首页|五运六气开阖针法重建慢性胃炎患者胃粘膜功能稳态的临床研究

五运六气开阖针法重建慢性胃炎患者胃粘膜功能稳态的临床研究

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目的:观察五运六气开阖针法重建慢性胃炎患者胃粘膜功能稳态的临床效果.方法:将70例慢性胃炎患者采用随机数字表法分为两组.药物组35例给予奥美拉唑胶囊联合杞橼酸莫沙必利片治疗,五运六气组35例在药物组两种药物基础上给予五运六气开阖针法治疗.评估两组中医症状评分、上腹痛综合征评分、胃镜评分、病理组织学评分的差异,检测两组胃肠实验室指标水平,统计两组疗效和不良反应.结果:治疗后,五运六气组和药物组中医症状评分、上腹痛评分、上腹灼烧感评分及胃镜评分、病理组织学评分均较本组治疗前降低(P<0.05),且五运六气组均低于药物组(P<0.05).治疗后,五运六气组和药物组胃泌素-17(G17)、胃动素(MTL)、胃蛋白酶Ⅰ(PGⅠ)、胃蛋白酶Ⅱ(PGⅡ)均较本组治疗前升高(P<0.05),且五运六气组均高于药物组(P<0.05).五运六气组总有效率高于药物组,复发率低于药物组,不良反应与药物组比较,未见统计学差异(P>0.05).结论:五运六气开阖针法可改善慢性胃炎患者胃粘膜功能,调节胃肠激素,提高疗效和免疫功能.
Clinical study on reconstructing functional homeostasis of gastric mucosa in patients with chronic gastritis by open-ing and closing acupuncture with five movement and six qi
Objective To observe the clinical effect of five movement and six qi opening and closing acupuncture to recon-struct functional homeostasis of gastric mucosa in patients with chronic gastritis.Methods Seventy patients with chronic gastritis were divided into two groups by random number table method.35cases in the drug group were treated with omeprazole capsules combined with Mosapride citrate tablets,and 35cases in the five Yun and six qi group were treated with five Yun and six qi open-ing and closing acupuncture on the basis of two drugs in the drug group.The differences of TCM symptom score,epigastric pain syndrome score,gastroscopy score and histopathological score between the two groups were evaluated,the level of gastrointestinal laboratory indexes between the two groups were detected,and the efficacy and adverse reactions of the two groups were analyzed.Results After treatment,TCM symptom score,epigastric pain score,epigastric burning score,gastroscopy score and histopatho-logical score of Wuyun and six Qi group and drug group were all lower than before treatment(P<0.05),and Wuyun and six Qi group were all lower than drug group(P<0.05).After treatment,gastrin-17(G17),motilin(MTL),pepsin Ⅰ(PG-ⅰ)and pepsin Ⅱ(PG-ii)in five Yun-six qi group and drug group were higher than those before treatment(P<0.05),and those in five Yun-six qi group were higher than those in drug group(P<0.05).The total effective rate of five Yun and six qi group was higher than that of drug group,and the recurrence rate was lower than that of drug group.There was no statistical difference in ad-verse reactions between five Yun and six qi group(P>0.05).Conclusion Five movement and six qi opening and closing acupunc-ture can improve the gastric mucosa function,regulate gastrointestinal hormones,and improve the curative effect and immune function in patients with chronic gastritis.

Five movement six gas opening and closing stitchChronic gastritisGastric mucosa functionGastrointestinal hormoneImmune functionCurative effect

周慧萍、巫祖强、黄深荣

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佛山市南海区人民医院中医治未病科,广东佛山 528226

五运六气开阖针法 慢性胃炎 胃粘膜功能 胃肠激素 免疫功能 疗效

佛山市自筹经费类科技计划

2220001004665

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(5)
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