俞募配穴针灸对慢性浅表性胃炎患者生存质量的影响

摘要

目的:观察俞募配穴针灸治疗慢性浅表性胃炎的临床疗效及其对慢性浅表性胃炎患者生存质量的影响.方法:采用随机数字表法将符合纳入标准的慢性浅表性胃炎患者分为针灸组和药物组,每组30例.针灸组主穴为中脘、胃俞、足三里,脾胃虚弱者采用温针灸,肝胃不和者采用电针,每日1次,每治疗5 d休息2 d.药物组予奥美拉唑胶囊(洛赛克)口服,每次20 mg,每日1次.两组疗程均为4周,然后评价临床疗效,并用SF-36量表观察患者生存质量的改善情况.结果:在改善临床症状方面:针灸组治愈6例,显效16例,有效5例,无效3例,总有效率为90.0%;药物组治愈3例,显效8例,有效9例,无效10例,总有效率为66.7%;两组比较差异有统计学意义(P<0.05),针灸组优于药物组.在改善生存质量方面:对患者的躯体职能、情感职能的改善针灸组优于药物组(P<0.05).健康效用值的提高方面,针灸组较药物组明显提高(P<0.01).结论:俞募配穴为主针灸治疗慢性浅表性胃炎,不仅能显著改善临床症状,而且还能提高患者的生存质量.%Objective To observe the therapeutic effect of electroacupuncture plus moxibustion (EA-Moxi) of combined Shu- and Mu-acupoints on the symptoms and quality of daily life in chronic superficial gastritis (CSG) patients. Methods Sixty cases were randomly divided into EA-Moxi group (n = 30) and medication group (n = 30). For patients of the former group, EA (50 Hz, 3 mA) was applied to Zhongwan (CV 12), bilateral Weishu (BL 21), bilateral Zusanli (ST 36), in combination with bilateral Ganshu (BL 18) and Qimen (LR 14) for patients with liver-stomach disharmony syndrome, and with moxibustion of Zhong-wan (CV 12), bilateral Weishu (BL 21), bilateral Zusanli (ST 36), Pishu (BL 20) and Zhangmen (LR 13) for those with spleen-stomach deficiency syndrome. The treatment was administrated once a day, five days a week for 4 weeks. The patients of medi-cation group were treated with Omeperazole (20 mg, qd.) capsules. The total course of treatment was 4 weeks. Clinical thera-peutic effects were evaluated according to some related standards, and the quality of life was assessed by SF-36 questionnaire. Results After the treatment, of the 30 cases in EA-Moxi and medication groups, 6(20. 0%) and 3(10. 0%) were cured, 16 (53. 3%) and 8(26. 7%) experienced marked improvement, 5(16. 7%) and 9(30. 0%) were effective, and 3(10. 0%) and 10 (33. 3%) failed, with the effective rates being 90. 0% and 66. 7% respectively. The difference of the effective rates between two groups was significant (P<0. 05). Self-comparison showed a marked improvement in the quality of life including physical function (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social function(SF), role emotion (RE) and mental health (MH) in both groups after the treatment. The scores of health utility (HU), RP and RE in EA-Moxi group were evi-dently higher than those of medication group (P<0. 05, P<0. 01). Conclusion EA-Moxi of combined Shu- and Mu-acupoints can effectively relieve CSG patients' clinical symptoms and their quality of life.