不同施灸时间对脾胃虚寒型浅表性胃炎临床疗效的观察

摘要

Objective To observe the curative effect of different duration of mild moxibustion in superficial gastritis patients with deficiency cold pattern of spleen and stomach. Methods A total of 84 superficial gastritis patients were randomly divided into moxibustion-20 min group, moxibustion-40 min group and medication (Ranitidine) group, with 28 cases in each group. Mild moxibustion was applied to bilateral Zusanli (ST 36) and Zhongwan (CV 12, odd days), Pishu (BL20) and Weishu (BL21, even-numbered days) for 20 min and 40 min respectively, once daily for 20 days. The symptom integrative score of superficial gastritis patients and the therapeutic effects were assessed according to "The Scoring Table for Symptoms and Signs of Gastrointestinal Disorders of Chinese Medicine", etc. Results Following 20 days' treatment, of the three 28 gastrititis patients in the medication, moxibustion-20 min and moxibustion-40 min groups, 0,1, and 0 cases were cured, 5, 7 and 12 experienced marked improvement in their symptoms, 15, 16 and 12 had an improvement, and 8, 4 and 4 were invalid,with the effective rates being 71.4%, 85, 7% and 85. 7% , respectively. After one month's follow up, of the three 28 cases in the medication, moxibustion-20 min and moxibustion-40 min groups, 0, 4 and 0 cases were cured, 4,8, and 13 experienced marked improvement, 15,16 and 13 had an improvement, 9, 0 and 2 were ineffective, with the effective rates being 67. 9% , 100% and 92. 9% , respectively. Self-comparison of each group showed that the integrative scores of symptoms were all decreased significantly after the treatment and one-month's follow up in the three groups (P<0. 01). The effective rates of both moxibustion-20 min and -40 min were significantly higher than that of,the medication group after one month's follow up (P<0. 01, P<0. 05). The therapeutic effect of moxibustion-20 min group was significantly superior to that of the medication group in lowering the integrative score of symptoms after one month's follow up (P<0. 01). No significant differences were found among the three groups in the therapeutic effects and in reducing integrative scores of symptoms after 20 days' treatment (P>0.05), Conclusion Mild moxibustion is significantly supe-rrnrior to medication in long-term therapeutic effects in the treatment of superficial gastritis patients with spleen-stomach deficiency-cold pattern.%目的:观察不同艾灸时间温和灸治疗浅表性胃炎(脾胃虚寒型)患者的临床疗效.方法:将84例脾胃虚寒型浅表性胃炎患者随机分为温和灸20 min组、温和灸40 min组和药物组,每组28例,温和灸组选择足三里、中脘、脾俞、胃俞温和灸20、40 min,对各组治疗前后、随访的临床症状评分进行比较.结果:治疗后3组均有疗效,组间比较差异无统计学意义(P＞0.05),治疗结束后1个月,温和灸20 min、40 min组与药物组疗效比较差异均有统计学意义(P＜0.01,P＜0.05);治疗后及治疗结束后1个月,3组浅表性胃炎症状积分与治疗前比较差异有统计学意义(P＜0.01);治疗后与药物组比较,温和灸40 min组上腹部胀满症状差异有统计学意义(P＜0.05),温和灸20 min组纳呆症状差异有统计学意义(P＜0.05);治疗结束后1个月与药物组比较,温和灸20 min组胃脘疼痛、纳呆症状差异有统计学意义(P＜0.01,P＜0.05),温和灸40 min组上腹部胀满、纳呆症状差异有统计学意义(P＜0.05,P＜0.01).结论:在远期疗效上,灸法组明显优于雷尼替丁组;改善患者症状方面,灸法组在近期疗效和远期疗效方面都明显高于雷尼替丁组.