目的 观察"老十灸"合吴茱香砂六君汤治疗脾胃虚寒型慢性胃炎的临床疗效.方法 将90例脾胃虚寒型慢性胃炎患者运用随机数字表法随机分为灸药组和西药组,每组45例.灸药组运用"老十灸"合吴茱香砂六君汤治疗,西药组采用常规用药治疗,观察两组患者治疗后的临床疗效及症状等变化.结果 灸药组和西药组临床总有效率分别为88.9%、75.6%,灸药组明显高于西药组(P<0.05);灸药组和西药组胃镜总有效率分别为91.1%、77.8%,表明灸药组优于西药组(P<0.05);灸药组胃部疼痛不适症状改善情况明显优于西药组(P<0.05).结论 灸药组治疗脾胃虚寒型慢性胃炎在临床疗效及症状改善方面均优于西药组.%Objective To observe the clinical efficacy of Lao Shi Jiu (moxibustion at a group of ten acupoints) plus Wu Zhu Xiang Sha Liu Jun decoction in treating chronic gastritis due to deficient cold in spleen-stomach. Method Ninety patients with chronic gastritis due to deficient cold in spleen-stomach were randomized into a moxibustion-medication group and a Western medication group by using the random number table, 45 cases each. The moxibustion-medication group was intervened by Lao Shi Jiu plus Wu Zhu Xiang Sha Liu Jun decoction, while the Western medication group was prescribed with conventional medications. The clinical efficacy and changes in symptoms were observed after the intervention. Result The total effective rates were respectively 88.9% and 75.6% in the moxibustion-medication group and Western medication group, and the rate in the moxibustion-medication group was significantly higher than that in the Western medication group (P<0.05); the gastroscopy-based total effective rates were respectively 91.1% and 77.8% in the moxibustion-medication group and Western medication group, indicating that the moxibustion-medication group was superior to the Western medication group (P<0.05); the improvement of stomachache in the moxibustion-medication group was more significant than that in the Western medication group (P<0.05). Conclusion The moxibustion-medication group is superior to the Western medication group in comparing the clinical efficacy and improvement of symptoms in treating chronic gastritis due to deficient cold in spleen-stomach.
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