齐刺为主辨治慢性萎缩性胃炎脾胃虚弱证临床研究  

Clinical Study on Triple Acupuncture as Main Treatment For CAG with Deficiency of Spleen and Stomach

作　　者：程勋昌 李学军[2] CHENG Xunchang;LI Xuejun(Anhui University of Chinese Medicine,Hefei 230061,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学,安徽合肥230061 [2]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《针灸临床杂志》2025年第4期33-39,共7页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽省重大疑难疾病中西医协同攻关项目,编号:0708-2021;安徽省李学军名老中医工作室建设项目,编号:2020(10)号。

摘　　要：目的:观察齐刺为主辨治慢性萎缩性胃炎(CAG)脾胃虚弱证的疗效及疗效与病程的关系。方法:将CAG脾胃虚弱证患者80例,随机分为对照组和齐刺组,每组40例。对照组给予普通针刺治疗,齐刺组采用齐刺为主治疗,治疗3个月后,比较两组中医症候总积分、中医症状单项积分、胃镜积分、病理积分、胃功能指标、焦虑自评量表(SAS)评分及针灸治疗效果与病程的关系。结果:治疗后两组中医症候总积分、中医单项症状积分、胃镜积分、病理积分及SAS积分均低于本组治疗前,两组G-17、PGI、PGR水平均高于本组治疗前,且齐刺组优于对照组,差异具有统计学意义(P<0.05)。齐刺组总有效率为87.50%(35/40),对照组总有效率为70.00%(28/40),差异具有统计学意义(P<0.05)。两组病程≤6个月的疗效优于病程7~12个月者及≥13个月者,差异具有统计学意义(P<0.05),病程7~12个月的疗效又优于病程≥13个月者,差异具有统计学意义(P<0.05)。结论:齐刺为主辨治慢性萎缩性胃炎脾胃虚弱证,能显著改善患者胃黏膜萎缩状况及胃功能指标,明显缓解胃脘痞闷或痛、纳呆食少与疲乏无力等症状,减轻焦虑状况,且病程越短疗效越好。Objective:To observe the efficacy of triple acupuncture as main treatment for chronic atrophic gastritis(CAG) with deficiency of Spleen and Stomach,and to explore the relationship between the efficacy and the course of the disease.Methods:80 CAG patients with deficiency of Spleen and Stomach syndrome were randomly divided into the control group and the study group,with 40 cases in each group.The control group was treated with the conventional acupuncture,whereas the study group was mainly treated with triple acupuncture.After 3 months of the treatment,the integral points of TCM symptoms,single points of TCM symptoms,gastroscopy points,pathology points,gastric function indexes,self-rating anxiety scale(SAS) scores,and the relationship between the effect of acupuncture treatment and the course of the disease were compared between the two groups.Results:The integral points of TCM symptoms,single points of TCM symptoms,gastroscopy points,pathology points and SAS points were lower(P<0.05),and the levels of G-17,PGI and PGR were higher after the treatment than those before the treatment in the two groups(P<0.05);the improvements in the study group were more significant than those in the control group(P<0.05).The total effective rate was 87.50%(35/40) in the study group,which was higher than 70.00%(28/40) in the control group(P<0.05).The efficacy of the two groups with a disease duration of no more than 6 months was better than that of that with a disease duration of 7-12 months and that with a disease duration of no less than 13 months(P<0.05),and the efficacy of those with a disease duration of 7-12 months was better than those of those with a disease duration of no less than 13 months(P<0.05).Conclusion:Triple acupuncture as main treatment for CAG with deficiency of Spleen and Stomach can significantly improve patients' gastric mucous membrane atrophy and gastric function indexes,significantly alleviate the stuffiness or pain of stomach and epigastric,nausea and low food intake,fatigue and weakness,and reduce anxiety

关 键 词：慢性萎缩性胃炎 脾胃虚弱证 齐刺 针灸 

分 类 号：R246.1[医药卫生—针灸推拿学]