【目的】观察腹部推拿的揉腹法治疗慢性浅表性胃炎的临床疗效。【方法】将46例慢性浅表性胃炎患者随机分为试验组和对照组各23例。试验组给予揉腹法治疗，每日治疗1次，7次为1个疗程，共治疗2个疗程；对照组给予口服西药吗丁啉治疗，每次10 mg，每日3次，连续服药2周。治疗后分别对2组患者的临床证候疗效和胃镜检测疗效进行比较和评价。【结果】（1）治疗后，2组患者的证候积分均显著降低（P＜0.01），且试验组对证候积分的降低作用优于对照组（P＜0.05）。（2）临床证候疗效方面，试验组总有效率为91.30%，优于对照组的60.87%，差异有统计学意义(P<0.01)。（3）胃镜检测疗效方面，试验组的胃炎病灶改善情况显著优于对照组，差异有统计学意义（P＜0.01）。【结论】研究初步表明，揉腹法可有效改善慢性浅表性胃炎患者临床症状及胃黏膜炎性表现，值得临床进一步研究推广。%Objective To observe the therapeutic effect of abdominal kneading massage in treating chronic superficial gastritis. Methods Forty-six cases of chronic superficial gastritis were randomly divided into test group and control group, 23 cases in each group. The patients of the test group were treated by the abdominal kneading massage, once a day, 7 times for a course of treatment, and the treatment lasted 2 courses. The patients of the control group took the western medicine Domperidone tablets orally, 10 mg each time, 3 times a day, for 2 continuous weeks. After treatment, we compared the clinical efficacy on syndromes and gastroscopy detection results in both groups. Results ( 1) After treatment, the scores of syndromes were decreased in both groups ( P<0.01 compared with those before treatment) , and the decrease was more obvious in the test group ( P<0.05 compared with the control group). ( 2) The total efficiency of test group was 91.30%, and that of the control group was 60.87%, the difference being significant ( P<0.01). ( 3) The results of gastroscopy showed that the relief of the gastritis lesions of the test group was significantly better than that in the control group, and the difference was significant ( P < 0.01). Conclusion Abdominal kneading massage can effectively relieve the symptom and gastric mucosa inflammatory manifestations of the chronic superficial gastritis patients, and this treatment can be recommended in clinical application.
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