[1]陈婕,唐纯志△,关凤仪.针刺联合穴位埋线治疗脾胃虚弱型慢性萎缩性胃炎临床观察[J].西部中医药,2019,32(04):115-117.
　CHEN Jie,TANG Chunzhi,GUAN Fengyi.Clinical Observation on Acupuncture Combined with Catgut Implantation at Acupoints in the Treatment for Chronic Atrophic Gastritis of Spleen-stomach Deficiency Pattern[J].Western Journal of Traditional Chinese Medicine,2019,32(04):115-117.
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针刺联合穴位埋线治疗脾胃虚弱型慢性萎缩性胃炎临床观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
32
期数:
2019年04期
页码:
115-117
栏目:
出版日期:
2019-04-15

文章信息/Info

Title:
Clinical Observation on Acupuncture Combined with Catgut Implantation at Acupoints in the Treatment for Chronic Atrophic Gastritis of Spleen-stomach Deficiency Pattern
文章编号:
1004-6852(2019)04-0115-03
作者:
陈婕，唐纯志△，关凤仪
广州中医药大学针灸康复临床医学院，广东 广州 510405
Author(s):
CHEN Jie, TANG Chunzhi△, GUAN Fengyi
Clinical Medical School of Acupuncture and Rehabilitation, Guangzhou University of Chinese Medicine,Guangzhou 510405, China
关键词:
胃炎; 萎缩性; 慢性; 脾胃虚弱型; 针刺; 穴位埋线
Keywords:
gastritis;  atrophic;  chronic;  spleen-stomach deficiency pattern;  acupuncture;  catgut implantation at acupoint
分类号:
R573.3+2
文献标志码:
B
摘要:
目的：观察针刺联合穴位埋线治疗脾胃虚弱型慢性萎缩性胃炎的临床疗效。方法：将60例脾胃虚弱型慢性萎缩性胃炎患者分成观察组和对照组，每组30例。对照组采取西医常规治疗，予莫沙必利片，5 mg/次，口服，3次/d必要时加抗HP治疗。观察组予针刺联合穴位埋线治疗。2组疗程均为12周。观察2组治疗前后中医证候积分、病理组织学的变化情况及临床疗效。结果：证候积分治疗前后2组组内比较，差异有统计学意义(P＜0.05)；治疗后2组组间比较差异也有统计学意义(P＜0.05)。治疗后，观察组慢性炎症、胃黏膜腺体萎缩、肠上皮化生、异型增生情况较治疗前明显改善(P＜0.05)，对照组患者的胃黏膜腺体萎缩、肠上皮化生、异型增生情况较治疗前亦明显改善(P＜0.05)，且观察组患者胃黏膜萎缩、肠上皮化生改善情况优于对照组(P＜0.05)。总有效率观察组为86.7%，对照组为63.3%，2组比较差异有统计学意义(P＜0.05)。结论：针刺联合穴位埋线治疗脾胃虚弱型慢性萎缩性胃炎可缓解临床症状，改善胃组织病理表现，提高临床疗效。
Abstract:
Objective：To observe clinical effects of acupuncture joined with catgut implantation at acupoints in treating chronic atrophic gastritis (CAG) of spleen-stomach deficiency pattern. Methods: Sixty patients were randomly allocated to the observation group and the control group, 30 cases each group. The control group used conventional therapy of Western medicine and took mosapride orally, 5 mg each time, tral administration, three times each day, performed anti-Hp therapy when necessary. The observation group were treated by acupuncture combined with catgut implantation at acupoints. The course was 12 weeks. Syndrome scores, pathological tissues and clinical effects of both groups were observed before and after treating. Results: The difference had statistical meaning in the comparisons of syndrome scores within two groups before and after treating (P＜0.05); the difference was statistically significant in the comparisons between both groups after treating (P＜0.05). After treating, chronic inflammation, gastric mucosa gland atrophy, intestinal metaplasia and dysplasia of the observation group improved compared with before treating notably (P＜0.05), the conditions of the control group improved than before treating remarkably (P＜0.05), the improvements of the observation group were superior to these of the control group (P＜0.05). Total effective rate of the observation group was 86.7%, higher than 63.3% of the control group, and the difference showed statistical meaning (P＜0.05). Conclusion: Acupuncture joined with catgut implantation at acupoints could relieve clinical symptorns, improve clinical manifestations of stomach tissue and raise clinical effects in treating CAG of spleen-stomach deficiency pattern.

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备注/Memo

备注/Memo:
收稿日期：2018-09-10 *基金项目：国家自然科学基金项目（编号8147375）。 作者简介：陈婕(1991—)，女，硕士学位。研究方向：针灸治疗临床疾病。 △通讯作者：唐纯志(1966—)，男，教授，硕士研究生导师。研究方向：针灸治病机理。
更新日期/Last Update: 2019-04-15