首页|黄芪建中汤结合穴位埋线对慢性萎缩性胃炎患者胃功能及症状积分的影响

黄芪建中汤结合穴位埋线对慢性萎缩性胃炎患者胃功能及症状积分的影响

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目的 探究慢性萎缩性胃炎(CAG)患者采用黄芪建中汤结合穴位埋线治疗的效果.方法 选取济南市中西医结合医院 2022年8月—2023年8月收治的80例CAG患者为研究对象,采用随机数字表法将其分为观察组及对照组,每组40例.对照组采用常规西医治疗,观察组在此基础上采用黄芪建中汤结合穴位埋线治疗.比较两组患者的临床疗效、中医症状评分、胃功能指标及不良反应发生情况.结果 观察组的治疗总有效率为100.00%,高于对照组的80.00%,差异有统计学意义(P<0.05).治疗后,观察组的胃脘胀满、胃部喜暖、倦怠乏力、食少纳呆、大便稀溏、气短少言中医症状评分均低于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的胃泌素17水平低于对照组,胃蛋白酶原I水平高于对照组,组间差异有统计学意义(P<0.05).两组的不良反应发生率比较,差异无统计学意义(P>0.05).结论 在常规西医治疗基础上采用黄芪建中汤结合穴位埋线治疗CAG的效果理想,可提高治疗总有效率,改善患者胃功能,减轻其症状,安全可靠,值得临床推广使用.
Effects of Huangqi Jianzhong Decoction Combined with Acupoint Embedding on Gastric Function and Symptom Scores in Patients with Chronic Atrophic Gastritis
Objective To explore the effect of Huangqi Jianzhong Decoction combined with acupoint embedding therapy on patients with chronic atrophic gastritis(CAG).Methods 80 CAG patients admitted to Jinan Hospital of Integrated Chinese and Western Medicine from August 2022 to August 2023 were selected as the study objects and were divided into an observation group and a control group by random number table method,with 40 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with Huangqi Jianzhong Decoction combined with acupoint embedding therapy.The clinical efficacy,TCM symptom scores,gastric function indexes and the occurrence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 100.00%,higher than 80.00%of the control group,the difference was statistically significant(P<0.05).After treatment,the scores of traditional Chinese medicine symptoms such as stomach fullness,stomach warmth,fatigue and lack of strength,little food and lethargy,loose stool,shortness of breath and little speech in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the level of gastrin 17 in the observation group was lower than that in the control group,and the level of pepsinogen I was higher than that in the control group,and the differences between the groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion On the basis of conventional western medicine treatment,Huangqi Jianzhong Decoction combined with acupoint embedding therapy has ideal effect in the treatment of CAG,which can improve the total effective rate of treatment,improve the gastric function of patients,reduce their symptoms,and is safe and reliable,worthy of clinical promotion.

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济南市中西医结合医院脾胃科,山东济南 271100

慢性萎缩性胃炎 黄芪建中汤 穴位埋线 胃功能 症状评分

中医药科技计划

专项2023-中-46

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(3)
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