(PCS)and mental component score(MCS)in the short form 36 health survey(SF-36)were recorded and compared;the clinical efficacy was compared between the two groups after the treatment and at the follow-up.Result After the treatment and at the 1-month follow-up,the TCM symptom-sign score dropped in both groups,and the effects of group,time,and interaction were all statistically significant(P<0.05);the score was lower in the treatment group than in the control group(P<0.05).In both groups,the PCS and MCS increased after the treatment and at the follow-up compared with the baseline,and the effects of group,time,and interaction were all statistically significant(P<0.05);the treatment group had higher PCS and MCS than the control group(P<0.05).The total effective rate was 90.0%after the treatment and 93.3%at the 1-month follow-up in the treatment group,higher than 80.0%and 86.7%in the control group(P<0.05).Conclusion Modified painless wheat-grain sized suppurative moxibustion plus Chinese medication can effectively improve clinical symptoms and the quality of life of patients with CNAG of deficiency cold of the spleen and stomach pattern,producing more significant long-term efficacy than Chinese medication alone.

关 键 词：灸法 艾炷灸 直接灸 化脓灸 胃炎 非萎缩性 脾胃虚寒 黄芪建中汤 

分 类 号：R246.1[医药卫生—针灸推拿学]